NR507 ADVANCED PATHOPHYSIOLOGY TEST BANK FINAL
EXAM 2026-2027 LATEST UPDATE \COMPLETE 800
QUESTIONS AND CORRECT DETAILED ANSWERS\VERIFIED
100% ALREADY GRADED A+\Chamberlain University-Illinois
Prostate zones
1. Peripheral zone
-largest zone
-located in the outermost posterior area of the prostate
-most (75%) of the prostate's glandular tissue is in the peripheral zone
2. Central zone
-25% of the glandular tissue is contained here
-ejaculatory ducts that form with the urethra is also located here
3. Transitional zone
-contains approximately 5% of the prostate's glandular tissue and a portion of
the prostatic urethra
-contains transitional cells that can also be found in the bladder
,BPH symptoms
-dribbling which is a weak and inconsistent urine stream
-straining
-dysuria
-hesitancy
-sensation of incomplete bladder emptying
-nocturia
Diagnosing BPH
-performing a digital rectal exam (DRE)
-levels of Prostate Specific Antigen (PSA) that is produced by healthy
prostate cells are also elevated in BPH since there are more cells
around to produce it
Digital rectal exam (DRE)
1. palpate the anterior wall of the rectum which lies along the posterior
prostate
2. if enlarged, can suspect BPH
3. if hard nodules are palpated, this could be a sign of prostate cancer
,Treatment of BPH
-focuses on relieving the obstruction to allow the urine to flow normally
-5-alpha reductase inhibitors are prescribed which shrinks the prostate gland
by inhibiting the conversion of testosterone to dihydrotestosterone
-alpha-1 antagonists may also be prescribed to bind to alpha-1 receptors in
the smooth muscles in the bladder neck, prostate and urethra
-A transurethral resection of the prostate (TURP) can be performed to
remove part or all the prostate
BPH: irritative symptoms
-nocturia
-urinary frequency
-urgency the results from bladder hypertrophy and dysfunction
BPH: obstructive symptoms
-incomplete emptying
-postvoid dribbling
T or F: The purpose of straining in BPH is to overcome the obstruction
encountered during urination
True
, T or F: There is a significant risk for men with benign prostatic hyperplasia
(BPH) to develop cellular mutations that lead to prostate cancer
False
On a digital rectal exam to assess the quality of the prostate, the NP would
be concerned with what finding:
a hard nodule
T or F: The peripheral zone of the prostate is the largest zone
True
The patient most often develops symptoms of BPH when:
the prostatic urethra becomes obstructed
The location of the characteristic hyperplastic nodules of BPH is:
in the periurethral zone.
T or F: The underlying cause of BPH is that normal prostate cells respond to
increases in dihydrotestosterone that causes them to live longer and multiply
True
EXAM 2026-2027 LATEST UPDATE \COMPLETE 800
QUESTIONS AND CORRECT DETAILED ANSWERS\VERIFIED
100% ALREADY GRADED A+\Chamberlain University-Illinois
Prostate zones
1. Peripheral zone
-largest zone
-located in the outermost posterior area of the prostate
-most (75%) of the prostate's glandular tissue is in the peripheral zone
2. Central zone
-25% of the glandular tissue is contained here
-ejaculatory ducts that form with the urethra is also located here
3. Transitional zone
-contains approximately 5% of the prostate's glandular tissue and a portion of
the prostatic urethra
-contains transitional cells that can also be found in the bladder
,BPH symptoms
-dribbling which is a weak and inconsistent urine stream
-straining
-dysuria
-hesitancy
-sensation of incomplete bladder emptying
-nocturia
Diagnosing BPH
-performing a digital rectal exam (DRE)
-levels of Prostate Specific Antigen (PSA) that is produced by healthy
prostate cells are also elevated in BPH since there are more cells
around to produce it
Digital rectal exam (DRE)
1. palpate the anterior wall of the rectum which lies along the posterior
prostate
2. if enlarged, can suspect BPH
3. if hard nodules are palpated, this could be a sign of prostate cancer
,Treatment of BPH
-focuses on relieving the obstruction to allow the urine to flow normally
-5-alpha reductase inhibitors are prescribed which shrinks the prostate gland
by inhibiting the conversion of testosterone to dihydrotestosterone
-alpha-1 antagonists may also be prescribed to bind to alpha-1 receptors in
the smooth muscles in the bladder neck, prostate and urethra
-A transurethral resection of the prostate (TURP) can be performed to
remove part or all the prostate
BPH: irritative symptoms
-nocturia
-urinary frequency
-urgency the results from bladder hypertrophy and dysfunction
BPH: obstructive symptoms
-incomplete emptying
-postvoid dribbling
T or F: The purpose of straining in BPH is to overcome the obstruction
encountered during urination
True
, T or F: There is a significant risk for men with benign prostatic hyperplasia
(BPH) to develop cellular mutations that lead to prostate cancer
False
On a digital rectal exam to assess the quality of the prostate, the NP would
be concerned with what finding:
a hard nodule
T or F: The peripheral zone of the prostate is the largest zone
True
The patient most often develops symptoms of BPH when:
the prostatic urethra becomes obstructed
The location of the characteristic hyperplastic nodules of BPH is:
in the periurethral zone.
T or F: The underlying cause of BPH is that normal prostate cells respond to
increases in dihydrotestosterone that causes them to live longer and multiply
True
