BANK AND EXPLANATIONS 2026
◉ Prescribing an alpha-adrenergic blocker. Answer: A 63 year old
man presents to your office with hematuria, hesitancy, and
dribbling. Digital Rectal Exam (DRE) reveals a smooth, moderately
enlarged prostate. The client's prostate-specific antigen (PSA) is 1.2.
What is the most appropriate management strategy at this time?
◉ Alprostadil (Caverject). Answer: A patient is being treated for
erectile dysfunction. The patient is morbidly obese and is being
treated for a coagulopathy. Which of the following medications
would be contraindicated?
◉ Diabetes Mellitus. Answer: A 54 year old male is complaining of
erectile dysfunction. He also has a condition that has reduced
arterial blood flow to his penis. The most common cause of this
condition is:
◉ An external vacuum device. Answer: A 58 year old male has been
diagnosed with erectile dysfunction and says that a friend told him
about a method that uses a constricting ring around the base of the
penis. What is he referring to?
, ◉ "Viagra is contraindicated with isosorbide mononitrate; let's
discuss other options.". Answer: A 51 ear old male requests a
prescription for sildenafil (Viagra). He says that the only medication
he takes is isosorbide mononitrate (Monoket) oral tablets and that
he has diabetes which is controlled with diet alone. What should the
NP tell him?
◉ Thyroid Stimulating Hormone (TSH). Answer: An elderly client
presents with atrial fibrillation. Which of the following lab tests is
important in forming the diagnosis?
◉ Beta human chorionic gonadotropin. Answer: A 24 year old
female is preparing for radioactive iodine therapy to treat Graves
disease. Which test must she undergo first?
◉ Elevated WBC count and an elevated Erythrocyte Sedimentation
Rate (ESR). Answer: A 46 year old male presents with a tender, red
and swollen knee. The clinician orders a complete blood count (CBC)
with differential, uric acid level and erythrocyte sedimentation rate
(ESR). Which of the following results would make the clinician
suspect a septic joint rather than gout?
◉ The rate of hypothyroidism decreases with age. Answer: Which of
the following statements about hypothyroidism is not true?