NU 643 ADVANCED PSYCHOPHARMACOLOGY
FINAL EXAM) ALL 400 QUESTIONS AND CORRECT
ANSWERS GRADED A+ REGIS COLLEGE/ REGIS NU
643 FINAL EXAM WEEK 15 (LATEST FINAL EXAMS)
A 27-year-old female presents with a chief complaint of burning and pain on urination. She has no
previous history of urinary tract infection (UTI). What are some additional symptoms consistent with
a diagnosis of lower UTI?
A. Thick, green discharge
B. Fever, chills, costovertebral angle (CVA) tenderness
C. Blood in urine and frequency
D. Foul-smelling discharge, perineal itch - CORRECT ANSWER-C. Blood in urine and frequency
A patient presents with CVA tenderness and a several-day history of high fever, chills, and dysuria.
Which of the following diagnoses is most likely given the above information?
A. Pyelonephritis
B. Cystitis
C. Renal calculi
D. Bladder tumor - CORRECT ANSWER-A. Pyelonephritis
Which of the following diagnostic tests should be ordered for a patient suspected of having bladder
cancer?
A. Kidneys, ureter, bladder x-ray
B. Cystoscopy with biopsy
C. Magnetic resonance imaging
D. Urine tumor marker (NMP22) - CORRECT ANSWER-B. Cystoscopy with biopsy
An 86-year-old woman is seen in the clinic for recurrent hematuria. The provider suspects bladder
cancer. Which of the following data from the history is considered a risk factor for this type of
cancer?
A. History of alcoholism
B. Sedentary lifestyle
C. Obesity
,D. 65-year smoking history - CORRECT ANSWER-D. 65-year smoking history
A 54yo white man w/no obvious risk for prostate cancer opted to undergo PSA screening and DRE
testing. The DRE findings are normal and his PSA is 3.7. You recommend:
Repeating the PSA test immediately
Repeat screening in 1 year
Repeat screening in 2 years
Repeat screening in 5 years - CORRECT ANSWER-Repeat screening in 1 year
Risk factors for prostate cancer include all of the following except:
African ancestry
History of genital trauma
Family history of prostate cancer
High-fat diet - CORRECT ANSWER-History of genital trauma
The average American man has an approximately ____ % lifetime risk of prostate cancer and an
approximately ____ & likelihood of clinical dz?
a. 15, 5
b. 25, 8
c. 40, 10
d. 60, 15 - CORRECT ANSWER-c. 40, 10
All of the following can cause an elevated PSA level except:
a. Current prostate infection
b. Recent cystoscopy
c. BPH
d. Prostatectomy - CORRECT ANSWER-d. Prostatectomy
According to recent epidemiologic studies, prostate cancer is the number ____ cause of death in U.S.
men.
a- 1
b- 2
,c- 3
d- 4 - CORRECT ANSWER-b- 2
Which of the following is most likely to be part of the clinical presentation of an otherwise healthy
27yo woman w/uncomplicated lower UTI?
Urinary frequency
Fever
Suprapubic tenderness
Lower GI upset - CORRECT ANSWER-Urinary frequency
Compared with UTI in younger women, uncomplicated UTI in an elderly woman is more likely to be
a/w each of the following except:
New-onset urinary incontinence
Delirium
Weakness
Hematuria - CORRECT ANSWER-Hematuria
A 37yo afebrile woman w/no health problems p/w dysuria and frequency. Her UA findings include
results positive for nitrites and leukocyte esterase. You evaluate these results and consider that she
likely has:
Purulent vulvovaginitis
A gram-negative UTI
Cystitis caused by staphylococcus saprophyticus
Urethral syndrome - CORRECT ANSWER-A gram-negative UTI
The most likely causative organism in community-acquired UTI in women during the reproductive
years is:
Klebsiella
Proteus mirabilis
E coli
staphylococcus saprophyticus - CORRECT ANSWER-E coli
, which urine culture result is needed to confirm a UTI in an asymptomatic woman who has not had
recent use of a urinary catheter?
10^2 cfu/mL or more
10^3 or more
10^4 or more
10^5 or more - CORRECT ANSWER-10^5 or more
You see a 34yo woman with an uncomplicated UTI. She is otherwise healthy but reports having a
sulfa allergy. Appropriate therapy would be:
TMP-SMX
Amoxicillin
Azithromycin
Nitrofurantoin - CORRECT ANSWER-Nitrofurantoin
The notation of alkaline urine in a patient with a UTI may point to infection caused by:
Klebsiella
P. mirabilis
E. coli
S. saprophyticus - CORRECT ANSWER-P. mirabilis
Which of the following is the most accurate info in caring for a 40yo man with cystitis?
This is a common condition in men of this age
A gram-positive organism is the likely causative pathogen
A urological evaluation should be considered
Pyuria is rarely found - CORRECT ANSWER-A urological evaluation should be considered
Evidence-based factors that prevent or minimize the risk of UTIs include all of the following except:
Male gender
Longer urethra-to-anus length in women
Timed voiding schedule
Zinc-rich prostatic secretions - CORRECT ANSWER-Timed voiding schedule
FINAL EXAM) ALL 400 QUESTIONS AND CORRECT
ANSWERS GRADED A+ REGIS COLLEGE/ REGIS NU
643 FINAL EXAM WEEK 15 (LATEST FINAL EXAMS)
A 27-year-old female presents with a chief complaint of burning and pain on urination. She has no
previous history of urinary tract infection (UTI). What are some additional symptoms consistent with
a diagnosis of lower UTI?
A. Thick, green discharge
B. Fever, chills, costovertebral angle (CVA) tenderness
C. Blood in urine and frequency
D. Foul-smelling discharge, perineal itch - CORRECT ANSWER-C. Blood in urine and frequency
A patient presents with CVA tenderness and a several-day history of high fever, chills, and dysuria.
Which of the following diagnoses is most likely given the above information?
A. Pyelonephritis
B. Cystitis
C. Renal calculi
D. Bladder tumor - CORRECT ANSWER-A. Pyelonephritis
Which of the following diagnostic tests should be ordered for a patient suspected of having bladder
cancer?
A. Kidneys, ureter, bladder x-ray
B. Cystoscopy with biopsy
C. Magnetic resonance imaging
D. Urine tumor marker (NMP22) - CORRECT ANSWER-B. Cystoscopy with biopsy
An 86-year-old woman is seen in the clinic for recurrent hematuria. The provider suspects bladder
cancer. Which of the following data from the history is considered a risk factor for this type of
cancer?
A. History of alcoholism
B. Sedentary lifestyle
C. Obesity
,D. 65-year smoking history - CORRECT ANSWER-D. 65-year smoking history
A 54yo white man w/no obvious risk for prostate cancer opted to undergo PSA screening and DRE
testing. The DRE findings are normal and his PSA is 3.7. You recommend:
Repeating the PSA test immediately
Repeat screening in 1 year
Repeat screening in 2 years
Repeat screening in 5 years - CORRECT ANSWER-Repeat screening in 1 year
Risk factors for prostate cancer include all of the following except:
African ancestry
History of genital trauma
Family history of prostate cancer
High-fat diet - CORRECT ANSWER-History of genital trauma
The average American man has an approximately ____ % lifetime risk of prostate cancer and an
approximately ____ & likelihood of clinical dz?
a. 15, 5
b. 25, 8
c. 40, 10
d. 60, 15 - CORRECT ANSWER-c. 40, 10
All of the following can cause an elevated PSA level except:
a. Current prostate infection
b. Recent cystoscopy
c. BPH
d. Prostatectomy - CORRECT ANSWER-d. Prostatectomy
According to recent epidemiologic studies, prostate cancer is the number ____ cause of death in U.S.
men.
a- 1
b- 2
,c- 3
d- 4 - CORRECT ANSWER-b- 2
Which of the following is most likely to be part of the clinical presentation of an otherwise healthy
27yo woman w/uncomplicated lower UTI?
Urinary frequency
Fever
Suprapubic tenderness
Lower GI upset - CORRECT ANSWER-Urinary frequency
Compared with UTI in younger women, uncomplicated UTI in an elderly woman is more likely to be
a/w each of the following except:
New-onset urinary incontinence
Delirium
Weakness
Hematuria - CORRECT ANSWER-Hematuria
A 37yo afebrile woman w/no health problems p/w dysuria and frequency. Her UA findings include
results positive for nitrites and leukocyte esterase. You evaluate these results and consider that she
likely has:
Purulent vulvovaginitis
A gram-negative UTI
Cystitis caused by staphylococcus saprophyticus
Urethral syndrome - CORRECT ANSWER-A gram-negative UTI
The most likely causative organism in community-acquired UTI in women during the reproductive
years is:
Klebsiella
Proteus mirabilis
E coli
staphylococcus saprophyticus - CORRECT ANSWER-E coli
, which urine culture result is needed to confirm a UTI in an asymptomatic woman who has not had
recent use of a urinary catheter?
10^2 cfu/mL or more
10^3 or more
10^4 or more
10^5 or more - CORRECT ANSWER-10^5 or more
You see a 34yo woman with an uncomplicated UTI. She is otherwise healthy but reports having a
sulfa allergy. Appropriate therapy would be:
TMP-SMX
Amoxicillin
Azithromycin
Nitrofurantoin - CORRECT ANSWER-Nitrofurantoin
The notation of alkaline urine in a patient with a UTI may point to infection caused by:
Klebsiella
P. mirabilis
E. coli
S. saprophyticus - CORRECT ANSWER-P. mirabilis
Which of the following is the most accurate info in caring for a 40yo man with cystitis?
This is a common condition in men of this age
A gram-positive organism is the likely causative pathogen
A urological evaluation should be considered
Pyuria is rarely found - CORRECT ANSWER-A urological evaluation should be considered
Evidence-based factors that prevent or minimize the risk of UTIs include all of the following except:
Male gender
Longer urethra-to-anus length in women
Timed voiding schedule
Zinc-rich prostatic secretions - CORRECT ANSWER-Timed voiding schedule
