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Nur 6001 Exam 3 | Updated Questions and
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A 15-year-old female patient presents with complaints of constant thirst, urination up to 20 times a day, and recent unintentional weight loss of 10 pounds over the last month. It is important for the clinician to recognize these symptoms as those of: A. Renal cancer B. Bladder cancer C. Diabetes mellitus D. Interstitial cystitis ---------CORRECT ANSWER-----------------C. Diabetes mellitus What it the normal capacity of the urinary bladder? A. 700 mL B. 400 mL C. 200 mL D. 100 mL ---------CORRECT ANSWER-----------------B. 400 mL Which of the following disorders can cause urinary incontinence? A. Cystocele B. Overactive bladder
C. Uterine prolapse D. All of the above ---------CORRECT ANSWER-----------------D. All of the above A major reason for the atrophic changes that occur in the pelvic floor muscles of the elderly woman is: A. Diminished levels of estrogen B. Increased levels of testosterone C. Autonomic neuropathy D. Decreased glycogen in the vagina ---------CORRECT ANSWER-----------------A. Diminished levels of estrogen 22 - year-old male patient recently noticed swelling of the right testicle. He reports a feeling of heaviness and a dull ache in the testicle. There is no history of recent trauma. Physical examination reveals enlargement of the affected testicle, which is firm. The right scrotum is erythematous, and inguinal lymph nodes are palpable. It is important to recognize these are signs and symptoms of: A. Varicocele of the testes B. Testicular cancer C. Hematocele of the testes D. Torsion of the testes ---------CORRECT ANSWER-----------------B. Testicular cancer Examination of the male patient is best done in a warm room in order to avoid: A. Exaggeration of the cremasteric reflex
is erythematous, and inguinal lymph nodes are palpable. The clinician should order a(n) to evaluate this finding. A. Ultrasound of the scrotum B. CT scan of the pelvis C. Pelvic x-ray D. Digital rectal exam ---------CORRECT ANSWER-----------------A. Ultrasound of the scrotum In heterosexual men the most common cause of epididymitis is: A. e coli B. Neisseria gonnorhoae C. Chlamydia trachomatis D. B and c ---------CORRECT ANSWER-----------------D. B and c 26 - year-old male admits to unprotected sexual activity with men. He complains of pain in the left scrotal region and burning on urination that started 2 days ago. The scrotum is swollen and tender to palpation. A urethral discharge is evident. Pain decreases with elevation of the left scrotum. There is no pain on DRE. These are signs of: A. Testicular torsion B. Testicular cancer C. Epididymitis D. Prostatitis ---------CORRECT ANSWER-----------------C. Epididymitis
A 7-year-old male presents with fever and swollen parotid glands. He is diagnosed with mumps. A complication that can occur with mumps in a male patient is: A. Orchitis B. Prostatitis C. Testicular torsion D. Varicocele ---------CORRECT ANSWER-----------------A. Orchitis In order for the clinician to diagnose a varicocele, the patient needs to: A. Lie in the left lateral recumbent position B. Stand and bear down C. Lean over for digital rectal exam D. Lie in the supine position ---------CORRECT ANSWER-----------------B. Stand and bear down Which of the following male reproductive disorders resembles a ―bag of worms‖ on inspection? A. Spermatocele B. Hydrocele C. Varicocele D. None of the above ---------CORRECT ANSWER-----------------C. Varicocele
If amenorrhea is reported by the female patient, the clinician should attribute this to proven otherwise. A. Pregnancy B. Ovarian failure C. Lack of progesterone D. Menopause ---------CORRECT ANSWER-----------------A. Pregnancy In order to perform interventions or prescribe medication for the female patient, it is most important to obtain a complete health history. Which of the following is the most important question to ask female patients? A. Age at menarche B. Age at menopause C. Last menstrual period D. Number of pregnancies ---------CORRECT ANSWER-----------------C. Last menstrual period Your patient that has a uterine fibroid complains of bleeding through up to 10 tampons per day. Excessive bleeding at the time of the menstrual cycle is termed: A. Menorrhagia B. Metrorrhagia C. Dysmenorrhea D. Premenstrual syndrome ---------CORRECT ANSWER-----------------A. Menorrhagia
Your 35-year-old female patient complains of severe cramping with monthly menstrual flow. Painful menstrual periods are termed: A. Menorrhagia B. Metrorrhagia C. Dysmenorrhea D. Premenstrual syndrome ---------CORRECT ANSWER-----------------C. Dysmenorrhea When obtaining the health history of a 60-year-old female, it is important to ask: A. The age of menopause B. About any bleeding since menopause C. Use of any hormone replacement treatment D. All of the above ---------CORRECT ANSWER-----------------D. All of the above Your 24-year-old patient complains of vaginal discharge. When deciding what diagnostics to perform, what is most important to ascertain? A. Color of the discharge B. Timing of the menstrual cycle C. Consistency of the discharge
C. Uterine cancer D. Ovarian cysts ---------CORRECT ANSWER-----------------A. Human papilloma virus infection During a pelvic examination, a clinician asks the patient to bear down to inspect the vaginal outlet for: A. Cystocele B. Rectocele C. Prolapsed uterus D. All of the above ---------CORRECT ANSWER-----------------D. All of the above Which of the following findings on the bimanual exam of a female patient requires further investigation? A. Retroverted uterus B. Varicose veins in vaginal wall C. Cervical motion tenderness D. Anteflexed uterus ---------CORRECT ANSWER-----------------C. Cervical motion tenderness Which of the following findings on the bimanual exam of a female patient in early pregnancy requires further investigation? A. Unilateral adnexal tenderness B. Bluish colored cervix
C. Varicose veins of vaginal walls D. None of the above ---------CORRECT ANSWER-----------------A. Unilateral adnexal tenderness When examining the breasts of a 45-year-old female patient, you note nodularity throughout both breasts. There is no dominant mass, tenderness, nipple change, or skin change. Which of the following condition is most likely? A. Multiple fibroadenomas B. Fibrocystic breasts C. Mastalgia D. Mastitis ---------CORRECT ANSWER-----------------A. Multiple Fibroadenomas Your patient has a rubbery, firm, mobile breast mass. In order to completely exclude the possibility of cancer, the triple test is necessary, which includes: A. CT scan B. MRI C. Biopsy D. All of the above ---------CORRECT ANSWER-----------------C. Biopsy A 23-year-old woman is concerned about a mass she found on palpation. Upon examination of the patient, the mass feels cystic, round, and mobile with discrete borders. The diagnostic study that is recommended is:
tender, irregular 3 cm soft mass located in the left breast, with erythema and swelling of the breast. Which of the following is indicated? A. Compression wrap for chest and breast trauma; B. Mammogram C. Re-evaluation following complete resolution of obvious injuries D. Ultrasound ---------CORRECT ANSWER-----------------Mammogram A 23-year-old female presents with episodic bilateral breast tenderness. Upon palpation, there are multiple areas of nodularity with no dominant breast mass and no tenderness, nipple, or skin changes. It is best to recommend: A. Ultrasound of the breasts B. Mammogram of the breasts C. Fine needle aspiration of one nodule within a breast D. Diary of menstrual cycle and breast symptoms ---------CORRECT ANSWER--------- --------D. Diary of menstrual cycle and breast symptoms A 34-year-old female who gave birth 2 weeks ago developed fever and pain in the right breast while nursing her baby. The patient has tenderness, eythema, and swelling of the nipple on the right breast. Which of the following diagnostic studies is indicated? A. White blood cell (WBC) count B. Breast milk culture C. Ultrasound D. Fine needle biopsy ---------CORRECT ANSWER-----------------A. White Blood Cell Count
Your patient is a 46-year-old woman suffering from psychosis complains of milky discharge from both her breasts. Upon examination, there are no significant findings and the patient is not pregnant, breastfeeding, or in the postpartum period. You should: A. Order CT scan of head to rule out pituitary tumor B. Obtain a complete list of the patient's medications C. Have the patient keep a menstrual cycle diary D. Refer the patient for mammogram ---------CORRECT ANSWER-----------------B obtain a complete list of patient's mediacations Your patient is a 36-year-old woman who complains of milky discharge from both her breasts, episodes of headache, and menstrual irregularity. The patient is on no medications. Upon examination, there are no significant findings, and the patient is not pregnant, breastfeeding, or in the postpartum period. It is important to: A. Order prolactin level B. Obtain an MRI of head C. Have the patient keep a menstrual cycle diary D. Refer the patient for mammogram ---------CORRECT ANSWER-----------------A. Order a prolactin level Bloody breast discharge is associated with which of the following? A. Bleeding disorder such as von Willebrand disease
A. Pseudogynecomastia B. BRCA1 and 2 C. Klinefelter's syndrome D. BandC ---------CORRECT ANSWER-----------------C. Klinefelter's syndrome A 52-year-old female complains of discharge from one of her breasts. There is no pain, no mass, and no skin changes. The physical examination is normal. When putting pressure on the affected breast, the nipple expresses a small amount of thick, white discharge. These findings are consistent with: A. Duct ectasia B. Mastitis C. Fibroadenoma D. Fibrocystic breasts ---------CORRECT ANSWER-----------------A. Duct ectasia When performing a dipstick test on a patient's urine sample, a positive leukocyte esterase and nitrite is indicative of: A. Microscopic hematuria B. Urinary tract infection C. Calculi in the urine D. Possible bladder tumor ---------CORRECT ANSWER-----------------B. Urinary Tract Infection
An intravenous pyelogram should not be performed if serum creatinine is: A. Less than 1. B. Greater than 1. C. Greater than 1. D. Less than 1.0 ---------CORRECT ANSWER-----------------C.Greater than 1. Your 55-year-old male patient presents to the emergency department with complaints of sudden development of severe right-sided, colicky lower abdominal pain. He cannot sit still on the examining table. The patient has previously been in good health. On physical examination, there are no signs of peritoneal inflammation. A urine sample reveals hematuria and crystalluria. Which is the next diagnostic test that should be done immediately? A. Ultrasound of the abdomen B. Abdominal x-ray C. Digital rectal examination D. Spiral CT scan ---------CORRECT ANSWER-----------------D. Spiral CT scan The most common complication of an untreated urinary obstruction due to a ureteral calculus is: A. Hydronephrosis B. Renal artery stenosis C. Ureteral rupture D. Kidney mass ---------CORRECT ANSWER-----------------A. Hydronephrosis
B. Obtain an abdominal x-ray of kidneys, ureter, and bladder C. Recognize this as a normal finding that requires periodic follow-up D. Obtain urine culture and sensitivity for prostatitis ---------CORRECT ANSWER----- ------------C. Recognize this as a normal finding that requires periodic follow-up Your 77-year-old patient complains of frequent urination, hesitation in getting the stream started, and nocturnal frequency of urination that is bothersome. On DRE, there is an enlarged, firm, non- tender, smooth prostate. The clinician should recognize these as symptoms of: A. Prostatitis B. Prostate cancer C. Urethritis D. Benign prostatic hyperplasia ---------CORRECT ANSWER-----------------d. Benign prostatic hyperplasia Your 66-year-old patient complains of frequency of urination and hesitancy of the urine stream. On DRE, there is a hard, nodular, enlarged, non-tender prostate. The clinician should recognize these as symptoms of: A. Prostatitis B. Prostate cancer C. Urethritis D. Benign prostatic hyperplasia ---------CORRECT ANSWER-----------------B. Prostate cancer
27 - year-old male comes in to the clinic for symptoms of dysuria, urinary frequency, as well as urgency and perineal pain. Transrectal palpation of the prostate reveals a very tender, boggy, swollen prostate. The clinician should recognize these as signs of: A. Prostatitis B. Prostate cancer C. Urethritis D. Benign prostatic hyperplasia ---------CORRECT ANSWER-----------------A. prostatitis Your 24-year-old female patient complains of dysuria as well as frequency and urgency of urination that develops the day after she uses her diaphragm. Urine culture reveals a bacterial count of 100 CFU/mL. These signs and symptoms indicate: A. Upper urinary tract infection B. Lower urinary tract infection C. Normal bacteriuria D. Urethritis ---------CORRECT ANSWER-----------------B. Lower urinary tract infection An 18-year-old female patient presents with repeated urinary tract infections. She has no risk factors in her history, and her physical examination is unremarkable. She also has a normal pelvic exam. Which of the following should be obtained if anatomic abnormalities are suspected? A. Intravenous pyelogram
