NU 643 ADVANCED PSYCHOPHARMACOLOGY
FINAL EXAM) ALL QUESTIONS AND CORRECT
ANSWERS GRADED A+
A 27-year-old female presents with a chief complaint of burning and pain on urination. She has
no previous history of urinary tract infection (UTI). What are some additional symptoms
consistent with a diagnosis of lower UTI?
A. Thick, green discharge
B. Fever, chills, costovertebral angle (CVA) tenderness
C. Blood in urine and frequency
D. Foul-smelling discharge, perineal itch - CORRECT ANSWER-C. Blood in urine and frequency
A patient presents with CVA tenderness and a several-day history of high fever, chills, and
dysuria. Which of the following diagnoses is most likely given the above information?
A. Pyelonephritis
B. Cystitis
C. Renal calculi
D. Bladder tumor - CORRECT ANSWER-A. Pyelonephritis
,Which of the following diagnostic tests should be ordered for a patient suspected of having
bladder cancer?
A. Kidneys, ureter, bladder x-ray
B. Cystoscopy with biopsy
C. Magnetic resonance imaging
D. Urine tumor marker (NMP22) - CORRECT ANSWER-B. Cystoscopy with biopsy
An 86-year-old woman is seen in the clinic for recurrent hematuria. The provider suspects
bladder cancer. Which of the following data from the history is considered a risk factor for this
type of cancer?
A. History of alcoholism
B. Sedentary lifestyle
C. Obesity
D. 65-year smoking history - CORRECT ANSWER-D. 65-year smoking history
A 54yo white man w/no obvious risk for prostate cancer opted to undergo PSA screening and
DRE testing. The DRE findings are normal and his PSA is 3.7. You recommend:
Repeating the PSA test immediately
Repeat screening in 1 year
Repeat screening in 2 years
Repeat screening in 5 years - CORRECT ANSWER-Repeat screening in 1 year
Risk factors for prostate cancer include all of the following except:
African ancestry
History of genital trauma
Family history of prostate cancer
High-fat diet - CORRECT ANSWER-History of genital trauma
The average American man has an approximately ____ % lifetime risk of prostate cancer and an
approximately ____ & likelihood of clinical dz?
a. 15, 5
b. 25, 8
,c. 40, 10
d. 60, 15 - CORRECT ANSWER-c. 40, 10
All of the following can cause an elevated PSA level except:
a. Current prostate infection
b. Recent cystoscopy
c. BPH
d. Prostatectomy - CORRECT ANSWER-d. Prostatectomy
According to recent epidemiologic studies, prostate cancer is the number ____ cause of death in
U.S.
men.
a- 1
b- 2
c- 3
d- 4 -
CO
RR
EC
T
AN
SW
ER-
b-
2
Which of the following is most likely to be part of the clinical presentation of an otherwise
healthy 27yo woman w/uncomplicated lower UTI?
Urinary frequency
Fever
Suprapubic tenderness
Lower GI upset - CORRECT ANSWER-Urinary frequency
, Compared with UTI in younger women, uncomplicated UTI in an elderly woman is more likely to
be a/w each of the following except:
New-onset urinary incontinence
Delirium
Weakness
Hematuria - CORRECT ANSWER-Hematuria
A 37yo afebrile woman w/no health problems p/w dysuria and frequency. Her UA findings
include results positive for nitrites and leukocyte esterase. You evaluate these results and
consider that she likely has:
Purulent vulvovaginitis
A gram-negative UTI
Cystitis caused by staphylococcus saprophyticus
Urethral syndrome - CORRECT ANSWER-A gram-negative UTI
The most likely causative organism in community-acquired UTI in women during the
reproductive years is:
Klebsiella
Proteus mirabilis
E coli
staphylococcus saprophyticus - CORRECT ANSWER-E coli
which urine culture result is needed to confirm a UTI in an asymptomatic woman who has not
had recent use of a urinary catheter?
10^2 cfu/mL or more
10^3 or more
10^4 or more
10^5 or more - CORRECT ANSWER-10^5 or more
You see a 34yo woman with an uncomplicated UTI. She is otherwise healthy but reports having a
sulfa allergy. Appropriate therapy would be:
TMP-SMX
Amoxicillin
FINAL EXAM) ALL QUESTIONS AND CORRECT
ANSWERS GRADED A+
A 27-year-old female presents with a chief complaint of burning and pain on urination. She has
no previous history of urinary tract infection (UTI). What are some additional symptoms
consistent with a diagnosis of lower UTI?
A. Thick, green discharge
B. Fever, chills, costovertebral angle (CVA) tenderness
C. Blood in urine and frequency
D. Foul-smelling discharge, perineal itch - CORRECT ANSWER-C. Blood in urine and frequency
A patient presents with CVA tenderness and a several-day history of high fever, chills, and
dysuria. Which of the following diagnoses is most likely given the above information?
A. Pyelonephritis
B. Cystitis
C. Renal calculi
D. Bladder tumor - CORRECT ANSWER-A. Pyelonephritis
,Which of the following diagnostic tests should be ordered for a patient suspected of having
bladder cancer?
A. Kidneys, ureter, bladder x-ray
B. Cystoscopy with biopsy
C. Magnetic resonance imaging
D. Urine tumor marker (NMP22) - CORRECT ANSWER-B. Cystoscopy with biopsy
An 86-year-old woman is seen in the clinic for recurrent hematuria. The provider suspects
bladder cancer. Which of the following data from the history is considered a risk factor for this
type of cancer?
A. History of alcoholism
B. Sedentary lifestyle
C. Obesity
D. 65-year smoking history - CORRECT ANSWER-D. 65-year smoking history
A 54yo white man w/no obvious risk for prostate cancer opted to undergo PSA screening and
DRE testing. The DRE findings are normal and his PSA is 3.7. You recommend:
Repeating the PSA test immediately
Repeat screening in 1 year
Repeat screening in 2 years
Repeat screening in 5 years - CORRECT ANSWER-Repeat screening in 1 year
Risk factors for prostate cancer include all of the following except:
African ancestry
History of genital trauma
Family history of prostate cancer
High-fat diet - CORRECT ANSWER-History of genital trauma
The average American man has an approximately ____ % lifetime risk of prostate cancer and an
approximately ____ & likelihood of clinical dz?
a. 15, 5
b. 25, 8
,c. 40, 10
d. 60, 15 - CORRECT ANSWER-c. 40, 10
All of the following can cause an elevated PSA level except:
a. Current prostate infection
b. Recent cystoscopy
c. BPH
d. Prostatectomy - CORRECT ANSWER-d. Prostatectomy
According to recent epidemiologic studies, prostate cancer is the number ____ cause of death in
U.S.
men.
a- 1
b- 2
c- 3
d- 4 -
CO
RR
EC
T
AN
SW
ER-
b-
2
Which of the following is most likely to be part of the clinical presentation of an otherwise
healthy 27yo woman w/uncomplicated lower UTI?
Urinary frequency
Fever
Suprapubic tenderness
Lower GI upset - CORRECT ANSWER-Urinary frequency
, Compared with UTI in younger women, uncomplicated UTI in an elderly woman is more likely to
be a/w each of the following except:
New-onset urinary incontinence
Delirium
Weakness
Hematuria - CORRECT ANSWER-Hematuria
A 37yo afebrile woman w/no health problems p/w dysuria and frequency. Her UA findings
include results positive for nitrites and leukocyte esterase. You evaluate these results and
consider that she likely has:
Purulent vulvovaginitis
A gram-negative UTI
Cystitis caused by staphylococcus saprophyticus
Urethral syndrome - CORRECT ANSWER-A gram-negative UTI
The most likely causative organism in community-acquired UTI in women during the
reproductive years is:
Klebsiella
Proteus mirabilis
E coli
staphylococcus saprophyticus - CORRECT ANSWER-E coli
which urine culture result is needed to confirm a UTI in an asymptomatic woman who has not
had recent use of a urinary catheter?
10^2 cfu/mL or more
10^3 or more
10^4 or more
10^5 or more - CORRECT ANSWER-10^5 or more
You see a 34yo woman with an uncomplicated UTI. She is otherwise healthy but reports having a
sulfa allergy. Appropriate therapy would be:
TMP-SMX
Amoxicillin
