NRl 576/l NR576l Finall Exam:l Differentiall
Diagnosisl inl Adult-Gerontologyl Primaryl
Carel Guidel (Latestl 2026/l 2027l Update)l |l
Qsl &l As|l Gradel A|l 100%l Correctl
(Verifiedl Answers)-l Chamberlain
QUESTION
Heartburn
Answer:
retrosternall burningl sensationl describedl asl extremel pain,l andl thisl makesl itl difficultl tol
distinguishl froml thatl ofl anginal pectorisl orl MI,l sometimesl describel thel painl asl radiatingl
tol thel back,l arms,l orl jaw
QUESTION
Dysuria
Answer:
painl orl al burningl sensationl onl urinationl andl canl alsol bel accompaniedl byl urinaryl
frequency,l hesitancy,l urgency,l andl strangury
QUESTION
Urinaryl Frequency
Answer:
mayl bel al manifestationl ofl urinaryl incontinencel andl canl occurl withl neurogenicl bladderl
disorders,l prostaticl hypertrophyl inl males,l orl pelvicl organl prolapsel inl females
QUESTION
Urgel Incontinencel Causes
,Answer:
Leakagel ofl urinel duel tol urinaryl tractl infection;l vaginitis;l bladderl stonesl andl tumors;l
cortical,l subcortical,l andl suprasacrall lesions;l cerebrovascularl accident;l dementia;l multiplel
sclerosis;l Parkinson'sl disease;l spinall cordl transection
Medications:l diuretics,l narcotics
QUESTION
Urgel Incontinencel Assessment
Answer:
Historyl ofl dysuria,l frequency,l urgency,l hematuria,l orl nocturia
Evidencel ofl al largel amountl ofl urinel loss
Evidencel ofl unstablel detrusorl functionl withl decreasedl capacity
Assessl perineall hygiene
Pelvicl examination,l smear,l neurologicall examination,l urinalysisl withl culturel andl
sensitivity,l cystometrogram,l video-urodynamics
QUESTION
Urgel Incontinencel Management
Answer:
Antimicrobiall agents,l antiseptics,l topicall estrogen,l anticholinergics,l smoothl musclel
relaxants,l tricyclicl antidepressantsl (imipramine)
Pelvicl floorl reeducationl withl biofeedbackl (Kegell exercises)
Promptedl voidingl andl scheduledl voiding
Fluidl intakel management
Removall ofl bladderl stones
Tumorl resectionl and/orl treatment
QUESTION
Stressl Incontinencel Causes
Answer:
Leakagel ofl urinel duel tol hypermobilityl ofl bladderl neck,l intrinsicl sphincterl deficiency,l orl
neurogenicl sphincterl deficiency
,Medications:l sedatives,l hypnotics,l antispasmodics
QUESTION
Stressl Incontinencel Assessment
Answer:
Urinel leakagel withl coughl orl sneeze
Historyl ofl vaginall deliveries
Evidencel ofl urinel loss
Pelvicl examination,l padl test,l stressl test,l urinalysisl withl culturel andl sensitivity,l video-
urodynamics,l cystometrogram
QUESTION
Stressl Incontinencel Management
Answer:
Pelvicl floorl reeducationl withl biofeedbackl (Kegell exercises)
Weightl loss,l ifl obese
Electricall stimulation
Hormonel replacementl therapyl (estrogen)
Alpha-adrenergicl agonist
Surgicall correctionl ofl hypermobilel bladderl neck
Periurethrall bulkingl injections
QUESTION
Epididymitisl Riskl Factors
Answer:
-unprotectedl intercourse,l newl sexuall partner,l UTI,l urethrall discharge,l heavyl liftingl orl
straining,l structurall abnormality
-Chlamydia,l Neisserial gonorrhoeae,l El coli
QUESTION
Epididymitisl Findings
, Answer:
scrotall painl thatl oftenl radiatesl alongl thel spermaticl cordl orl tol thel flank,l scrotall
swelling,l prehnl sign
QUESTION
Prehnl sign
Answer:
painl relievedl withl elevationl ofl thel scrotum
QUESTION
Epididymitisl Diagnostics
Answer:
urinalysis,l Graml stainl ofl thel urethrall discharge,l ultrasound
QUESTION
Epididymitisl Treatment
Answer:
bedrest,l scrotall elevation,l icel packs,l NSAIDs,l spermaticl cordl blockl withl locall
anesthetic,l Tylenoll #3
ceftriaxonel (Rocephin)l andl doxycyclinel (Vibramycin)
Alt.l ofloxacinl levofloxacin
QUESTION
Epididymitisl Education
Answer:
limitl activityl ,immobilizel scrotum,l athleticl supporter,l avoidl sexuall contactl andl physicall
activity,l completel antibiotics
Diagnosisl inl Adult-Gerontologyl Primaryl
Carel Guidel (Latestl 2026/l 2027l Update)l |l
Qsl &l As|l Gradel A|l 100%l Correctl
(Verifiedl Answers)-l Chamberlain
QUESTION
Heartburn
Answer:
retrosternall burningl sensationl describedl asl extremel pain,l andl thisl makesl itl difficultl tol
distinguishl froml thatl ofl anginal pectorisl orl MI,l sometimesl describel thel painl asl radiatingl
tol thel back,l arms,l orl jaw
QUESTION
Dysuria
Answer:
painl orl al burningl sensationl onl urinationl andl canl alsol bel accompaniedl byl urinaryl
frequency,l hesitancy,l urgency,l andl strangury
QUESTION
Urinaryl Frequency
Answer:
mayl bel al manifestationl ofl urinaryl incontinencel andl canl occurl withl neurogenicl bladderl
disorders,l prostaticl hypertrophyl inl males,l orl pelvicl organl prolapsel inl females
QUESTION
Urgel Incontinencel Causes
,Answer:
Leakagel ofl urinel duel tol urinaryl tractl infection;l vaginitis;l bladderl stonesl andl tumors;l
cortical,l subcortical,l andl suprasacrall lesions;l cerebrovascularl accident;l dementia;l multiplel
sclerosis;l Parkinson'sl disease;l spinall cordl transection
Medications:l diuretics,l narcotics
QUESTION
Urgel Incontinencel Assessment
Answer:
Historyl ofl dysuria,l frequency,l urgency,l hematuria,l orl nocturia
Evidencel ofl al largel amountl ofl urinel loss
Evidencel ofl unstablel detrusorl functionl withl decreasedl capacity
Assessl perineall hygiene
Pelvicl examination,l smear,l neurologicall examination,l urinalysisl withl culturel andl
sensitivity,l cystometrogram,l video-urodynamics
QUESTION
Urgel Incontinencel Management
Answer:
Antimicrobiall agents,l antiseptics,l topicall estrogen,l anticholinergics,l smoothl musclel
relaxants,l tricyclicl antidepressantsl (imipramine)
Pelvicl floorl reeducationl withl biofeedbackl (Kegell exercises)
Promptedl voidingl andl scheduledl voiding
Fluidl intakel management
Removall ofl bladderl stones
Tumorl resectionl and/orl treatment
QUESTION
Stressl Incontinencel Causes
Answer:
Leakagel ofl urinel duel tol hypermobilityl ofl bladderl neck,l intrinsicl sphincterl deficiency,l orl
neurogenicl sphincterl deficiency
,Medications:l sedatives,l hypnotics,l antispasmodics
QUESTION
Stressl Incontinencel Assessment
Answer:
Urinel leakagel withl coughl orl sneeze
Historyl ofl vaginall deliveries
Evidencel ofl urinel loss
Pelvicl examination,l padl test,l stressl test,l urinalysisl withl culturel andl sensitivity,l video-
urodynamics,l cystometrogram
QUESTION
Stressl Incontinencel Management
Answer:
Pelvicl floorl reeducationl withl biofeedbackl (Kegell exercises)
Weightl loss,l ifl obese
Electricall stimulation
Hormonel replacementl therapyl (estrogen)
Alpha-adrenergicl agonist
Surgicall correctionl ofl hypermobilel bladderl neck
Periurethrall bulkingl injections
QUESTION
Epididymitisl Riskl Factors
Answer:
-unprotectedl intercourse,l newl sexuall partner,l UTI,l urethrall discharge,l heavyl liftingl orl
straining,l structurall abnormality
-Chlamydia,l Neisserial gonorrhoeae,l El coli
QUESTION
Epididymitisl Findings
, Answer:
scrotall painl thatl oftenl radiatesl alongl thel spermaticl cordl orl tol thel flank,l scrotall
swelling,l prehnl sign
QUESTION
Prehnl sign
Answer:
painl relievedl withl elevationl ofl thel scrotum
QUESTION
Epididymitisl Diagnostics
Answer:
urinalysis,l Graml stainl ofl thel urethrall discharge,l ultrasound
QUESTION
Epididymitisl Treatment
Answer:
bedrest,l scrotall elevation,l icel packs,l NSAIDs,l spermaticl cordl blockl withl locall
anesthetic,l Tylenoll #3
ceftriaxonel (Rocephin)l andl doxycyclinel (Vibramycin)
Alt.l ofloxacinl levofloxacin
QUESTION
Epididymitisl Education
Answer:
limitl activityl ,immobilizel scrotum,l athleticl supporter,l avoidl sexuall contactl andl physicall
activity,l completel antibiotics
