NR 667 Vise call focused
|| || || || ||
Possibilities Questions With || || ||
Correct Answers || ||
1. BPH AUA Questions "Over the past month have you..."
|| || || || || || || || ||
- CORRECT ANSWER(S)✔✔1. Sensation of incomplete
|| || || || || || ||
emptying
2. Urinate less than 2 hours after you finished
|| || || || || || || || ||
(Frequency)
3. How often have you found that you start and stop
|| || || || || || || || || || ||
several times when urinating || || ||
4. found it difficult to postpose urination
|| || || || || ||
5. Weak urinary stream
|| || || ||
6. push or strain when urinating
|| || || || ||
7. how many times do you typically get up to urinate
|| || || || || || || || || ||
Mild= 0-7 ||
moderate= 8-19 ||
Severe 20-35 ||
BPH Labs - CORRECT ANSWER(S)✔✔U/A
|| || || ||
PSA
,High PSA and free PSA (cancerous is high PSA and
|| || || || || || || || || ||
normal to low free PSA) || || || ||
Renal panel || ||
post void residual
|| ||
BPH Differentials - CORRECT ANSWER(S)✔✔Prostatitis
|| || || || ||
Prostate cancer ||
UTI
Bladder cancer ||
BPH Assessment - CORRECT ANSWER(S)✔✔DRE
|| || || ||
Firm, smooth symmetrically enlarged prostate
|| || || ||
BPH Non-pharm education - CORRECT
|| || || || ||
ANSWER(S)✔✔Limit bedtime fluids || ||
Limit caffeine, alcohol, antihistamine/anticholinergics
|| || ||
Limit salt intake
|| ||
BPH Pharm education - CORRECT ANSWER(S)✔✔Alpha
|| || || || || ||
1 Blocker
||
Flomax 0.4mg daily at bedtime
|| || || ||
May cause dizziness
|| ||
Follow up in 2-4 weeks|| || || ||
, Urology if patient is not responding to treatment
|| || || || || || ||
Annual PSA and DRE if initial PSA >2.5
|| || || || || || ||
2. Sinusitis (Maxillary) Assessment findings - CORRECT
|| || || || || || ||
ANSWER(S)✔✔Viral <10 days- treat symptomatically || || || || ||
with NSAIDs, Acetaminophen
|| ||
Bacterial >10 days- <4 weeks || || || ||
HEENT Exam- facial tenderness, post nasal drip, middle
|| || || || || || || ||
ear effusion, halitosis, periorbital edema
|| || || ||
Sinusitis differentials - CORRECT ANSWER(S)✔✔Allergic
|| || || ||
Rhinitis
||
dental abscess || ||
migraine
Sinusitis labs - CORRECT ANSWER(S)✔✔CBC, Sinus X-
|| || || || || ||
ray/CT if chronic || ||
Diagnosis based on history and PE unless complications
|| || || || || || ||
Sinusitis non-pharm - CORRECT ANSWER(S)✔✔Rest,
|| || || || ||
hydration, warm compress to sinuses || || || ||
Use humidifier/ saline nose spray
|| || || ||
|| || || || ||
Possibilities Questions With || || ||
Correct Answers || ||
1. BPH AUA Questions "Over the past month have you..."
|| || || || || || || || ||
- CORRECT ANSWER(S)✔✔1. Sensation of incomplete
|| || || || || || ||
emptying
2. Urinate less than 2 hours after you finished
|| || || || || || || || ||
(Frequency)
3. How often have you found that you start and stop
|| || || || || || || || || || ||
several times when urinating || || ||
4. found it difficult to postpose urination
|| || || || || ||
5. Weak urinary stream
|| || || ||
6. push or strain when urinating
|| || || || ||
7. how many times do you typically get up to urinate
|| || || || || || || || || ||
Mild= 0-7 ||
moderate= 8-19 ||
Severe 20-35 ||
BPH Labs - CORRECT ANSWER(S)✔✔U/A
|| || || ||
PSA
,High PSA and free PSA (cancerous is high PSA and
|| || || || || || || || || ||
normal to low free PSA) || || || ||
Renal panel || ||
post void residual
|| ||
BPH Differentials - CORRECT ANSWER(S)✔✔Prostatitis
|| || || || ||
Prostate cancer ||
UTI
Bladder cancer ||
BPH Assessment - CORRECT ANSWER(S)✔✔DRE
|| || || ||
Firm, smooth symmetrically enlarged prostate
|| || || ||
BPH Non-pharm education - CORRECT
|| || || || ||
ANSWER(S)✔✔Limit bedtime fluids || ||
Limit caffeine, alcohol, antihistamine/anticholinergics
|| || ||
Limit salt intake
|| ||
BPH Pharm education - CORRECT ANSWER(S)✔✔Alpha
|| || || || || ||
1 Blocker
||
Flomax 0.4mg daily at bedtime
|| || || ||
May cause dizziness
|| ||
Follow up in 2-4 weeks|| || || ||
, Urology if patient is not responding to treatment
|| || || || || || ||
Annual PSA and DRE if initial PSA >2.5
|| || || || || || ||
2. Sinusitis (Maxillary) Assessment findings - CORRECT
|| || || || || || ||
ANSWER(S)✔✔Viral <10 days- treat symptomatically || || || || ||
with NSAIDs, Acetaminophen
|| ||
Bacterial >10 days- <4 weeks || || || ||
HEENT Exam- facial tenderness, post nasal drip, middle
|| || || || || || || ||
ear effusion, halitosis, periorbital edema
|| || || ||
Sinusitis differentials - CORRECT ANSWER(S)✔✔Allergic
|| || || ||
Rhinitis
||
dental abscess || ||
migraine
Sinusitis labs - CORRECT ANSWER(S)✔✔CBC, Sinus X-
|| || || || || ||
ray/CT if chronic || ||
Diagnosis based on history and PE unless complications
|| || || || || || ||
Sinusitis non-pharm - CORRECT ANSWER(S)✔✔Rest,
|| || || || ||
hydration, warm compress to sinuses || || || ||
Use humidifier/ saline nose spray
|| || || ||
