NR 667 Vise call focused Possibilities.
1. BPH AUA Questions "Over the past month have you..." - Correct answer1.
Sensation of incomplete emptying
2. Urinate less than 2 hours after you finished (Frequency)
3. How often have you found that you start and stop several times when urinating
4. found it difficult to postpose urination
5. Weak urinary stream
6. push or strain when urinating
7. how many times do you typically get up to urinate
Mild= 0-7
moderate= 8-19
Severe 20-35
BPH Labs - Correct answerU/A
PSA
High PSA and free PSA (cancerous is high PSA and normal to low free PSA)
Renal panel
post void residual
BPH Differentials - Correct answerProstatitis
Prostate cancer
UTI
Bladder cancer
BPH Assessment - Correct answerDRE
Firm, smooth symmetrically enlarged prostate
BPH Non-pharm education - Correct answerLimit bedtime fluids
Limit caffeine, alcohol, antihistamine/anticholinergics
Limit salt intake
BPH Pharm education - Correct answerAlpha 1 Blocker
Flomax 0.4mg daily at bedtime
May cause dizziness
Follow up in 2-4 weeks
Urology if patient is not responding to treatment
Annual PSA and DRE if initial PSA >2.5
2. Sinusitis (Maxillary) Assessment findings - Correct answerViral <10 days- treat
symptomatically with NSAIDs, Acetaminophen
Bacterial >10 days- <4 weeks
HEENT Exam- facial tenderness, post nasal drip, middle ear effusion, halitosis,
periorbital edema
, Sinusitis differentials - Correct answerAllergic Rhinitis
dental abscess
migraine
Sinusitis labs - Correct answerCBC, Sinus X-ray/CT if chronic
Diagnosis based on history and PE unless complications
Sinusitis non-pharm - Correct answerRest, hydration, warm compress to sinuses
Use humidifier/ saline nose spray
Sinusitis pharm - Correct answerWatchful waiting for viral vs bacterial
Start prior to bacterial timeframe for immunocompromised or severe illness such as
fever, moderate-severe pain, unilateral tenderness, worsening symptoms
Adults- Augmentin 875/125mg BID x 10 days
PCN allergy Doxy 100mg BID x 7 days
Peds- Amoxiciilin 80-90mg/kg BID 5-7 days
PCN allergy cefpodoxime 5 mg/kg q12h for 10 days (2 mo-12 yrs) or 200 mg q12h for
10 days (>12 yrs)
Sinusitis follow-up - Correct answerf/u 1 week for effectiveness or if symptoms worsen
3-5 days
ENT if recurrent infections
ER if meningitiis
Immediate referral for periorbital edema
3. Low back pain assessment - Correct answerReferred, radiating, localized?
OLDCARTs (Onset, location, duration, characteristics, aggravating, relieving, treatment,
severity)
Urinary issues
Neuro issues
Low back pain diagnostics - Correct answerx-ray with injury or 4 weeks without
resolution
MRI and CT for disc disease
CBC, CMP, CRP, UA
Low back pain PE - Correct answerMotor, sensory, and reflex
observe gait
assess lower extremity strength, and bulk of muscle and pulses
DTR-
Patellar nerve roots L2-L4
Achilles nerve roots S1-S2
Straight leg raise- herniated disc
cross leg raise test
Low back pain non pharm - Correct answerPT
1. BPH AUA Questions "Over the past month have you..." - Correct answer1.
Sensation of incomplete emptying
2. Urinate less than 2 hours after you finished (Frequency)
3. How often have you found that you start and stop several times when urinating
4. found it difficult to postpose urination
5. Weak urinary stream
6. push or strain when urinating
7. how many times do you typically get up to urinate
Mild= 0-7
moderate= 8-19
Severe 20-35
BPH Labs - Correct answerU/A
PSA
High PSA and free PSA (cancerous is high PSA and normal to low free PSA)
Renal panel
post void residual
BPH Differentials - Correct answerProstatitis
Prostate cancer
UTI
Bladder cancer
BPH Assessment - Correct answerDRE
Firm, smooth symmetrically enlarged prostate
BPH Non-pharm education - Correct answerLimit bedtime fluids
Limit caffeine, alcohol, antihistamine/anticholinergics
Limit salt intake
BPH Pharm education - Correct answerAlpha 1 Blocker
Flomax 0.4mg daily at bedtime
May cause dizziness
Follow up in 2-4 weeks
Urology if patient is not responding to treatment
Annual PSA and DRE if initial PSA >2.5
2. Sinusitis (Maxillary) Assessment findings - Correct answerViral <10 days- treat
symptomatically with NSAIDs, Acetaminophen
Bacterial >10 days- <4 weeks
HEENT Exam- facial tenderness, post nasal drip, middle ear effusion, halitosis,
periorbital edema
, Sinusitis differentials - Correct answerAllergic Rhinitis
dental abscess
migraine
Sinusitis labs - Correct answerCBC, Sinus X-ray/CT if chronic
Diagnosis based on history and PE unless complications
Sinusitis non-pharm - Correct answerRest, hydration, warm compress to sinuses
Use humidifier/ saline nose spray
Sinusitis pharm - Correct answerWatchful waiting for viral vs bacterial
Start prior to bacterial timeframe for immunocompromised or severe illness such as
fever, moderate-severe pain, unilateral tenderness, worsening symptoms
Adults- Augmentin 875/125mg BID x 10 days
PCN allergy Doxy 100mg BID x 7 days
Peds- Amoxiciilin 80-90mg/kg BID 5-7 days
PCN allergy cefpodoxime 5 mg/kg q12h for 10 days (2 mo-12 yrs) or 200 mg q12h for
10 days (>12 yrs)
Sinusitis follow-up - Correct answerf/u 1 week for effectiveness or if symptoms worsen
3-5 days
ENT if recurrent infections
ER if meningitiis
Immediate referral for periorbital edema
3. Low back pain assessment - Correct answerReferred, radiating, localized?
OLDCARTs (Onset, location, duration, characteristics, aggravating, relieving, treatment,
severity)
Urinary issues
Neuro issues
Low back pain diagnostics - Correct answerx-ray with injury or 4 weeks without
resolution
MRI and CT for disc disease
CBC, CMP, CRP, UA
Low back pain PE - Correct answerMotor, sensory, and reflex
observe gait
assess lower extremity strength, and bulk of muscle and pulses
DTR-
Patellar nerve roots L2-L4
Achilles nerve roots S1-S2
Straight leg raise- herniated disc
cross leg raise test
Low back pain non pharm - Correct answerPT
