NURSING HEALTH ASS APEA TB 2 Exam Questions and
Answers 100%correct/verified Rated A+ new update
Question:
What is the recommendation of American Cancer Society for initial
screening of an African-American male for prostate cancer?
Digital rectal exam starting at age 40 yearsPSA starting at age 45
yearsDiscussions starting at age 40-45 years CorrectHe should be
screened starting at age 50 years.
Explanation:
American Cancer Society guidelines recommend beginning screening
discussion at age 40-45 years for males at high risk for developing prostate
cancer (e.g. a first degree relative with prostate cancer before age 65 or
African American race). The reason for “screening discussions” is to keep
males involved in individual decision making. The PSA threshold is 4.0
ng/mL. Testing is discouraged for males with less than a 10 year expected
survival. US Preventive Services Task Force does not recommend
screening.
Question:
What is American Cancer Society’s recommendation for prostate screening in a 70 year-ol
male?
He should be screened annually with PSA only.He should be screened
annually with PSA and DRE.He should be screened until he has a life
,expectancy of less than 10 years. CorrectScreening can stop at age 75 years.
Explanation:
Prostate cancer screening at age 70 years includes both prostate specific
antigen measurement (PSA) and digital rectal exam (DRE). Prostate cancer
is typically a slow growing tumor, thus if life expectancy is < 10 years,
screening is not cost-effective.
Question:
A 70 year-old male presents to your clinic with a lump in his breast. How
should this be evaluated? Palpation and ultrasound IncorrectMammogram
and ultrasound CorrectUltrasound onlyMammogram only
Explanation:
This patient has a lump identified in the breast. Since males can develop
breast cancer, it must be evaluated in the same means that a female breast
lump would be evaluated. He should have a clinical breast exam to identify
the position of the lump, and any other abnormal findings such as nodes or
other lumps. Then, he should have mammogram and ultrasound to help
evaluate the lump. If the findings were suspicious for a malignancy, the
patient would be referred to a surgeon.
Question:
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?
His ageInfection with Chlamydia CorrectUnderlying hydroceleUrinary tract infection
,Explanation:
Several afactors apredispose amales ato aepididymitis. aIn amen aunder aage a35,
a the amost acommon acause aof aepididymitis ais ainfection awith aChlamydia
a trachomatis. aIn aolder amen, aurinary atract apathogens aare amore atypical. aIn
a pre-pubertal aboys, abicycle ariding aand aheavy aphysical aexertion aare amost
a common. aIn apre-pubertalaboys, aconsideration ashould abe agiven ato
a congenital aabnormalities.
Question:
Digital arectal aexam amay abe aperformed ato aassess athe aprostate agland.
Which aterm adoes aNOT adescribe aaaprostate agland athat amay ahave aa
a
a tumor?
NodularAsymmetricalBoggy a CorrectIndurated
Explanation:
A aboggy aprostate adescribes aa agland athat ais aedematous aand atender, asuch
a as ais aseen ain aa apatient awith abacterialaprostatitis. aThe aother aterms aindicate
an aabnormality athat acould arepresent aa aprostate agland atumor.
a
Question:
A amale apatient ahas aepididymitis. aHis amost alikely acomplaint awill abe:
burning awith aurination.testicular apain.scrotal apain. a Correctpenile adischarge.
Explanation:
The amost acommon acomplaint ais ascrotal apain. aIt ausually adevelops aover aa
a period aof adays. aOccasionally, ait adevelops aacutely aand awill abe
, a accompanied aby afever, achills, aand aa avery aill-appearing apatient. aBurning
a withaurination ais apossible aif athe aunderlying acause ais aa aurinary atract
a infection, abut, athis ais anot ausual. aThis apresentation ais aseen amore
a commonly ain aolder amales. aTesticular apain ais anot aa acommon acomplaint
a with aepididymitis. aPenile adischarge awould anot aindicate aan ainfection ain
the aepididymis asince athe aepididymis ais aaatightly acoiled atubular astructure
a
a located aon athe atestis.
Question:
What ais athe arecommendation aof aAmerican aCancer aSociety afor ascreening
an aaverage arisk a40 ayear-oldaCaucasian amale afor aprostate acancer?
a
Digital arectal aexamSerum aprostate aspecific aantigen a(PSA)Digital arectal
exam aand aPSAHe ashould abeascreened astarting aat aage a50 ayears. aCorrect
a
Explanation:
American aCancer aSociety arecommends ainitial aprostate ascreening aof aan
a average arisk amale aat aage a50 ayears awith aPSA atesting awith aor awithout
a digital arectal aexam. aIf athe ainitial aPSA ais a< a2.5 ang/mL, athe ascreen acan
be arepeated ain a2 ayears. aIf athe aPSA ais a> a2.5, aannual ascreening ashould
a
a take aplace.
Question:
Which aof athe afollowing aresults ain aa aclinically ainsignificant aincrease ain
the aprostate aspecific aantigen a(PSA)?aDigital arectal aexam
a
a CorrectEjaculationProstatitis aIncorrectProstate abiopsy
Explanation:
Digital arectal aexam a(DRE) aleads ato aa aclinically ainsignificant aincrease
Answers 100%correct/verified Rated A+ new update
Question:
What is the recommendation of American Cancer Society for initial
screening of an African-American male for prostate cancer?
Digital rectal exam starting at age 40 yearsPSA starting at age 45
yearsDiscussions starting at age 40-45 years CorrectHe should be
screened starting at age 50 years.
Explanation:
American Cancer Society guidelines recommend beginning screening
discussion at age 40-45 years for males at high risk for developing prostate
cancer (e.g. a first degree relative with prostate cancer before age 65 or
African American race). The reason for “screening discussions” is to keep
males involved in individual decision making. The PSA threshold is 4.0
ng/mL. Testing is discouraged for males with less than a 10 year expected
survival. US Preventive Services Task Force does not recommend
screening.
Question:
What is American Cancer Society’s recommendation for prostate screening in a 70 year-ol
male?
He should be screened annually with PSA only.He should be screened
annually with PSA and DRE.He should be screened until he has a life
,expectancy of less than 10 years. CorrectScreening can stop at age 75 years.
Explanation:
Prostate cancer screening at age 70 years includes both prostate specific
antigen measurement (PSA) and digital rectal exam (DRE). Prostate cancer
is typically a slow growing tumor, thus if life expectancy is < 10 years,
screening is not cost-effective.
Question:
A 70 year-old male presents to your clinic with a lump in his breast. How
should this be evaluated? Palpation and ultrasound IncorrectMammogram
and ultrasound CorrectUltrasound onlyMammogram only
Explanation:
This patient has a lump identified in the breast. Since males can develop
breast cancer, it must be evaluated in the same means that a female breast
lump would be evaluated. He should have a clinical breast exam to identify
the position of the lump, and any other abnormal findings such as nodes or
other lumps. Then, he should have mammogram and ultrasound to help
evaluate the lump. If the findings were suspicious for a malignancy, the
patient would be referred to a surgeon.
Question:
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?
His ageInfection with Chlamydia CorrectUnderlying hydroceleUrinary tract infection
,Explanation:
Several afactors apredispose amales ato aepididymitis. aIn amen aunder aage a35,
a the amost acommon acause aof aepididymitis ais ainfection awith aChlamydia
a trachomatis. aIn aolder amen, aurinary atract apathogens aare amore atypical. aIn
a pre-pubertal aboys, abicycle ariding aand aheavy aphysical aexertion aare amost
a common. aIn apre-pubertalaboys, aconsideration ashould abe agiven ato
a congenital aabnormalities.
Question:
Digital arectal aexam amay abe aperformed ato aassess athe aprostate agland.
Which aterm adoes aNOT adescribe aaaprostate agland athat amay ahave aa
a
a tumor?
NodularAsymmetricalBoggy a CorrectIndurated
Explanation:
A aboggy aprostate adescribes aa agland athat ais aedematous aand atender, asuch
a as ais aseen ain aa apatient awith abacterialaprostatitis. aThe aother aterms aindicate
an aabnormality athat acould arepresent aa aprostate agland atumor.
a
Question:
A amale apatient ahas aepididymitis. aHis amost alikely acomplaint awill abe:
burning awith aurination.testicular apain.scrotal apain. a Correctpenile adischarge.
Explanation:
The amost acommon acomplaint ais ascrotal apain. aIt ausually adevelops aover aa
a period aof adays. aOccasionally, ait adevelops aacutely aand awill abe
, a accompanied aby afever, achills, aand aa avery aill-appearing apatient. aBurning
a withaurination ais apossible aif athe aunderlying acause ais aa aurinary atract
a infection, abut, athis ais anot ausual. aThis apresentation ais aseen amore
a commonly ain aolder amales. aTesticular apain ais anot aa acommon acomplaint
a with aepididymitis. aPenile adischarge awould anot aindicate aan ainfection ain
the aepididymis asince athe aepididymis ais aaatightly acoiled atubular astructure
a
a located aon athe atestis.
Question:
What ais athe arecommendation aof aAmerican aCancer aSociety afor ascreening
an aaverage arisk a40 ayear-oldaCaucasian amale afor aprostate acancer?
a
Digital arectal aexamSerum aprostate aspecific aantigen a(PSA)Digital arectal
exam aand aPSAHe ashould abeascreened astarting aat aage a50 ayears. aCorrect
a
Explanation:
American aCancer aSociety arecommends ainitial aprostate ascreening aof aan
a average arisk amale aat aage a50 ayears awith aPSA atesting awith aor awithout
a digital arectal aexam. aIf athe ainitial aPSA ais a< a2.5 ang/mL, athe ascreen acan
be arepeated ain a2 ayears. aIf athe aPSA ais a> a2.5, aannual ascreening ashould
a
a take aplace.
Question:
Which aof athe afollowing aresults ain aa aclinically ainsignificant aincrease ain
the aprostate aspecific aantigen a(PSA)?aDigital arectal aexam
a
a CorrectEjaculationProstatitis aIncorrectProstate abiopsy
Explanation:
Digital arectal aexam a(DRE) aleads ato aa aclinically ainsignificant aincrease
