NR 661 Mens Health Exams

NR 661 Mens Health Exams

NR 661 Mens Health Exams

1. Noninfectious epididymitis is common in:
2. A 65 year-old patient has a firm, non-tender, symmetrical enlarged prostate gland on examination. His PSA is 3.9 ng/mL. This probably indicates:
3. What symptom listed below might be seen in a male patient with benign prostatic hyperplasia?
4. A patient with testicular torsion will have a:
5. What is the effect of digital rectal examination (DRE) on a male’s PSA (prostate specific antigen) level if it is measured on the same day as DRE? NR 661 Mens Health Exams
6. Which of the following results in a clinically insignificant increase in the prostate specific antigen (PSA)?
7. 5-alpha-reductase inhibitors work by producing:
8. A localized tumor in the prostate gland associated with early stage prostate cancer is likely to produce:
9. A 22 year-old male who is otherwise healthy complains of scrotal pain. His pain has developed over the past 4 days. He is diagnosed with epididymitis. What is the most likely reason?
10. Hesselbach’s triangle forms the landmark for:
11. A 25 year-old male patient is training for a marathon. He reports an acute onset of scrotal pain after a 10 mile run. He has nausea and is found to have an asymmetric, high-riding testis on the right side. What should be suspected?
12. A 70 year-old male presents to your clinic with a lump in his breast. How should this be evaluated?
13. Digital rectal exam may be performed to assess the prostate gland. Which term does NOT describe a prostate gland that may have a tumor?
14. Rechecked?
15. A 50 year-old male comes to the nurse practitioner clinic for evaluation. He complains of fever 101F, chills, pelvic pain, and dysuria. He should be diagnosed with:
16. The following PSA levels have been observed in a patient. What conclusion can be made following these annual readings? Year 1: 3.2 ng/mL Year 2: 3.8 ng/mL Year 3: 4.2 ng/mL
17. What is the recommendation of American Cancer Society for initial screening of an African-American male for prostate cancer?
18. What class of medications can be used to treat benign prostatic hyperplasia and provide immediate relief?
19. A common presentation of an inguinal hernia is:
20. Hematuria is not a common clinical manifestation in:
21. What is American Cancer Society’s recommendation for prostate screening in a 70 year-old male?
22. What is the recommendation from American Cancer Society for assessment of the prostate gland in a man who is 45 years old and of average risk for development of prostate cancer? He should have:
23. A male patient has epididymitis. His most likely complaint will be:
24. Which of the following medications should be avoided in a 65 year-old male with benign prostatic hyperplasia (BPH)? NR 661 Mens Health Exams
25. An elderly male patient is taking finasteride, a 5-alpha-reductase inhibitor. What affect might this have on his PSA level?
26. What is the recommendation of American Cancer Society for screening an average risk 40 year-old Caucasian male for prostate cancer?
27. According to ACS, Men should not be screened unless they have received this information. The discussion about screening should take place at:
    

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1. Which of the following is inconsistent with the description of benign prostatic hyperplasia (BPH)?
2. When prescribing antihypertensive therapy for a man with BPH and hypertension, the NP considers that:
3. When assessing a 78-year-old man with suspected BPH, the NP considers that:
4. Which of the following medications can contribute to the development of acute urinary retention in an older man with BPH?
5. A 78-year-old man presents with a 3-day history of new-onset fatigue and difficulty with bladder emptying. Examination reveals a distended bladder but is otherwise unremarkable. Blood urea nitrogen level is 88 mg/dL (31.4 mmol/L); creatinine level is 2.8 mg/dL (247.5 μmol/L). T he most likely diagnosis is:
6. Surgical intervention in BPH should be considered with all of the following except:
7. Finasteride (Proscar, Propecia) and dutasteride (Avodart) are helpful in the treatment of BPH because of their effect on:
8. Tamsulosin (Flomax) is helpful in the treatment of BPH because of its effect on:
9. Concerning BPH, which of the following statements is true?
10. Concerning herbal and nutritional therapies for BPH treatment, which of the following statements is false?
11. You examine a 32-year-old man with chancroid and anticipate finding:
12. All of the following are typical findings for a patient with chancroid except:
13. the causative organism of chancroid is:

14) Treatment option for Chancroid includes includes all of the following except: 15) When ordering laboratory tests to confirm chancroid the NP considers that:

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1. Age of Initial Cervical Screening
2. Cervical Cancer
3. When do we stop PAP?
4. How often we screen for PAP?
5. Discontinue pap
6. Significant of T zone is where you find squamous cell dysplasia
7. Colposcopy Indicated
8. VULVOVAGINITIS
9. A patient has been diagnosed with vulvovaginal candidiasis. Which choices listed below are predisposing factors? Select all that apply? Not number 4. mmunocompetence
10. Patient symptoms: Normal (clear, white, odorless), PH: 4.0 to 4.5, Whiff: Negative, KOH: Negative
11. Diagnostic Studies:Candiadias

12. Management for Yeast or Candidias
13. Topical agent
14. Which treatment for vulvovaginal candidiasis relieves symptoms most rapidly?
15. Atrophic vaginitis
16. A 60 year old female has begun to have a small amount of blood escaping from the vagina. What is the most common cause of malignancy, when one is found?
17. Initially: Exam, EMB, US???
18. OSTEOPOROSIS
19. Which T-score reflects a patient with osteopenia
20. Osteoporosis Screening
21. Oral Bisphosphonates Considered first line for most patients with osteoperosis
22. Breast Masses
23. Screening for breast ca
24. Which choices below are causes of secondary dysmenorrhea? Select all that apply.
25. A 17 year old female is HIV positive. What is the recommendation for cervical screening for her?
26. Truck driver
27. BENIGN PROSTATIC HYPERPLASIA. NR 661 Mens Health Exams
28. At what age is the finding of benign prostatic hyperplasia most likely?
29. Documentation should include the following for BPH:
30. PSA
31. What are the major causes of an elevated serum PSA? Select all that apply
32. PSA Velocity = Rate of PSA change over time
    May be a good marker of detecting aggressive p
33. Management
34. ACUTEPROSTATITIS(Think Bacterial, consider STI)
35. Etiology
36. Assessment Findings for Bacterial prostatitis
37. Evaluation for acute prostatitis
38. Why should “gentle” prostate exam be performed in the setting of likely bacterial prostatitis? Select all that apply
39. Management on bacterial prostatitis
40. CHRONIC PROSTATITIS
41. Most men who are diagnosed with prostate cancer present with:
42. Assessment Findings
43. Screening for prostate cancer is most beneficial in men who
    not have a life expectancy of < 10 years.
44. American Cancer Society
45. EPIDIDYMITIS
46. Etiology of Epidymitis
47. Epididymitis
48. A 22 year old male patient presents with complaint of scrotal pain after a minor car accident. What must be part of the differential diagnosis?
49. Which factor listed below is NOT a risk factor for erectile dysfunction1.
50. Why should “gentle” prostate exam be performed in the setting of likely bacterial prostatitis? Select all that apply
51. Management for acute prostatitis
52. CHRONIC PROSTAT

NR 661 Mens Health Exams