RASMUSSEN COLLEGE MDC 3 FINAL EXAM
2026 COMPREHENSIVE EXAM
◉ Vaginoplasty Complications. Answer: · Hemorrhage
· Infection
· Venous thromboembolism (DVT/PE)
· Bladder dysfunction
· Body image/psychosocial concerns
◉ Vaginoplasty Priority Complication. Answer: Hemorrhage
◉ Pelvic Inflammatory Disease (PID) Symptoms. Answer: · Lower
abdominal or pelvic pain
· Purulent vaginal discharge.
· Fever and chills.
· Cervical motion tenderness
· Dyspareunia (painful intercourse).
· Dysuria (painful urination).
· Malaise, anorexia, nausea, headache.
◉ Recurrent Vaginosis. Answer: -Overgrowth of Anaerobic Bacteria
(Gardnerella Vaginalis)
,-Grey/yellow discharge, fishy odor
◉ Recurrent Vaginosis Tx. Answer: Metronidazole (oral 7 days)
Clindamycin (cream/suppository)
◉ Recurrent Vaginosis Patient Education. Answer: o Avoid douching
o Practice good perineal hygiene.
o Avoid tight clothing and perfumed products.
o Complete antibiotic regimen as prescribed.
o Partner treatment not effective.
Stress reduction, safe sexual practices, and healthy lifestyle decrease
recurrence
◉ Benign Prostatic Hyperplasia (BPH) S/S. Answer: frequency
urgency
hesitancy
nocturia
weak stream
incomplete emptying
◉ Benign Prostatic Hyperplasia (BPH) Complications. Answer:
urinary retention
,hydronephrosis
recurrent UTIs.
◉ Benign Prostatic Hyperplasia (BPH) Assessment Process. Answer:
o Differentiate BPH from prostate cancer and prostatitis.
o Identify severity and impact on quality of life.
o Guide treatment decisions (medical vs. surgical).
◉ BPH Diagnostic Tools. Answer: o Digital Rectal Exam (DRE):
Assess size, texture, nodules.
o PSA test: Rule out prostate cancer.
oBladder scan/uroflowmetry: Measure residual urine, flow rate.
◉ Transrectal Ultrasound-Guided Biopsy (TRUS Biopsy) Purpose.
Answer: Definitive diagnosis for prostate cancer when PSA/DRE
abnormal.
◉ Transrectal Ultrasound-Guided Biopsy (TRUS Biopsy) Pre-
Procedure Education. Answer: o Informed consent required.
, o Bowel prep/enema often ordered to clear rectum.
o Prophylactic antibiotics to reduce infection risk.
o Teach patient about local anesthesia and probe insertion via
rectum.
◉ Transrectal Ultrasound-Guided Biopsy (TRUS Biopsy) Patient
Teaching. Answer: o Expect mild discomfort/pressure during
procedure.
o Post-procedure: possible light rectal bleeding, hematuria, or
hematospermia for a few days.
o Report fever, chills, heavy bleeding, or urinary retention (signs of
infection/complications).
◉ Testicular Cancer is most common in. Answer: males 15-35 years;
highly curable if detected early.
◉ Testicular Cancer Risk Factors. Answer: -Cryptorchidism
(undescended testicle),
-family history
-prior testicular cancer
-Caucasian race
-HIV infection.
2026 COMPREHENSIVE EXAM
◉ Vaginoplasty Complications. Answer: · Hemorrhage
· Infection
· Venous thromboembolism (DVT/PE)
· Bladder dysfunction
· Body image/psychosocial concerns
◉ Vaginoplasty Priority Complication. Answer: Hemorrhage
◉ Pelvic Inflammatory Disease (PID) Symptoms. Answer: · Lower
abdominal or pelvic pain
· Purulent vaginal discharge.
· Fever and chills.
· Cervical motion tenderness
· Dyspareunia (painful intercourse).
· Dysuria (painful urination).
· Malaise, anorexia, nausea, headache.
◉ Recurrent Vaginosis. Answer: -Overgrowth of Anaerobic Bacteria
(Gardnerella Vaginalis)
,-Grey/yellow discharge, fishy odor
◉ Recurrent Vaginosis Tx. Answer: Metronidazole (oral 7 days)
Clindamycin (cream/suppository)
◉ Recurrent Vaginosis Patient Education. Answer: o Avoid douching
o Practice good perineal hygiene.
o Avoid tight clothing and perfumed products.
o Complete antibiotic regimen as prescribed.
o Partner treatment not effective.
Stress reduction, safe sexual practices, and healthy lifestyle decrease
recurrence
◉ Benign Prostatic Hyperplasia (BPH) S/S. Answer: frequency
urgency
hesitancy
nocturia
weak stream
incomplete emptying
◉ Benign Prostatic Hyperplasia (BPH) Complications. Answer:
urinary retention
,hydronephrosis
recurrent UTIs.
◉ Benign Prostatic Hyperplasia (BPH) Assessment Process. Answer:
o Differentiate BPH from prostate cancer and prostatitis.
o Identify severity and impact on quality of life.
o Guide treatment decisions (medical vs. surgical).
◉ BPH Diagnostic Tools. Answer: o Digital Rectal Exam (DRE):
Assess size, texture, nodules.
o PSA test: Rule out prostate cancer.
oBladder scan/uroflowmetry: Measure residual urine, flow rate.
◉ Transrectal Ultrasound-Guided Biopsy (TRUS Biopsy) Purpose.
Answer: Definitive diagnosis for prostate cancer when PSA/DRE
abnormal.
◉ Transrectal Ultrasound-Guided Biopsy (TRUS Biopsy) Pre-
Procedure Education. Answer: o Informed consent required.
, o Bowel prep/enema often ordered to clear rectum.
o Prophylactic antibiotics to reduce infection risk.
o Teach patient about local anesthesia and probe insertion via
rectum.
◉ Transrectal Ultrasound-Guided Biopsy (TRUS Biopsy) Patient
Teaching. Answer: o Expect mild discomfort/pressure during
procedure.
o Post-procedure: possible light rectal bleeding, hematuria, or
hematospermia for a few days.
o Report fever, chills, heavy bleeding, or urinary retention (signs of
infection/complications).
◉ Testicular Cancer is most common in. Answer: males 15-35 years;
highly curable if detected early.
◉ Testicular Cancer Risk Factors. Answer: -Cryptorchidism
(undescended testicle),
-family history
-prior testicular cancer
-Caucasian race
-HIV infection.
