623 Adult - Male Genitourinary - NP
Certification, Fitzgerald 4th ed,
Questions with accurate answers, Rated
A
d. boggy gland - which of the following is INCONSISTENT with the description of benign prostatic
hyperplasia (BPH)?
a. obliteraed mediam sulcus
b. size loarger than 2.5cm x 3cm
...
623 Adult - Male Genitourinary - NP
Certification, Fitzgerald 4th ed,
Questions with accurate answers, Rated
A
d. boggy gland - ✔✔which of the following is INCONSISTENT with the description of benign prostatic
hyperplasia (BPH)?
a. obliteraed mediam sulcus
b. size loarger than 2.5cm x 3cm
c. sensation of incomplete emptying
d. boggy gland
b. an alpha1 antagonist should NOT be used as a solo or first-line txment agent - ✔✔when prescribing
antihypertensive txment for a man with BPH and hypertension, the NP considers that:
a. loop diuretics are the tx of choice
b. an alpha1 antagonist should NOT be used as a solo or first-line txment agent
c. angiotensin receptor antagonist use is contraindicated
d. beta-adrenergic antagonist use often enhances urinary flow
a. prostate size does not correlate well with severity of sxs - ✔✔when assessing a 78 y/o man with
suspected BPH, the NP considers that:
a. prostate size does not correlate well with severity of sxs
b. BPH affects less than 50% of men of this age
c. he is at increased risk for prostate cancer
d. limiting fluids is a helpful method of relieving severe sxs
a. amitriptyline - ✔✔which of the following meds can contribute to the development of acute urinary
retention in an older man with BPH?
,a. amitriptyline
b. loratadine
c. enalapril
d. lorazepam
d. postrenal azotemia - ✔✔a 78 y/o man presents with a 3 day hx of new-onset fatigue and difficulty
with bladder emptying. exam reveals a distended bladder but is otherwise unremarkab.e. BUN level is
88mg/dL; creatinine level is 2/8 mg/dL. the most likely dx is:
a. prerenal azotemia
b. acute glomerulonephritis
c. tubular necrosis
d. postrenal azotemia
d. acute tubular necrosis - ✔✔surgical intervention in BPH should be considered with all of the following
except:
a. recurrent UTI
b. bladder stones
c. persistent obstruction despite medical txment
d. acute tubular necrosis
b. prostate size - ✔✔finasteride (proscar, propecia) and dutasteride (avodart) are helpful in the txment
of BPH because of their effect on:
a. bladder contractility
b. prostate size
c. activity at select bladder receptor sites
d. bladder pressure
c. activity at select bladder receptor sites - ✔✔tamsulosin (flomas) is helpful in the txment of BPH
because of its effect on:
a. bladder contractility
, b. prostate size
c. activity at select bladder receptor sites
d. bladder pressure
b. the use of a validated pt sx tool is an important part of dx the condition - ✔✔concerning BPH, which
of the following statements is true?
a. digital rectal exam is accurate in dxing the condition
b. the use of a validated pt sx tool is an important part of dx the condition
c. prostate size directly correlates with sxs and bladder emptying
d. bladder distention is usually present in early disease
d. these tx are safest and most effective when used with RX meds - ✔✔concerning herbal and
nutritional txment for BPH tx, which of the following statements is FALSE?
a. the mechanism of action of the most effective and best studied products is similar to prescription
meds for this condition
b. these tx are currently considered emerging tx by the American Urological Association
c. major areas of concern with use of these tx include issues of product purity and quality control
d. these tx are safest and most effective when used with RX meds
b. a painful ulcer - ✔✔you examine a 32 y/o man with chancroid and anticipate finding:
a. a verruciform lesion
b. a painful ulcer
c. a painless, crater-like lesion
d. a plaquelike lesion
c. blood-tinged penile discharge - ✔✔all of the following are typical findings for a pt with chancroid
except:
a. multiple lesions
b. spontaneous rupture of affected nodes
c. blood-tinged penile discharge
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