NR-601 Primary Care of the Maturing &
Aged Family Practicum 2025 to 2026
Final Exam with correctQuestions and
Answers
usr
[COMPANY NAME] [Company address]
,1. An 86-year-old female comes to your office for a wellness visit.
Her blood pres- sure is 125/70 mmHg, pulse 69 beats per min, and
respiratory rate 18 breaths per min. She is well appearing and
reports she is up to date on her routine vaccinations. She introduces
her partner of 35 years whom she would like to make medical
decisions for her in case she becomes unable to make decisions for
herself. She reports that she and her partner are not married. She
asks if she needs any further documentation to ensure her goals of
care are followed. Which one of the following would be the most
appropriate recommendation for this patient and her partner? :Answer Advise
them to file an advanced directive.
2. . An 81-year-old transgender female with history of depression
and hyper- lipidemia presents to your clinic for routine care. She
endorses a history of smoking, currently smoking 1 pack per day,
and occasionally drinks a glass of wine, although she denies illicit
drug use. She reports she takes atorvastatin 20 mg and subcutaneous
estrogen therapy. :Answer Counseling on smoking cessation
3. An 84-year-old male with history of stroke without residual deficit,
systolic heart failure, and type 2 diabetes presents to clinic for
follow-up. He is inde- pendently living in a retirement community
and still works part time on a golf course. He currently takes aspirin
81 mg, metoprolol tartrate 25 mg BID (twice a day), furosemide 20
mg BID, and lisinopril 10 mg daily. He reports his last colonoscopy
was 8 years ago, with no abnormality. He reports he is sexually
active with men and women, engaging in receptive oral, receptive
anal, and penetrative sex. He states he has had over three sexual
partners in the last year with intermittent condom use. What
sexually transmitted infection testing should be offered? :Answer Urine
testing, blood testing, anal swab, and oropharyngeal swab
4. Which of the following is true about tolterodine? :Answer It has greater risk of
adverse ettects with its twice-daily formulation.
,5. An 82-year-old man, Mr. A, complains of worsening nocturia,
occurring four times per night. His other lower urinary tract
symptoms are slow stream, oc- casional urgency, and urgency-
related leakage once weekly. Medical problems include poorly
controlled hypertension, diastolic heart failure, hyperlipidemia,
osteoarthritis, and prediabetes. His medications include lisinopril 20
mg daily,
, metoprolol succinate 75 mg daily, atorvastatin 10 mg daily,
metformin 500 mg twice daily, hydrocodone-acetaminophen as
needed, and aspirin 81 mg daily. Amlodipine 5 mg daily was recently
added by his cardiologist. On review of sys- tems, Mr. A complains
that nocturia is causing daytime fatigue, and he is more constipated.
Physical examination is notable for blood pressure 162/83 mmHg,
heart rate 60 beats per minute, clear lungs, soft abdomen, enlarged
prostate, and 21 pretibial edema. Your next step in management
should be :Answer :Answer Stop amlodipine and increase lisinopril.
6. The daughter of a 79-year-old woman notes that her mother, who
has de- mentia and lives with her, is wetting herself when she
attends her new day program. Program staff have requested that
"something be done" as she is requiring a clothes change nearly
every time she is there. She cannot describe the circumstances of
leakage, saying "it just comes." Leakage is uncommon at home. Her
medications include donepezil and acetaminophen. Physical
examination is normal. Initial treatment approach will require
intervention by which of the following? :Answer Day program statt
7. . Ms. J, who is 82 years old, complains of urine leakage while
playing golf. This has gotten worse over the past year, and she
rarely makes it through nine holes without feeling like she needs to
"run into the bushes and go." Leakage is usually small volume, but
causes her extreme embarrassment because she is afraid she will
smell of urine. She has tried limiting caffeine in the morning before
she golfs and avoiding drinking water while playing, to no effect. She
also tried "those Kegler" exercises in the past without success.
Which of the following is the most appropriate recommendation for Ms.
J? :Answer Bladder training
8. What is the most common cause of erectile dysfunction in older
men? :Answer Athero- sclerosis
9. Which is the most reasonable first step in the treatment of older
Aged Family Practicum 2025 to 2026
Final Exam with correctQuestions and
Answers
usr
[COMPANY NAME] [Company address]
,1. An 86-year-old female comes to your office for a wellness visit.
Her blood pres- sure is 125/70 mmHg, pulse 69 beats per min, and
respiratory rate 18 breaths per min. She is well appearing and
reports she is up to date on her routine vaccinations. She introduces
her partner of 35 years whom she would like to make medical
decisions for her in case she becomes unable to make decisions for
herself. She reports that she and her partner are not married. She
asks if she needs any further documentation to ensure her goals of
care are followed. Which one of the following would be the most
appropriate recommendation for this patient and her partner? :Answer Advise
them to file an advanced directive.
2. . An 81-year-old transgender female with history of depression
and hyper- lipidemia presents to your clinic for routine care. She
endorses a history of smoking, currently smoking 1 pack per day,
and occasionally drinks a glass of wine, although she denies illicit
drug use. She reports she takes atorvastatin 20 mg and subcutaneous
estrogen therapy. :Answer Counseling on smoking cessation
3. An 84-year-old male with history of stroke without residual deficit,
systolic heart failure, and type 2 diabetes presents to clinic for
follow-up. He is inde- pendently living in a retirement community
and still works part time on a golf course. He currently takes aspirin
81 mg, metoprolol tartrate 25 mg BID (twice a day), furosemide 20
mg BID, and lisinopril 10 mg daily. He reports his last colonoscopy
was 8 years ago, with no abnormality. He reports he is sexually
active with men and women, engaging in receptive oral, receptive
anal, and penetrative sex. He states he has had over three sexual
partners in the last year with intermittent condom use. What
sexually transmitted infection testing should be offered? :Answer Urine
testing, blood testing, anal swab, and oropharyngeal swab
4. Which of the following is true about tolterodine? :Answer It has greater risk of
adverse ettects with its twice-daily formulation.
,5. An 82-year-old man, Mr. A, complains of worsening nocturia,
occurring four times per night. His other lower urinary tract
symptoms are slow stream, oc- casional urgency, and urgency-
related leakage once weekly. Medical problems include poorly
controlled hypertension, diastolic heart failure, hyperlipidemia,
osteoarthritis, and prediabetes. His medications include lisinopril 20
mg daily,
, metoprolol succinate 75 mg daily, atorvastatin 10 mg daily,
metformin 500 mg twice daily, hydrocodone-acetaminophen as
needed, and aspirin 81 mg daily. Amlodipine 5 mg daily was recently
added by his cardiologist. On review of sys- tems, Mr. A complains
that nocturia is causing daytime fatigue, and he is more constipated.
Physical examination is notable for blood pressure 162/83 mmHg,
heart rate 60 beats per minute, clear lungs, soft abdomen, enlarged
prostate, and 21 pretibial edema. Your next step in management
should be :Answer :Answer Stop amlodipine and increase lisinopril.
6. The daughter of a 79-year-old woman notes that her mother, who
has de- mentia and lives with her, is wetting herself when she
attends her new day program. Program staff have requested that
"something be done" as she is requiring a clothes change nearly
every time she is there. She cannot describe the circumstances of
leakage, saying "it just comes." Leakage is uncommon at home. Her
medications include donepezil and acetaminophen. Physical
examination is normal. Initial treatment approach will require
intervention by which of the following? :Answer Day program statt
7. . Ms. J, who is 82 years old, complains of urine leakage while
playing golf. This has gotten worse over the past year, and she
rarely makes it through nine holes without feeling like she needs to
"run into the bushes and go." Leakage is usually small volume, but
causes her extreme embarrassment because she is afraid she will
smell of urine. She has tried limiting caffeine in the morning before
she golfs and avoiding drinking water while playing, to no effect. She
also tried "those Kegler" exercises in the past without success.
Which of the following is the most appropriate recommendation for Ms.
J? :Answer Bladder training
8. What is the most common cause of erectile dysfunction in older
men? :Answer Athero- sclerosis
9. Which is the most reasonable first step in the treatment of older
