NR 511 Final UPDATED Questions and
CORRECT Answers
Population most commonly affected by Bacterial Prostatis - CORRECT ANSWER -
Sexually active men
BETWEEN THE AGES OF 30 AND 50 YEARS OLD
Physical Exam Characteristics of Acute Bacterial Prostatitis - CORRECT ANSWER -
Abdominal examination to detect a distended bladder and costovertebral angle tenderness.
Genital examination
A digital rectal examination should be performed gently because vigorous prostatic massage can
induce bacteremia and, subsequently, sepsis.
DRE results for the three conditions, we can expect to see the following.
Acute bacterial
Warm, tense, swollen, boggy, and very tender prostate
Chronic bacterial
Normal (may be a little boggy or focally indurated)
Nonbacterial
Normal or tender prostate
Phren Sign - Torsion or Epididymitis - CORRECT ANSWER -The most common finding
on clinical exam is the absence of the cremasteric reflex and unlike in epididymitis elevation of
the affected testis does not relieve the pain
,BPH Symtpms - CORRECT ANSWER -Fever
Chills
Hematuria
Dysuria
Foul-smelling urine
Difficulty starting to urinate or emptying the bladder
Dribbling
Weak urine stream
Hallmark Characteristics of Varicocele - CORRECT ANSWER -Sensation that the testes
feel like a "bag of worms."
Population affected by Testicular Cancer - CORRECT ANSWER -American males
between the ages of 15 and 35.
Explain Spinal Stenosis - CORRECT ANSWER -Most Common source of lower back
pain
Caused by a narrowing of the spinal canal as a result of degeneration of the bony facet joints and
the intervertebral disks
, Common Characteristics of lumbar spinal stenosis - CORRECT ANSWER -Leg pain is
commonly greater than back pain and pain is characteristically worse with prolonged standing or
walking and improved by rest.
In more advanced cases, leg pain with weakness or numbness and tingling can be present.
Pt will lean or stoop for short term relief
Chronic Pain - CORRECT ANSWER -Greater than 3 months in duration
Pain symptoms become more generalized topographically and less localized to the site of injury
or initial complaint
Pain referral patterns that shift in location as well as intensity, frequency, and quality
Pain that does not change with movement, rest, or over time
Patients usually report pain as constant or continuous (less like to be intermittent).
Mood or current psychological status tends to affect or worsen the pain complaints.
Number of Joints Involved in Polyarticular Disorder - CORRECT ANSWER -Four or
more joints
Four Cardinal Signs of Joint Inflammation - CORRECT ANSWER -Erythema
Warmth
Pain
CORRECT Answers
Population most commonly affected by Bacterial Prostatis - CORRECT ANSWER -
Sexually active men
BETWEEN THE AGES OF 30 AND 50 YEARS OLD
Physical Exam Characteristics of Acute Bacterial Prostatitis - CORRECT ANSWER -
Abdominal examination to detect a distended bladder and costovertebral angle tenderness.
Genital examination
A digital rectal examination should be performed gently because vigorous prostatic massage can
induce bacteremia and, subsequently, sepsis.
DRE results for the three conditions, we can expect to see the following.
Acute bacterial
Warm, tense, swollen, boggy, and very tender prostate
Chronic bacterial
Normal (may be a little boggy or focally indurated)
Nonbacterial
Normal or tender prostate
Phren Sign - Torsion or Epididymitis - CORRECT ANSWER -The most common finding
on clinical exam is the absence of the cremasteric reflex and unlike in epididymitis elevation of
the affected testis does not relieve the pain
,BPH Symtpms - CORRECT ANSWER -Fever
Chills
Hematuria
Dysuria
Foul-smelling urine
Difficulty starting to urinate or emptying the bladder
Dribbling
Weak urine stream
Hallmark Characteristics of Varicocele - CORRECT ANSWER -Sensation that the testes
feel like a "bag of worms."
Population affected by Testicular Cancer - CORRECT ANSWER -American males
between the ages of 15 and 35.
Explain Spinal Stenosis - CORRECT ANSWER -Most Common source of lower back
pain
Caused by a narrowing of the spinal canal as a result of degeneration of the bony facet joints and
the intervertebral disks
, Common Characteristics of lumbar spinal stenosis - CORRECT ANSWER -Leg pain is
commonly greater than back pain and pain is characteristically worse with prolonged standing or
walking and improved by rest.
In more advanced cases, leg pain with weakness or numbness and tingling can be present.
Pt will lean or stoop for short term relief
Chronic Pain - CORRECT ANSWER -Greater than 3 months in duration
Pain symptoms become more generalized topographically and less localized to the site of injury
or initial complaint
Pain referral patterns that shift in location as well as intensity, frequency, and quality
Pain that does not change with movement, rest, or over time
Patients usually report pain as constant or continuous (less like to be intermittent).
Mood or current psychological status tends to affect or worsen the pain complaints.
Number of Joints Involved in Polyarticular Disorder - CORRECT ANSWER -Four or
more joints
Four Cardinal Signs of Joint Inflammation - CORRECT ANSWER -Erythema
Warmth
Pain
