AGNP FINAL EXAM PRACTICE QUESTIONS - GERO 2
A 62-year-old man complains of a weak urine flow and dribbling at the end of urination.
In suspecting BPH indicate which of the following would be expected - Answers-
Obliterated median sulcus, size larger than 2.5 cm times 3 cm, sensation of incomplete
emptying
When assessing a 68-year-old man with suspected BPH, the NP considers that -
Answers- Prostate size does not correlate well with severity of symptoms
Which of the following medication can contribute to the development of acute urinary
retention and an older man with benign plastic hyperplasia - Answers- Amitriptyline
A 78-year-old man with a history of BPH presents with a three day history of new onset
fatigue and difficulty with bladder emptying. Examination reveals a distended bladder
but is otherwise unremarkable. BUN level is 88, creatinine level is 2.8. The most likely
diagnosis is - Answers- post renal azotemia
Surgical intervention in BPH should be considered with all of the following except -
Answers- Acute kidney injury
Finasteride and dutasteride are helpful in the treatment of BPH because of their affect
on - Answers- Prostate size
Tamsulosin is helpful in the treatment of BPH because of its affect on - Answers-
Activity at select bladder receptor sites
A likely causative pathogen in a 37-year-old man who has sex with men with acute
epididymis is - Answers- e. coli
A 30-year-old man who has sex with women and has acute epididymitis presents with
gastrointestinal upset and will be treated as an outpatient. Which of the following is a
reasonable treatment option? - Answers- oral doxycycline with IM ceftriaxone
Appropriate treatment of acute epididymitis for a 32-year-old man who is an insertive
partner in anal intercourse is - Answers- Oral levofloxacillin
Which findings are present in acute epididymitis - Answers- irritative voiding symptoms
penile discharge
scrotal swelling
Bilateral findings possible with later stages or with untreated disease
Risk factors for acute bacterial prostatitis include all of the following except - Answers-
Diminished prostate specific antigen level
,The most common positive organisms of acute bacterial prostatitis in men younger than
35 years of age are - Answers- N gonorrhea and see tracomatis
When choosing an antimicrobial agent for the treatment of chronic bacterial prostatitis,
the nurse practitioner considers that - Answers- Choosing an antibiotic with gram-
negative coverage is critical
All of the following are likely to be reported by patient with acute bacterial prostatitis
except - Answers- Penile discharge
During acute bacterial prostatitis, the Digital rectal exam usually reveals a gland
described as - Answers- boggy
A 30 year old man with a cute prostatitis presents with a fever of 102.3. What would be
the expected CBC findings from this patient? - Answers- WBC=18,000; neutrophils
=11,500
Appropriate antimicrobial treatment for a 25-year-old man with acute bacterial prostatitis
is a course of - Answers- A single dose of I am ceftriaxone followed by oral doxycycline
Appropriate anti-microbial treatment for a 65-year-old man with acute bacterial
prostatitis is a course of oral - Answers- Ciprofloxacin
Symptoms and chronic bacterial prostatitis often include - Answers- Low back pain
The most common causes of organisms in chronic bacterial prostatitis include -
Answers- Graham negative rods
Which of the following is the best choice of therapy and chronic bacterial prostatitis? -
Answers- Oral ciprofloxacin for four weeks
When considering the use of tadalafil for the treatment of BPH, the nurse practitioner
advises that this agent - Answers- Can be used with or without finasteride
Concerning BPH, which of the following statements is true - Answers- The use of a
validated patient's symptom tool is an important part of diagnosing the condition
Concerning herbal and nutritional therapies for BPH treatment, which of the following
statements is false - Answers- These therapies are safest and most effective when
used with prescription medication's
The presentation of acute epididymis in an otherwise well 22-year-old male includes -
Answers- The presence of a positive prehn sign
, A 26 year old man presents with acute epididymitis. He states that his female partner
was recently diagnosed with some kind of infection and was told I should get treated.
The most likely causative organisms include - Answers- c. trachomatis and n.
gonorrhoeae
The best diagnostic test to identify the offending organism in acute bacterial prostatitis
in a 68 year old man who has a single long-term female partner is - Answers- A urine
culture
Which of the following is not a normal finding in a woman during the reproductive years?
- Answers- Vaginal epithelial cells with adherent bacteria
Physical examination of a 19 year-old woman with a three day history of vaginal itch
reveals moderate peroneal excoriation, vaginal erythema, and a white clumping
discharge. Expected microscopic examination findings include - Answers- hyphae
Women with bacterial vaginosis most often present with - Answers- Malodorous
discharge
Treatment of vulvovaginitis caused by Candida albicans includes - Answers-
tioconazole cream
A 24-year-old woman presents with a one-week history of thin, green vaginal discharge
with vaginal irritation. Physical examination findings include vaginal erythema with
petechial hemorrhages on the cervix, numerous white blood cells, and motile organisms
on microscopic examination. These findings most likely represent - Answers-
trichomoniasis
The preferred treatment option for trichomonas is - Answers- oral metronidazole
Treatment options for bacterial vaginosis include - Answers- oral metronidazole,
clindamycin cream, oral clindamycin
Expected diagnostic findings for bacterial vaginosis - Answers- presence of clue cells
and positive whiff test
Expected diagnostic findings for vulvovaginal candidiasis - Answers- presence of
hyphae on KOH prep
Expected diagnostic findings for trichomoniasis - Answers- abundance of PMNs
N. gonorrhoeae are best described as - Answers- gram negative diplococci
What is the approximate incubation period of gonorrhea? - Answers- 1-5 days
A 62-year-old man complains of a weak urine flow and dribbling at the end of urination.
In suspecting BPH indicate which of the following would be expected - Answers-
Obliterated median sulcus, size larger than 2.5 cm times 3 cm, sensation of incomplete
emptying
When assessing a 68-year-old man with suspected BPH, the NP considers that -
Answers- Prostate size does not correlate well with severity of symptoms
Which of the following medication can contribute to the development of acute urinary
retention and an older man with benign plastic hyperplasia - Answers- Amitriptyline
A 78-year-old man with a history of BPH presents with a three day history of new onset
fatigue and difficulty with bladder emptying. Examination reveals a distended bladder
but is otherwise unremarkable. BUN level is 88, creatinine level is 2.8. The most likely
diagnosis is - Answers- post renal azotemia
Surgical intervention in BPH should be considered with all of the following except -
Answers- Acute kidney injury
Finasteride and dutasteride are helpful in the treatment of BPH because of their affect
on - Answers- Prostate size
Tamsulosin is helpful in the treatment of BPH because of its affect on - Answers-
Activity at select bladder receptor sites
A likely causative pathogen in a 37-year-old man who has sex with men with acute
epididymis is - Answers- e. coli
A 30-year-old man who has sex with women and has acute epididymitis presents with
gastrointestinal upset and will be treated as an outpatient. Which of the following is a
reasonable treatment option? - Answers- oral doxycycline with IM ceftriaxone
Appropriate treatment of acute epididymitis for a 32-year-old man who is an insertive
partner in anal intercourse is - Answers- Oral levofloxacillin
Which findings are present in acute epididymitis - Answers- irritative voiding symptoms
penile discharge
scrotal swelling
Bilateral findings possible with later stages or with untreated disease
Risk factors for acute bacterial prostatitis include all of the following except - Answers-
Diminished prostate specific antigen level
,The most common positive organisms of acute bacterial prostatitis in men younger than
35 years of age are - Answers- N gonorrhea and see tracomatis
When choosing an antimicrobial agent for the treatment of chronic bacterial prostatitis,
the nurse practitioner considers that - Answers- Choosing an antibiotic with gram-
negative coverage is critical
All of the following are likely to be reported by patient with acute bacterial prostatitis
except - Answers- Penile discharge
During acute bacterial prostatitis, the Digital rectal exam usually reveals a gland
described as - Answers- boggy
A 30 year old man with a cute prostatitis presents with a fever of 102.3. What would be
the expected CBC findings from this patient? - Answers- WBC=18,000; neutrophils
=11,500
Appropriate antimicrobial treatment for a 25-year-old man with acute bacterial prostatitis
is a course of - Answers- A single dose of I am ceftriaxone followed by oral doxycycline
Appropriate anti-microbial treatment for a 65-year-old man with acute bacterial
prostatitis is a course of oral - Answers- Ciprofloxacin
Symptoms and chronic bacterial prostatitis often include - Answers- Low back pain
The most common causes of organisms in chronic bacterial prostatitis include -
Answers- Graham negative rods
Which of the following is the best choice of therapy and chronic bacterial prostatitis? -
Answers- Oral ciprofloxacin for four weeks
When considering the use of tadalafil for the treatment of BPH, the nurse practitioner
advises that this agent - Answers- Can be used with or without finasteride
Concerning BPH, which of the following statements is true - Answers- The use of a
validated patient's symptom tool is an important part of diagnosing the condition
Concerning herbal and nutritional therapies for BPH treatment, which of the following
statements is false - Answers- These therapies are safest and most effective when
used with prescription medication's
The presentation of acute epididymis in an otherwise well 22-year-old male includes -
Answers- The presence of a positive prehn sign
, A 26 year old man presents with acute epididymitis. He states that his female partner
was recently diagnosed with some kind of infection and was told I should get treated.
The most likely causative organisms include - Answers- c. trachomatis and n.
gonorrhoeae
The best diagnostic test to identify the offending organism in acute bacterial prostatitis
in a 68 year old man who has a single long-term female partner is - Answers- A urine
culture
Which of the following is not a normal finding in a woman during the reproductive years?
- Answers- Vaginal epithelial cells with adherent bacteria
Physical examination of a 19 year-old woman with a three day history of vaginal itch
reveals moderate peroneal excoriation, vaginal erythema, and a white clumping
discharge. Expected microscopic examination findings include - Answers- hyphae
Women with bacterial vaginosis most often present with - Answers- Malodorous
discharge
Treatment of vulvovaginitis caused by Candida albicans includes - Answers-
tioconazole cream
A 24-year-old woman presents with a one-week history of thin, green vaginal discharge
with vaginal irritation. Physical examination findings include vaginal erythema with
petechial hemorrhages on the cervix, numerous white blood cells, and motile organisms
on microscopic examination. These findings most likely represent - Answers-
trichomoniasis
The preferred treatment option for trichomonas is - Answers- oral metronidazole
Treatment options for bacterial vaginosis include - Answers- oral metronidazole,
clindamycin cream, oral clindamycin
Expected diagnostic findings for bacterial vaginosis - Answers- presence of clue cells
and positive whiff test
Expected diagnostic findings for vulvovaginal candidiasis - Answers- presence of
hyphae on KOH prep
Expected diagnostic findings for trichomoniasis - Answers- abundance of PMNs
N. gonorrhoeae are best described as - Answers- gram negative diplococci
What is the approximate incubation period of gonorrhea? - Answers- 1-5 days
