AND ANSWERS SURE A+
✔✔Sidney, age 72, presents to the clinic with complaints of a weak urine stream,
hesitancy, and painful ejaculation. On digital rectal examination, you note that his
prostate is boggy. The most common cause of his symptoms is: - ✔✔Chronic bacterial
prostatitis.
✔✔Which of the following terms describes the bluish or purplish discoloration of the
vulva, vagina, and a portion of the cervix that occurs in pregnancy? - ✔✔Chadwick sign.
✔✔Jennifer, age 27, is complaining of lower abdominal pain. After doing some
laboratory studies, you find leukocytosis, an elevated erythrocyte sedimentation rate,
and an elevated C-reactive protein level. Which of the following is the most appropriate
diagnosis? - ✔✔Pelvic inflammatory disease.
✔✔A 21-year-old woman comes to your office and reports a history of genital warts. In
reference to the human papillomavirus (HPV) vaccination (ie, Gardasil, Gardasil 9, and
Cervarix), she should be educated that: - ✔✔She should receive HPV vaccination.
, ✔✔The nurse practitioner is performing a rectal examination on James, age 46, for
follow-up of melena. What would the provider expect his stool to look like if his condition
has not resolved? - ✔✔Black and tarry.
✔✔Martin is complaining of erectile dysfunction. He also has a condition that has
reduced arterial blood flow to his penis. The most common cause of this condition is: -
✔✔Diabetes mellitus.
✔✔On physical exam, Judy has pubic hair that spreads over her mons pubis with a
slight lateral spread. In addition, her breast development shows breast enlargement with
secondary mound formation by the developing areolae. Which Tanner stage best
describes Judy's development? - ✔✔Stage IV.
✔✔Bill, age 43, appears with a tender, ulcerated, exudative, papular lesion on his penis.
It has an erythematous halo, surrounding edema, and friable base. The nurse
practitioner should suspect: - ✔✔A chancroid.
✔✔Jake, age 62, has a low International Prostate Symptom Score for lower urinary tract
symptoms associated with his benign prostatic hyperplasia (BPH). The nurse
practitioner should recommend: - ✔✔No treatment at this time.
✔✔A 26-year-old female comes to your office to discuss birth control options. Her
history includes migraine headaches with aura while on combination oral contraceptives
in the past. She does not want to become pregnant. Which of the following birth control
options would be the best choice for her? - ✔✔Mirena intrauterine device (IUD).
✔✔A 63-year-old man presents to your office with hematuria, hesitancy, and dribbling.
Digital rectal examination (DRE) reveals a smooth, moderately enlarged prostate. The
client's prostate-specific antigen (PSA) is 1.2. What is the most appropriate
management strategy at this time? - ✔✔Prescribing an alpha-adrenergic blocker.
✔✔Mrs. Thomas, age 69, comes to your office for the results of her dual-energy x-ray
absorptiometry (DXA) scan. She reports that her mother had osteopenia before she
died. The DXA scan results show a T score of -2.7 in the hip and -2.8 in the spine. You
explain to her that her results show: - ✔✔Osteoporosis.
✔✔There are many causes of amenorrhea. In ballet dancers and marathon runners,
which anatomical structure is the probable cause? - ✔✔Hypothalamus.
✔✔Milton, a 72-year-old unmarried, sexually active white man, presents to your clinic
with complaints of hesitancy, urgency, and occasional uncontrolled dribbling. Although
the nurse practitioner suspects benign prostatic hyperplasia, what else should the
differential diagnosis include? - ✔✔Urethral stricture.