623 Adult - Male Genitourinary- AG and
FNP Certification Exam 4th ed. Winland-
Brown and Dunphy Questions and Answers
the action of a 5-alpha-reductase inhibitor in the txment of BPS is to:
a. relax smooth muscle of the prostatic capsule
b. reduce action of androgens in the prostate
c. relieve bladder obstruction
d. improve urinary flow rates b. reduce action of androgens in the prostate
which of the following meds causes retention of urine by inhibiting bladder contractibility and
may cause overflow incontinence in certain individuals?
a. antispasmodics
b. drugs that affect the sympathetic nervous system
c. diuretics
d. antihistamines d. antihistamines
the most common type of genitourinary dysfunction after a transurethral resection of the prostate
is:
,a. erectile dysfunction
b. urinary incontinence
c. retrograde ejaculation
d. decreased libido c. retrograde ejaculation
transillumination of fluid in the scrotum may be seen with:
a. a varicocele
b. a hydrocele
c. testicular torsion
d. testicular cancer b. a hydrocele
H. has BPH and complains of some incontinence. your first step in dxing overflow incontinence
would be to order a:
a. urinalysis
b. cystometrogram
c. cystoscopy
d. postvoid residual (PVR) urine measurement d. postvoid residual (PVR) urine
measurement
,precocious puberty is present if:
a. a delay in any of the Tanner stages takes longer than 2 yrs from one stage to the next
b. the adolescent has had sexual relations
c. puberty starts before age 9.5 yrs
d. an adolescent rushes through all Tanner stages in less than 2 yrs c. puberty starts before
age 9.5 yrs
erectile dysfunction is a complex phenomenon with a variety of causes. the predominant cause
is:
a. psychological
b. vascular
c. neurogenic
d. drug related b. vascular
you are referring a 73 y/o clt for management of his prostate cancer with hormonal txment. it is
understood that goserelin acetate (zoladex) acts as a method of androgen ablation by:
a. blocking the release of follicle-stimulating hormone (FSH) and luteinizing hormone (LH)
b. blocking 5-alpha-reductase, which converts testosterone into dihydrotestosterone
, c. inhibiting the binding of testosterone to the cancer cells
d. inhibiting the progression of cancer cells through the cell cycle a. blocking the release
of follicle-stimulating hormone (FSH) and luteinizing hormone (LH)
principles of management of genital herpes include which of the following?
a. antiviral chemotherapy can control the signs and symptoms
b. antiviral chemotherapy, if prescribed early in a first clinical episode is curative
c. antiviral chemotherapy does not control recurrent episodes
d. antiviral topical tx offers minimal clinical benefit a. antiviral chemotherapy can control
the signs and symptoms
lower urinary tract sxs in males can present as a constellation of storage or voiding sxs. storage
sxs include:
a. hesitancy and poor flow
b. intermittency and postvoid dribble
c. straining and dysuria
d. urgency and nocturia d. urgency and nocturia
FNP Certification Exam 4th ed. Winland-
Brown and Dunphy Questions and Answers
the action of a 5-alpha-reductase inhibitor in the txment of BPS is to:
a. relax smooth muscle of the prostatic capsule
b. reduce action of androgens in the prostate
c. relieve bladder obstruction
d. improve urinary flow rates b. reduce action of androgens in the prostate
which of the following meds causes retention of urine by inhibiting bladder contractibility and
may cause overflow incontinence in certain individuals?
a. antispasmodics
b. drugs that affect the sympathetic nervous system
c. diuretics
d. antihistamines d. antihistamines
the most common type of genitourinary dysfunction after a transurethral resection of the prostate
is:
,a. erectile dysfunction
b. urinary incontinence
c. retrograde ejaculation
d. decreased libido c. retrograde ejaculation
transillumination of fluid in the scrotum may be seen with:
a. a varicocele
b. a hydrocele
c. testicular torsion
d. testicular cancer b. a hydrocele
H. has BPH and complains of some incontinence. your first step in dxing overflow incontinence
would be to order a:
a. urinalysis
b. cystometrogram
c. cystoscopy
d. postvoid residual (PVR) urine measurement d. postvoid residual (PVR) urine
measurement
,precocious puberty is present if:
a. a delay in any of the Tanner stages takes longer than 2 yrs from one stage to the next
b. the adolescent has had sexual relations
c. puberty starts before age 9.5 yrs
d. an adolescent rushes through all Tanner stages in less than 2 yrs c. puberty starts before
age 9.5 yrs
erectile dysfunction is a complex phenomenon with a variety of causes. the predominant cause
is:
a. psychological
b. vascular
c. neurogenic
d. drug related b. vascular
you are referring a 73 y/o clt for management of his prostate cancer with hormonal txment. it is
understood that goserelin acetate (zoladex) acts as a method of androgen ablation by:
a. blocking the release of follicle-stimulating hormone (FSH) and luteinizing hormone (LH)
b. blocking 5-alpha-reductase, which converts testosterone into dihydrotestosterone
, c. inhibiting the binding of testosterone to the cancer cells
d. inhibiting the progression of cancer cells through the cell cycle a. blocking the release
of follicle-stimulating hormone (FSH) and luteinizing hormone (LH)
principles of management of genital herpes include which of the following?
a. antiviral chemotherapy can control the signs and symptoms
b. antiviral chemotherapy, if prescribed early in a first clinical episode is curative
c. antiviral chemotherapy does not control recurrent episodes
d. antiviral topical tx offers minimal clinical benefit a. antiviral chemotherapy can control
the signs and symptoms
lower urinary tract sxs in males can present as a constellation of storage or voiding sxs. storage
sxs include:
a. hesitancy and poor flow
b. intermittency and postvoid dribble
c. straining and dysuria
d. urgency and nocturia d. urgency and nocturia
