NR601 FINAL EXAM UPDATE
VERIFIED QUESTIONS & DETAILED
EXPLANATIONS GRADED A+
Professional Academic Assistance Services
A 66-year-old man complains of nocturia (three to four times a
night), hesitancy, and incomplete emptying of the bladder.
Physical examination reveals an enlarged, nontender prostate,
about 40 g in size without discrete nodules. Urinalysis reveals
hematuria without leukocyte esterase. Upon further evaluation,
the hematuria is attributed to his BPH. The patient declines
surgical options at this time. Which of the following medications
would be most appropriate?
a. Oxybutynin
b. Doxazosin
c. Finasteride
d. Silodosin
e. Tadalafil - Answer: C
A 67-year-old female with a history of congestive heart failure
and myocardial infarction is admitted to the hospital because of
increasing altered mental status and decreased arousal over the
last week. Physical examination reveals a confused woman with
right lower lobe crackles and a pulse oximetry of 86% on room
,air. While you are interviewing the patient, she is irritable,
paranoid, and inattentive, which her family tells you is out of
character. You notice waxing and waning in her alertness and
impaired short-term memory during your examination. Which
one of the following features present in this patient best
distinguishes delirium from depression or dementia?
a. Irritability
b. Inattentiveness
c. Paranoia
d. Aggressiveness - Answer: B
A 69-year-old female presents to your office for routine primary
care. Her elder sister was recently diagnosed with Alzheimer
disease, and she wonders what steps she can take to reduce her
own risk of developing dementia. Which of the following
statements about the prevention of dementia is true?
a. There is moderate quality evidence to support daily use of
vitamin B12 and fish oil to prevent risk of cognitive decline.
b. Risk of dementia is modulated by nonmodifiable risk factors,
such as genetics, family history, and educational attainment, and
there are no behavioral interventions that can be taken to
reduce risk of developing dementia.
c. There is moderate quality evidence to suggest control of
cardiovascular and metabolic risk factors, such as blood
,pressure, weight, and blood sugar, may reduce risk of dementia.
d. There is moderate to low quality evidence supporting
cannabinoids may reduce rates of progression - Answer: C
A 70-year-old man has bothersome lower urinary tract
syndrome (LUTS) associated with benign prostatic hyperplasia
(BPH). His symptoms are no longer well managed with lifestyle
modifications. He is interested in medication to reduce his
urinary symptoms but is concerned about possible side effects.
He notes that he is recently married and sexual activity is very
important to him. Which of the following medications would be
most appropriate for this patient?
a. Alfusozin
b. Ditropan
c. Dutasteride
d. Tamsulosin
e. Tadalafil - Answer: A
A 70-year-old woman reports sexual pain with deep penetration
only. What is the most likely cause of her problem?
a. Vaginal atrophy
b. Provoked vulvar vestibulodynia
, c. High-tone pelvic floor dysfunction
d. Endometriosis - Answer: C
A 72-year-old man with colonic diverticulosis was admitted to
the hospital with gastrointestinal bleeding and abdominal pain.
He underwent colonoscopy under conscious sedation using
fentanyl and midazolam. The following day, the patient was
positive on the Confusion Assessment Method performed by the
geriatric consultation services. Presence of delirium in this
patient predisposes him to all of the following except:
a. Higher risk of institutionalization
b. Increased risk of dementia
c. Shorter length of stay in the hospital
d. Increased mortality - Answer: C
A 72-year-old woman reports vaginal dryness that interferes
with coitus. Her medical history includes type 2 diabetes,
hypertension, and osteoarthritis. Medications are glyburide,
chlorthalidone, and acetaminophen. What would be your first
step in therapy?
a. Stop glyburide
b. Stop chlorthalidone
c. Stop acetaminophen
VERIFIED QUESTIONS & DETAILED
EXPLANATIONS GRADED A+
Professional Academic Assistance Services
A 66-year-old man complains of nocturia (three to four times a
night), hesitancy, and incomplete emptying of the bladder.
Physical examination reveals an enlarged, nontender prostate,
about 40 g in size without discrete nodules. Urinalysis reveals
hematuria without leukocyte esterase. Upon further evaluation,
the hematuria is attributed to his BPH. The patient declines
surgical options at this time. Which of the following medications
would be most appropriate?
a. Oxybutynin
b. Doxazosin
c. Finasteride
d. Silodosin
e. Tadalafil - Answer: C
A 67-year-old female with a history of congestive heart failure
and myocardial infarction is admitted to the hospital because of
increasing altered mental status and decreased arousal over the
last week. Physical examination reveals a confused woman with
right lower lobe crackles and a pulse oximetry of 86% on room
,air. While you are interviewing the patient, she is irritable,
paranoid, and inattentive, which her family tells you is out of
character. You notice waxing and waning in her alertness and
impaired short-term memory during your examination. Which
one of the following features present in this patient best
distinguishes delirium from depression or dementia?
a. Irritability
b. Inattentiveness
c. Paranoia
d. Aggressiveness - Answer: B
A 69-year-old female presents to your office for routine primary
care. Her elder sister was recently diagnosed with Alzheimer
disease, and she wonders what steps she can take to reduce her
own risk of developing dementia. Which of the following
statements about the prevention of dementia is true?
a. There is moderate quality evidence to support daily use of
vitamin B12 and fish oil to prevent risk of cognitive decline.
b. Risk of dementia is modulated by nonmodifiable risk factors,
such as genetics, family history, and educational attainment, and
there are no behavioral interventions that can be taken to
reduce risk of developing dementia.
c. There is moderate quality evidence to suggest control of
cardiovascular and metabolic risk factors, such as blood
,pressure, weight, and blood sugar, may reduce risk of dementia.
d. There is moderate to low quality evidence supporting
cannabinoids may reduce rates of progression - Answer: C
A 70-year-old man has bothersome lower urinary tract
syndrome (LUTS) associated with benign prostatic hyperplasia
(BPH). His symptoms are no longer well managed with lifestyle
modifications. He is interested in medication to reduce his
urinary symptoms but is concerned about possible side effects.
He notes that he is recently married and sexual activity is very
important to him. Which of the following medications would be
most appropriate for this patient?
a. Alfusozin
b. Ditropan
c. Dutasteride
d. Tamsulosin
e. Tadalafil - Answer: A
A 70-year-old woman reports sexual pain with deep penetration
only. What is the most likely cause of her problem?
a. Vaginal atrophy
b. Provoked vulvar vestibulodynia
, c. High-tone pelvic floor dysfunction
d. Endometriosis - Answer: C
A 72-year-old man with colonic diverticulosis was admitted to
the hospital with gastrointestinal bleeding and abdominal pain.
He underwent colonoscopy under conscious sedation using
fentanyl and midazolam. The following day, the patient was
positive on the Confusion Assessment Method performed by the
geriatric consultation services. Presence of delirium in this
patient predisposes him to all of the following except:
a. Higher risk of institutionalization
b. Increased risk of dementia
c. Shorter length of stay in the hospital
d. Increased mortality - Answer: C
A 72-year-old woman reports vaginal dryness that interferes
with coitus. Her medical history includes type 2 diabetes,
hypertension, and osteoarthritis. Medications are glyburide,
chlorthalidone, and acetaminophen. What would be your first
step in therapy?
a. Stop glyburide
b. Stop chlorthalidone
c. Stop acetaminophen
