Quiz 4) NSG6001 Quiz 4:GI/Thyroid: Questions & Answers: Latest Updated : Guaranteed A+ Score Guide

A 70-year-old male reports urinary hesitancy, post-void dribbling, and a diminished urine stream. A digital rectal exam reveals an enlarged prostate gland that feels rubbery and smooth. Which tests will the primary care provider order based on these findings? (Ans - Urinalysis and serum Cr. Rationale: The DRE reveals a prostate gland consistent with BPH. The primary provider should order a urinalysis and creatinine to evaluate possible infection and renal function. A bladder scan is ordered at the discretion of the urologist. The prostate exam isn't consistent with prostate cancer, so PSA and bladder imaging are not necessary. Symptoms of prostatitis would indicate a need for evaluation of possible infection.REF: Diagnostics/Box 147-1: Diagnostics A patient has been taking terazosin daily at bedtime to treat BPH and reports persistent daytime dizziness. What will the provider do? (Ans – A Rx Finasteride instead of terazosin Rationale: Patients who cannot tolerate the side effect of alphaadrenergic antagonists, the provider may initiate therapy with a 5areductase inhibitor such as finasteride. Terazosin should be given at bedtime to minimize these adverse effects. Herbal preparations have not been proven to be safe or effective. Doxazosin is in the same drug class as terazosin.REF: Management