Answers
1. BPH AUA Questions "Over the past month have you..." -
correct answers1. Sensation of incomplete emptying
2. Urinate less than 2 hours after you finished (Frequency)
3. How often have you found that you start and stop several
times when urinating
4. found it difficult to postpose urination
5. Weak urinary stream
6. push or strain when urinating
7. how many times do you typically get up to urinate
Mild= 0-7
moderate= 8-19
Severe 20-35
BPH Labs - correct answersU/A
PSA
,High PSA and free PSA (cancerous is high PSA and normal to
low free PSA)
Renal panel
post void residual
BPH Differentials - correct answersProstatitis
Prostate cancer
UTI
Bladder cancer
BPH Assessment - correct answersDRE
Firm, smooth symmetrically enlarged prostate
BPH Non-pharm education - correct answersLimit bedtime
fluids
Limit caffeine, alcohol, antihistamine/anticholinergics
Limit salt intake
BPH Pharm education - correct answersAlpha 1 Blocker
Flomax 0.4mg daily at bedtime
, May cause dizziness
Follow up in 2-4 weeks
Urology if patient is not responding to treatment
Annual PSA and DRE if initial PSA >2.5
2. Sinusitis (Maxillary) Assessment findings - correct
answersViral <10 days- treat symptomatically with NSAIDs,
Acetaminophen
Bacterial >10 days- <4 weeks
HEENT Exam- facial tenderness, post nasal drip, middle ear
effusion, halitosis, periorbital edema
Sinusitis differentials - correct answersAllergic Rhinitis
dental abscess
migraine
Sinusitis labs - correct answersCBC, Sinus X-ray/CT if chronic
Diagnosis based on history and PE unless complications