NR511 / NR 511 Final Exam (Latest 2023 /
2024): Differential Diagnosis & Primary Care
Practicum - Chamberlain week 8
1). Population most commonly affected by bacterial prostatis
Ans: Sexually active men
BETWEEN THE AGES OF 30 AND 50 YEARS OLD
2). Physical exam characteristics of acute bacterial prostatitis
Ans: Abdominal examination to detect a distended bladder and costovertebral angle
tenderness.
Genital examination
A digital rectal examination should be performed gently because vigorous prostatic
massage can induce bacteremia and, subsequently, sepsis.
DRE results for the three conditions, we can expect to see the following.
Acute bacterial
Warm, tense, swollen, boggy, and very tender prostate
Chronic bacterial
Normal (may be a little boggy or focally indurated)
Nonbacterial
Normal or tender prostate
3). Phren sign - torsion or epididymitis
Ans: The most common finding on clinical exam is the absence of the cremasteric
reflex and unlike in epididymitis elevation of the affected testis does not relieve the pain
4). Bph symtpms
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, Ans: Fever
Chills
Hematuria
Dysuria
Foul-smelling urine
Difficulty starting to urinate or emptying the bladder
Dribbling
Weak urine stream
5). Hallmark characteristics of varicocele
Ans: Sensation that the testes feel like a "bag of worms."
6). Population affected by testicular cancer
Ans: American males between the ages of 15 and 35.
7). Explain spinal stenosis
Ans: Most Common source of lower back pain
Caused by a narrowing of the spinal canal as a result of degeneration of the bony facet
joints and the intervertebral disks
8). Common characteristics of lumbar spinal stenosis
Ans: Leg pain is commonly greater than back pain and pain is characteristically worse
with prolonged standing or walking and improved by rest.
In more advanced cases, leg pain with weakness or numbness and tingling can be
present.
Pt will lean or stoop for short term relief
9). Chronic pain
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, Ans: Greater than 3 months in duration
Pain symptoms become more generalized topographically and less localized to the site of
injury or initial complaint
Pain referral patterns that shift in location as well as intensity, frequency, and quality
Pain that does not change with movement, rest, or over time
Patients usually report pain as constant or continuous (less like to be intermittent).
Mood or current psychological status tends to affect or worsen the pain complaints.
10). Number of joints involved in polyarticular disorder
Ans: Four or more joints
11). Four cardinal signs of joint inflammation
Ans: Erythema
Warmth
Pain
Swelling
12). Dequervian's tensynovitis
Ans: Inflammation of tendons on the side of the wrist at the base of the thumb.
Like CTS(carpul tunnel), it may be caused by repetitive movements but is also associated
with pregnancy and rheumatoid disease.
Most common in middle-aged women.
The main symptom is pain felt over the thumb side of the wrist that may travel up the
forearm.
The pain is worse when forcefully grasping objects or twisting the wrist.
A catching or snapping sensation may be felt when moving the thumb.
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