NURSING HEALTH ASS APEA TB 2 Exam Questions and
Answers 100%correct/verified Rated A+ new update 2025
Question:
What is the recommendation of American Cancer Society for initial screening
| | | | | | | | | |
of an African-American malefor prostate cancer?
| | | | | | |
Digital rectal exam starting at age 40 yearsPSA starting at age 45
| | | | | | | | | | |
yearsDiscussions starting at age 40-45 years CorrectHe should be screened
| | | | | | | | | |
starting at age 50 years.
| | | | |
Explanation:
American Cancer Society guidelines recommend beginning screening
| | | | | |
discussion at age 40-45 years for males at high risk for developing prostate
| | | | | | | | | | | | |
cancer (e.g. a first degree relative with prostate cancer before age65 or African
| | | | | | | | | | | | | |
American race). The reason for “screening discussions” is to keep males
| | | | | | | | | | |
involved in individual decision making. The PSA threshold is 4.0 ng/mL.
| | | | | | | | | | |
Testing is discouraged for males with less than a 10 year expected survival. US
| | | | | | | | | | | | | |
Preventive Services Task Force does not recommend screening.
| | | | | | | |
Question:
What is American Cancer Society’s recommendation for prostate screening in a 70 year-old
| | | | | | | | | | | |
| male?
He should be screened annually with PSA only.He should be screened annually
| | | | | | | | | | |
with PSA and DRE.He should be screened until he has a life expectancy of less
| | | | | | | | | | | | | | |
than 10 years. CorrectScreening can stop at age 75years.
| | | | | | | | | |
Explanation:
Prostate cancer screening at age 70 years includes both prostate specific
| | | | | | | | | |
antigen measurement (PSA) and digital rectal exam (DRE). Prostate cancer is
| | | | | | | | | | |
,typically a slow growing tumor, thus if life expectancy is < 10years, screening
| | | | | | | | | | | | | |
is not cost-effective.
| | |
Question:
A 70 year-old male presents to your clinic with a lump in his breast. How
| | | | | | | | | | | | | |
should this be evaluated? Palpation and ultrasound IncorrectMammogram
| | | | | | | |
and ultrasound CorrectUltrasound onlyMammogram only
| | | | |
Explanation:
This patient has a lump identified in the breast. Since males can develop breast
| | | | | | | | | | | | |
cancer, it must be evaluatedin the same means that a female breast lump would
| | | | | | | | | | | | | | |
be evaluated. He should have a clinical breast exam to identify the position of
| | | | | | | | | | | | | |
the lump, and any other abnormal findings such as nodes or other lumps. Then,
| | | | | | | | | | | | | |
he should have mammogram and ultrasound to help evaluate the lump. If the
| | | | | | | | | | | | |
findings were suspicious for a malignancy, the patient would be referred to a
| | | | | | | | | | | | |
surgeon.
|
Question:
A 22 year-old male who is otherwise healthy complains of scrotal pain. His
| | | | | | | | | | | |
pain has developed over thepast 4 days. He is diagnosed with epididymitis.
| | | | | | | | | | | | |
What is the most likely reason?
| | | | | |
His ageInfection with Chlamydia CorrectUnderlying hydroceleUrinary tract infection
| | | | | | |
Explanation:
Several factors predispose males to epididymitis. In men under age 35, the
| | | | | | | | | | |
| most common cause of epididymitis is infection with Chlamydia trachomatis.
| | | | | | | | |
In older men, urinary tract pathogens are more typical. In pre-pubertal boys,
| | | | | | | | | | | |
bicycle riding and heavy physical exertion are most common. In pre-
| | | | | | | | | | |
pubertalboys, consideration should be given to congenital abnormalities.
| | | | | | | |
,Question:
Digital rectal exam may be performed to assess the prostate gland. Which term
| | | | | | | | | | | |
does NOT describe aprostate gland that may have a tumor?
| | | | | | | | | | |
NodularAsymmetricalBoggy CorrectIndurated |
Explanation:
A boggy prostate describes a gland that is edematous and tender, such as is
| | | | | | | | | | | | |
seen in a patient with bacterialprostatitis. The other terms indicate an
| | | | | | | | | | | |
abnormality that could represent a prostate gland tumor.
| | | | | | | |
Question:
A male patient has epididymitis. His most likely complaint will be:
| | | | | | | | | |
burning with urination.testicular pain.scrotal pain. Correctpenile discharge.
| | | | | |
Explanation:
The most common complaint is scrotal pain. It usually develops over a
| | | | | | | | | | |
period of days. Occasionally, it develops acutely and will be accompanied by
| | | | | | | | | | | |
fever, chills, and a very ill-appearing patient. Burning withurination is
| | | | | | | | | | |
possible if the underlying cause is a urinary tract infection, but, this is not
| | | | | | | | | | | | | |
usual. This presentation is seen more commonly in older males. Testicular
| | | | | | | | | | |
pain is not a common complaint with epididymitis. Penile discharge would
| | | | | | | | | | |
not indicate an infection in the epididymis since the epididymis is atightly
| | | | | | | | | | | | |
coiled tubular structure located on the testis.
| | | | | | |
Question:
What is the recommendation of American Cancer Society for screening an
| | | | | | | | | |
average risk 40 year-oldCaucasian male for prostate cancer?
| | | | | | | | |
Digital rectal examSerum prostate specific antigen (PSA)Digital rectal exam
| | | | | | | |
, and PSAHe should bescreened starting at age 50 years. Correct
| | | | | | | | | | |
Explanation:
American Cancer Society recommends initial prostate screening of an | | | | | | | |
average risk male at age 50 years with PSA testing with or without digital
| | | | | | | | | | | | | |
rectal exam. If the initial PSA is < 2.5 ng/mL, the screen can berepeated in 2
| | | | | | | | | | | | | | | | |
years. If the PSA is > 2.5, annual screening should take place.
| | | | | | | | | | | |
Question:
Which of the following results in a clinically insignificant increase in the
| | | | | | | | | | |
prostate specific antigen (PSA)?Digital rectal exam
| | | | | | |
| CorrectEjaculationProstatitis IncorrectProstate biopsy | |
Explanation:
Digital rectal exam (DRE) leads to a clinically insignificant increase of
| | | | | | | | | |
0.26-0.4 ng/ml for about 48-72 hours afterwards. Prostate biopsy increases
| | | | | | | | | |
the PSA about 8 ng/ml for up to 4 weeks following biopsy. Prostate
| | | | | | | | | | | | |
infection and ejaculation both can increase the PSA levels.
| | | | | | | | |
Question:
Hesselbach’s triangle forms the landmark for: | | | | |
inguinal hernia. Correctfemoral hernia.abdominal hernia.umbilical hernia.
| | | | |
Explanation:
Direct inguinal hernias occur through Hesselbach’s triangle. The inguinal
| | | | | | | |
ligament, the rectus muscle, and the epigastric vessels form the triangle. When
| | | | | | | | | | | |
there is a weakness in the floor of the inguinal canal, a herniacan result.
| | | | | | | | | | | | | | |
Inguinal hernias are the most common groin hernias in men and women.
| | | | | | | | | | | |
Repair of this is the most common surgical procedure performed in the US.
| | | | | | | | | | | | |
Answers 100%correct/verified Rated A+ new update 2025
Question:
What is the recommendation of American Cancer Society for initial screening
| | | | | | | | | |
of an African-American malefor prostate cancer?
| | | | | | |
Digital rectal exam starting at age 40 yearsPSA starting at age 45
| | | | | | | | | | |
yearsDiscussions starting at age 40-45 years CorrectHe should be screened
| | | | | | | | | |
starting at age 50 years.
| | | | |
Explanation:
American Cancer Society guidelines recommend beginning screening
| | | | | |
discussion at age 40-45 years for males at high risk for developing prostate
| | | | | | | | | | | | |
cancer (e.g. a first degree relative with prostate cancer before age65 or African
| | | | | | | | | | | | | |
American race). The reason for “screening discussions” is to keep males
| | | | | | | | | | |
involved in individual decision making. The PSA threshold is 4.0 ng/mL.
| | | | | | | | | | |
Testing is discouraged for males with less than a 10 year expected survival. US
| | | | | | | | | | | | | |
Preventive Services Task Force does not recommend screening.
| | | | | | | |
Question:
What is American Cancer Society’s recommendation for prostate screening in a 70 year-old
| | | | | | | | | | | |
| male?
He should be screened annually with PSA only.He should be screened annually
| | | | | | | | | | |
with PSA and DRE.He should be screened until he has a life expectancy of less
| | | | | | | | | | | | | | |
than 10 years. CorrectScreening can stop at age 75years.
| | | | | | | | | |
Explanation:
Prostate cancer screening at age 70 years includes both prostate specific
| | | | | | | | | |
antigen measurement (PSA) and digital rectal exam (DRE). Prostate cancer is
| | | | | | | | | | |
,typically a slow growing tumor, thus if life expectancy is < 10years, screening
| | | | | | | | | | | | | |
is not cost-effective.
| | |
Question:
A 70 year-old male presents to your clinic with a lump in his breast. How
| | | | | | | | | | | | | |
should this be evaluated? Palpation and ultrasound IncorrectMammogram
| | | | | | | |
and ultrasound CorrectUltrasound onlyMammogram only
| | | | |
Explanation:
This patient has a lump identified in the breast. Since males can develop breast
| | | | | | | | | | | | |
cancer, it must be evaluatedin the same means that a female breast lump would
| | | | | | | | | | | | | | |
be evaluated. He should have a clinical breast exam to identify the position of
| | | | | | | | | | | | | |
the lump, and any other abnormal findings such as nodes or other lumps. Then,
| | | | | | | | | | | | | |
he should have mammogram and ultrasound to help evaluate the lump. If the
| | | | | | | | | | | | |
findings were suspicious for a malignancy, the patient would be referred to a
| | | | | | | | | | | | |
surgeon.
|
Question:
A 22 year-old male who is otherwise healthy complains of scrotal pain. His
| | | | | | | | | | | |
pain has developed over thepast 4 days. He is diagnosed with epididymitis.
| | | | | | | | | | | | |
What is the most likely reason?
| | | | | |
His ageInfection with Chlamydia CorrectUnderlying hydroceleUrinary tract infection
| | | | | | |
Explanation:
Several factors predispose males to epididymitis. In men under age 35, the
| | | | | | | | | | |
| most common cause of epididymitis is infection with Chlamydia trachomatis.
| | | | | | | | |
In older men, urinary tract pathogens are more typical. In pre-pubertal boys,
| | | | | | | | | | | |
bicycle riding and heavy physical exertion are most common. In pre-
| | | | | | | | | | |
pubertalboys, consideration should be given to congenital abnormalities.
| | | | | | | |
,Question:
Digital rectal exam may be performed to assess the prostate gland. Which term
| | | | | | | | | | | |
does NOT describe aprostate gland that may have a tumor?
| | | | | | | | | | |
NodularAsymmetricalBoggy CorrectIndurated |
Explanation:
A boggy prostate describes a gland that is edematous and tender, such as is
| | | | | | | | | | | | |
seen in a patient with bacterialprostatitis. The other terms indicate an
| | | | | | | | | | | |
abnormality that could represent a prostate gland tumor.
| | | | | | | |
Question:
A male patient has epididymitis. His most likely complaint will be:
| | | | | | | | | |
burning with urination.testicular pain.scrotal pain. Correctpenile discharge.
| | | | | |
Explanation:
The most common complaint is scrotal pain. It usually develops over a
| | | | | | | | | | |
period of days. Occasionally, it develops acutely and will be accompanied by
| | | | | | | | | | | |
fever, chills, and a very ill-appearing patient. Burning withurination is
| | | | | | | | | | |
possible if the underlying cause is a urinary tract infection, but, this is not
| | | | | | | | | | | | | |
usual. This presentation is seen more commonly in older males. Testicular
| | | | | | | | | | |
pain is not a common complaint with epididymitis. Penile discharge would
| | | | | | | | | | |
not indicate an infection in the epididymis since the epididymis is atightly
| | | | | | | | | | | | |
coiled tubular structure located on the testis.
| | | | | | |
Question:
What is the recommendation of American Cancer Society for screening an
| | | | | | | | | |
average risk 40 year-oldCaucasian male for prostate cancer?
| | | | | | | | |
Digital rectal examSerum prostate specific antigen (PSA)Digital rectal exam
| | | | | | | |
, and PSAHe should bescreened starting at age 50 years. Correct
| | | | | | | | | | |
Explanation:
American Cancer Society recommends initial prostate screening of an | | | | | | | |
average risk male at age 50 years with PSA testing with or without digital
| | | | | | | | | | | | | |
rectal exam. If the initial PSA is < 2.5 ng/mL, the screen can berepeated in 2
| | | | | | | | | | | | | | | | |
years. If the PSA is > 2.5, annual screening should take place.
| | | | | | | | | | | |
Question:
Which of the following results in a clinically insignificant increase in the
| | | | | | | | | | |
prostate specific antigen (PSA)?Digital rectal exam
| | | | | | |
| CorrectEjaculationProstatitis IncorrectProstate biopsy | |
Explanation:
Digital rectal exam (DRE) leads to a clinically insignificant increase of
| | | | | | | | | |
0.26-0.4 ng/ml for about 48-72 hours afterwards. Prostate biopsy increases
| | | | | | | | | |
the PSA about 8 ng/ml for up to 4 weeks following biopsy. Prostate
| | | | | | | | | | | | |
infection and ejaculation both can increase the PSA levels.
| | | | | | | | |
Question:
Hesselbach’s triangle forms the landmark for: | | | | |
inguinal hernia. Correctfemoral hernia.abdominal hernia.umbilical hernia.
| | | | |
Explanation:
Direct inguinal hernias occur through Hesselbach’s triangle. The inguinal
| | | | | | | |
ligament, the rectus muscle, and the epigastric vessels form the triangle. When
| | | | | | | | | | | |
there is a weakness in the floor of the inguinal canal, a herniacan result.
| | | | | | | | | | | | | | |
Inguinal hernias are the most common groin hernias in men and women.
| | | | | | | | | | | |
Repair of this is the most common surgical procedure performed in the US.
| | | | | | | | | | | | |
