NR667 VISE II 2026 CERTIFICATION TEST
QUESTIONS AND ANSWERS UPDATED
◉ BPH Labs Answer: 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 Answer: Prostatitis
Prostate cancer
UTI
Bladder cancer
◉ BPH Assessment Answer: DRE
Firm, smooth symmetrically enlarged prostate
◉ BPH Non-pharm education Answer: Limit bedtime fluids
Limit caffeine, alcohol, antihistamine/anticholinergics
Limit salt intake
,◉ BPH Pharm education Answer: 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 Answer: 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 Answer: Allergic Rhinitis
dental abscess
migraine
◉ Sinusitis labs Answer: CBC, Sinus X-ray/CT if chronic
Diagnosis based on history and PE unless complications
, ◉ Sinusitis non-pharm Answer: Rest, hydration, warm compress to
sinuses
Use humidifier/ saline nose spray
◉ Sinusitis pharm Answer: Watchful waiting for viral vs bacterial
Start prior to bacterial timeframe for immunocompromised or
severe illness such as fever, moderate-severe pain, unilateral
tenderness, worsening symptoms
Adults- Augmentin 875/125mg BID x 10 days
PCN allergy Doxy 100mg BID x 7 days
Peds- Amoxiciilin 80-90mg/kg BID 5-7 days
PCN allergy cefpodoxime 5 mg/kg q12h for 10 days (2 mo-12 yrs) or
200 mg q12h for 10 days (>12 yrs)
◉ Sinusitis follow-up Answer: f/u 1 week for effectiveness or if
symptoms worsen 3-5 days
ENT if recurrent infections
ER if meningitiis
Immediate referral for periorbital edema
◉ 3. Low back pain assessment Answer: Referred, radiating,
localized?
OLDCARTs (Onset, location, duration, characteristics, aggravating,
relieving, treatment, severity)
QUESTIONS AND ANSWERS UPDATED
◉ BPH Labs Answer: 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 Answer: Prostatitis
Prostate cancer
UTI
Bladder cancer
◉ BPH Assessment Answer: DRE
Firm, smooth symmetrically enlarged prostate
◉ BPH Non-pharm education Answer: Limit bedtime fluids
Limit caffeine, alcohol, antihistamine/anticholinergics
Limit salt intake
,◉ BPH Pharm education Answer: 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 Answer: 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 Answer: Allergic Rhinitis
dental abscess
migraine
◉ Sinusitis labs Answer: CBC, Sinus X-ray/CT if chronic
Diagnosis based on history and PE unless complications
, ◉ Sinusitis non-pharm Answer: Rest, hydration, warm compress to
sinuses
Use humidifier/ saline nose spray
◉ Sinusitis pharm Answer: Watchful waiting for viral vs bacterial
Start prior to bacterial timeframe for immunocompromised or
severe illness such as fever, moderate-severe pain, unilateral
tenderness, worsening symptoms
Adults- Augmentin 875/125mg BID x 10 days
PCN allergy Doxy 100mg BID x 7 days
Peds- Amoxiciilin 80-90mg/kg BID 5-7 days
PCN allergy cefpodoxime 5 mg/kg q12h for 10 days (2 mo-12 yrs) or
200 mg q12h for 10 days (>12 yrs)
◉ Sinusitis follow-up Answer: f/u 1 week for effectiveness or if
symptoms worsen 3-5 days
ENT if recurrent infections
ER if meningitiis
Immediate referral for periorbital edema
◉ 3. Low back pain assessment Answer: Referred, radiating,
localized?
OLDCARTs (Onset, location, duration, characteristics, aggravating,
relieving, treatment, severity)
