Final Exam: NR 576 / NR576 (Latest
Update ) Differential
Diagnosis in Adult-Gerontology
Primary Care | Questions & Verified
Answers | 100% Correct | Grade A -
Chamberlain
Question:
Discuss an appropriate treatment for prophylaxis or treatment of traveler's
diarrhea
Answer:
-empirical antimicrobial therapy: Trimethoprim-sulfamethoxazole (Bactrim)
1 PO BID ×3d
-ciprofloxacin (Cipro) 500 mg
-norfloxacin (Noroxin) 400 mg
-ofloxacin (Floxin) 300 mg
,Question:
Identify the population most commonly affected by bacterial prostatitis
Answer:
o Acute - Sexually active men 30 to 50 years
- Chronic bacterial prostatitis common in men older than 50 years old
- Athletes who run long distance are predisposed
- Complaints of fever, chills, LBP, malaise, arthralgia, myalgia, frequency,
urgency, dysuria, nocturia, and bladder outlet obstruction
o Chronic bacterial prostatitis- men over age 50 years of age. Symptoms often
absent , perineal pain, lower abdomen pain, scrotal or penile pain, pain with
ejaculation, dysuria, irritative voiding
Question:
Discuss the physical exam characteristics of acute bacterial prostatitis
Answer:
Abdominal exam to detect distended bladder, costovertebral angle
tenderness, genital exam, and digital rectal exam
Acute bacterial prostatitis- warm, tense, swollen , boggy and very tender
prostate.
Most common pathogen Strep faecalis and staph aureus
,Question:
Discuss how the Phren sign can differentiate between testicular torsion and
epididymitis
Answer:
Epididymis characteristic is relief of discomfort with elevation of testis.
Positive Prehn's sign = pain relief.
Testicular torsion elevation of the affected testicle does NOT relieve the pain
(Negative Prehn's sign = pain is NOT relieved)
Epididymis Positive Prehn's sign = pain relief. Neg = no pain relief = testicular
torsion).
, Question:
Discuss common symptoms reported from a patient with BPH
Answer:
Affects men age 40 years and older.
Obstructive symptoms include
• Decreased stream • Hesitancy
• Postvoid dribbling • Sensation of incomplete bladder emptying
• Overflow incontinence • Inability to voluntarily stop the urine stream
• Urinary retention • Straining
Irritative symptoms include
• Nocturia • Urinary frequency
• Urinary urgency • Dysuria
Urge incontinence
Erectile dysfunction should be assessed on patient taking finasteride.
Update ) Differential
Diagnosis in Adult-Gerontology
Primary Care | Questions & Verified
Answers | 100% Correct | Grade A -
Chamberlain
Question:
Discuss an appropriate treatment for prophylaxis or treatment of traveler's
diarrhea
Answer:
-empirical antimicrobial therapy: Trimethoprim-sulfamethoxazole (Bactrim)
1 PO BID ×3d
-ciprofloxacin (Cipro) 500 mg
-norfloxacin (Noroxin) 400 mg
-ofloxacin (Floxin) 300 mg
,Question:
Identify the population most commonly affected by bacterial prostatitis
Answer:
o Acute - Sexually active men 30 to 50 years
- Chronic bacterial prostatitis common in men older than 50 years old
- Athletes who run long distance are predisposed
- Complaints of fever, chills, LBP, malaise, arthralgia, myalgia, frequency,
urgency, dysuria, nocturia, and bladder outlet obstruction
o Chronic bacterial prostatitis- men over age 50 years of age. Symptoms often
absent , perineal pain, lower abdomen pain, scrotal or penile pain, pain with
ejaculation, dysuria, irritative voiding
Question:
Discuss the physical exam characteristics of acute bacterial prostatitis
Answer:
Abdominal exam to detect distended bladder, costovertebral angle
tenderness, genital exam, and digital rectal exam
Acute bacterial prostatitis- warm, tense, swollen , boggy and very tender
prostate.
Most common pathogen Strep faecalis and staph aureus
,Question:
Discuss how the Phren sign can differentiate between testicular torsion and
epididymitis
Answer:
Epididymis characteristic is relief of discomfort with elevation of testis.
Positive Prehn's sign = pain relief.
Testicular torsion elevation of the affected testicle does NOT relieve the pain
(Negative Prehn's sign = pain is NOT relieved)
Epididymis Positive Prehn's sign = pain relief. Neg = no pain relief = testicular
torsion).
, Question:
Discuss common symptoms reported from a patient with BPH
Answer:
Affects men age 40 years and older.
Obstructive symptoms include
• Decreased stream • Hesitancy
• Postvoid dribbling • Sensation of incomplete bladder emptying
• Overflow incontinence • Inability to voluntarily stop the urine stream
• Urinary retention • Straining
Irritative symptoms include
• Nocturia • Urinary frequency
• Urinary urgency • Dysuria
Urge incontinence
Erectile dysfunction should be assessed on patient taking finasteride.
