NR 601 Primary Care of the Maturing and Aged Family Practicum
NR 601 Week 8 Final Exam 2025/2026 Review: Weeks
5-8 From Ham’s Primary Care Geriatrics (2024/2025
May Session) Graded A
Chapter 4: LGBT Medicine in Older Adults
1. What is the most appropriate recommendation for the patient regarding
her partner making medical decisions?
A. Obtain a marriage certificate
B. Have her partner fill out a HIPAA release form
C. Complete a durable power of attorney for healthcare ✅
D. Rely on common-law spousal recognition
Correct Answer: C. Complete a durable power of attorney for healthcare
2. Most important next step in care for transgender female on estrogen
therapy and smoking?
A. Increase estrogen dose
B. Screen for lung cancer
C. Discontinue estrogen therapy ✅
D. Start antidepressant therapy
,NR 601 Primary Care of the Maturing and Aged Family Practicum
Correct Answer: C. Discontinue estrogen therapy
3. What STI testing should be offered to an older adult male sexually active
with men and women?
A. Syphilis only
B. HIV, syphilis, gonorrhea, chlamydia ✅
C. Herpes virus and hepatitis B only
D. HIV and chlamydia only
Correct Answer: B. HIV, syphilis, gonorrhea, chlamydia
Chapter 23: Urinary Incontinence
4. Which of the following is true about tolterodine?
A. It increases the risk of urinary retention in older adults ✅
B. It should not be used for urge incontinence
C. It is an antibiotic for UTIs
D. It is the first-line drug for stress incontinence
Correct Answer: A. It increases the risk of urinary retention in older adults
,NR 601 Primary Care of the Maturing and Aged Family Practicum
5. What is the next step in managing Mr. A with nocturia, urgency,
constipation, and amlodipine use?
A. Increase furosemide dose
B. Start tamsulosin
C. Discontinue amlodipine ✅
D. Add tolterodine
Correct Answer: C. Discontinue amlodipine
6. Initial treatment for dementia patient with daytime incontinence at day
program?
A. Schedule adult diapers
B. Behavioral intervention at the day program ✅
C. Anticholinergic medication trial
D. Foley catheter placement
Correct Answer: B. Behavioral intervention at the day program
7. Best recommendation for Ms. J with stress urinary incontinence during
golf?
, NR 601 Primary Care of the Maturing and Aged Family Practicum
A. Increase caffeine for alertness
B. Bladder diary and refer to physical therapy ✅
C. Prescribe oxybutynin
D. Recommend total fluid restriction
Correct Answer: B. Bladder diary and refer to physical therapy
Chapter 32: Sexual Health
8. What is the most common cause of erectile dysfunction in older men?
A. Psychological stress
B. Prostate cancer
C. Vascular disease ✅
D. Low testosterone
Correct Answer: C. Vascular disease
9. Most reasonable first step in treatment of ED in older men?
A. Testosterone replacement
NR 601 Week 8 Final Exam 2025/2026 Review: Weeks
5-8 From Ham’s Primary Care Geriatrics (2024/2025
May Session) Graded A
Chapter 4: LGBT Medicine in Older Adults
1. What is the most appropriate recommendation for the patient regarding
her partner making medical decisions?
A. Obtain a marriage certificate
B. Have her partner fill out a HIPAA release form
C. Complete a durable power of attorney for healthcare ✅
D. Rely on common-law spousal recognition
Correct Answer: C. Complete a durable power of attorney for healthcare
2. Most important next step in care for transgender female on estrogen
therapy and smoking?
A. Increase estrogen dose
B. Screen for lung cancer
C. Discontinue estrogen therapy ✅
D. Start antidepressant therapy
,NR 601 Primary Care of the Maturing and Aged Family Practicum
Correct Answer: C. Discontinue estrogen therapy
3. What STI testing should be offered to an older adult male sexually active
with men and women?
A. Syphilis only
B. HIV, syphilis, gonorrhea, chlamydia ✅
C. Herpes virus and hepatitis B only
D. HIV and chlamydia only
Correct Answer: B. HIV, syphilis, gonorrhea, chlamydia
Chapter 23: Urinary Incontinence
4. Which of the following is true about tolterodine?
A. It increases the risk of urinary retention in older adults ✅
B. It should not be used for urge incontinence
C. It is an antibiotic for UTIs
D. It is the first-line drug for stress incontinence
Correct Answer: A. It increases the risk of urinary retention in older adults
,NR 601 Primary Care of the Maturing and Aged Family Practicum
5. What is the next step in managing Mr. A with nocturia, urgency,
constipation, and amlodipine use?
A. Increase furosemide dose
B. Start tamsulosin
C. Discontinue amlodipine ✅
D. Add tolterodine
Correct Answer: C. Discontinue amlodipine
6. Initial treatment for dementia patient with daytime incontinence at day
program?
A. Schedule adult diapers
B. Behavioral intervention at the day program ✅
C. Anticholinergic medication trial
D. Foley catheter placement
Correct Answer: B. Behavioral intervention at the day program
7. Best recommendation for Ms. J with stress urinary incontinence during
golf?
, NR 601 Primary Care of the Maturing and Aged Family Practicum
A. Increase caffeine for alertness
B. Bladder diary and refer to physical therapy ✅
C. Prescribe oxybutynin
D. Recommend total fluid restriction
Correct Answer: B. Bladder diary and refer to physical therapy
Chapter 32: Sexual Health
8. What is the most common cause of erectile dysfunction in older men?
A. Psychological stress
B. Prostate cancer
C. Vascular disease ✅
D. Low testosterone
Correct Answer: C. Vascular disease
9. Most reasonable first step in treatment of ED in older men?
A. Testosterone replacement
