Advanced Nursing NSG 6001 QUESTIONS
AND ANSWERS
1. Acute bacterial prostatitis - ANSWER-Acute Bacterial: systemic illness, acute
dysuria, frequency, painful intercourse, ache with defecating, hematuria, UA
includes pus and micro organism
management: may additionally require hospitalization, abx, consolation measures,
analgesics, stop OTC anticholinergics
Urology referral
2. Acute Scrotum- Testicular torsion - ANSWER-twisting of the spermatic wire which
leads to compromised blood drift to the testies (EMERGENCY)
Tx: surgical treatment
3. Acute Sinusitis - ANSWER-<4 weeks. Viral
4. Appendicitis - ANSWER-inflammation of the appendix
RLQ pain, N/V, decreased appetite
Imaging: CT scan
5. Atrial Fibrillation - ANSWER-rapid, random, irregular, ineffective contractions of the
atrium
Stasis of blood in the atria increases the risk for blood clot formation
6. bacterial vaginosis - ANSWER-Unpleasant "fishy smelling" grayish white discharge
-white thick coating on vaginal walls
- itching and inflammation are uncommon
-vaginal pH is greater than 4.5
- positive Wiff test
- Clue cells on wet mount (vaginal epithelia cells coated with bacteria) (most
reliable protector of BV
Tx: may resolve spontaneously, treat if symptomatic.
Metronidazole, Metronidazole gel, or clindamycin cream
- Refrain from intercourse or use condoms consistently during tx
7. BPH - ANSWER-benign prostatic hyperplasia; benign prostatic hypertrophy
8. Candida vulvovaginitis - ANSWER-Clinical: Vulvar/vaginal pruitis, vaginal
soreness/irritation, dyspareunia, burning with voiding, white, clumpy discharge.
Wet mount: pH 4-4.5 (normal)
- yeast buds or spores or hyphae on wet mount
tx: most uncomplicated infections improve with therapy within 2 days, sever
infections may require up to 14 days
- OTC anti yeast vaginal agents (Butoconazole, coltrimazole, moconazole);
Prescription anti yeast vaginal agents: (Terconazole o.4%/0.8%, Butoconazole 2%
cream)
Oral antifungals: Fluconazole 150 mg tablet (Diflucan)- do not use in pregnancy
9. Cardinal s/s of CHF - ANSWER-dyspnea and fatigue
, 10.Causes of Hematuria - ANSWER-Malignancies, infection, trauma, etc
11.Causes of Hordeolum - ANSWER-staph aureus is the most common associated
organism, can progress to cellulitis or abcess
- more common in children
12.Causes of Otitis Media - ANSWER-Bacterial or viruses (often refluxes from
nasopharynx into ear) occurs with or follows URI, allergic rhinitis, exposure to
smoke in young children, ET is short and more horizontal, bottle feeding,
attending daycare, GERD, pacifier use, craniofacial abnormalities
- Most common organisms: Strep Pneumo, H.Flu, Moraxella Catarrhalis
- most frequent childhood infectious disease
13.causes of urinary incontinence - ANSWER-weak bladder muscles, overactive bladder
muscle, nerve damage, drugs, pregnancy, childbirth, menopause, BPH, prostate
cancer
14.Chalazion - ANSWER-A chronic sterile, lipogranulomatous inflammation lesion of
the mibomian gland.
15.Characteristics of Stable Angina - ANSWER-Pressure, tightness, heaviness in
central/ retrosternal chest may radiate to upper body, arms, jaws, and or back
brief; gradual onset then relief
- intensity increases and then decreases over several mins, pain does not change
with position or respiration
- improves with rest or nitroglycerin
-shortness of breath
16.Cholycystitis - ANSWER-Inflammation of the gall bladder
Usually follows an obstruction
RUQ Pain (Biliary colic)
Nausea and vomiting
Fever
Imaging: Hyda scan, ultrasound
17.Chrohns disease - ANSWER-affects any part of the GI tract, all parts of the bowel
- diarrhea, non bloody, mucous and pus
- less than 5 stools/day
- not cured by surgery
18.Chronic Bacterial Prostatitis - ANSWER-systemic illness usually not present,
hallmark feature is recurrent UTI, UA contains pus and bacteria
Management: 6-12 weeks of abx, segmented cultures q 4-6 weeks
urology referral
19.chronic sinusitis - ANSWER-Symptoms last for > 12 weeks
20.Clinical of Afib - ANSWER-palpitations, syncope, lightheadedness, chest ache,
shortness of breath, hypotension
21.Clinical of GERD - ANSWER-Heart burn (caused by using food intake, worse after
going to mattress, regurgitation)
- chest pain
- issue swallowing and ache on swallowing (red flags)
AND ANSWERS
1. Acute bacterial prostatitis - ANSWER-Acute Bacterial: systemic illness, acute
dysuria, frequency, painful intercourse, ache with defecating, hematuria, UA
includes pus and micro organism
management: may additionally require hospitalization, abx, consolation measures,
analgesics, stop OTC anticholinergics
Urology referral
2. Acute Scrotum- Testicular torsion - ANSWER-twisting of the spermatic wire which
leads to compromised blood drift to the testies (EMERGENCY)
Tx: surgical treatment
3. Acute Sinusitis - ANSWER-<4 weeks. Viral
4. Appendicitis - ANSWER-inflammation of the appendix
RLQ pain, N/V, decreased appetite
Imaging: CT scan
5. Atrial Fibrillation - ANSWER-rapid, random, irregular, ineffective contractions of the
atrium
Stasis of blood in the atria increases the risk for blood clot formation
6. bacterial vaginosis - ANSWER-Unpleasant "fishy smelling" grayish white discharge
-white thick coating on vaginal walls
- itching and inflammation are uncommon
-vaginal pH is greater than 4.5
- positive Wiff test
- Clue cells on wet mount (vaginal epithelia cells coated with bacteria) (most
reliable protector of BV
Tx: may resolve spontaneously, treat if symptomatic.
Metronidazole, Metronidazole gel, or clindamycin cream
- Refrain from intercourse or use condoms consistently during tx
7. BPH - ANSWER-benign prostatic hyperplasia; benign prostatic hypertrophy
8. Candida vulvovaginitis - ANSWER-Clinical: Vulvar/vaginal pruitis, vaginal
soreness/irritation, dyspareunia, burning with voiding, white, clumpy discharge.
Wet mount: pH 4-4.5 (normal)
- yeast buds or spores or hyphae on wet mount
tx: most uncomplicated infections improve with therapy within 2 days, sever
infections may require up to 14 days
- OTC anti yeast vaginal agents (Butoconazole, coltrimazole, moconazole);
Prescription anti yeast vaginal agents: (Terconazole o.4%/0.8%, Butoconazole 2%
cream)
Oral antifungals: Fluconazole 150 mg tablet (Diflucan)- do not use in pregnancy
9. Cardinal s/s of CHF - ANSWER-dyspnea and fatigue
, 10.Causes of Hematuria - ANSWER-Malignancies, infection, trauma, etc
11.Causes of Hordeolum - ANSWER-staph aureus is the most common associated
organism, can progress to cellulitis or abcess
- more common in children
12.Causes of Otitis Media - ANSWER-Bacterial or viruses (often refluxes from
nasopharynx into ear) occurs with or follows URI, allergic rhinitis, exposure to
smoke in young children, ET is short and more horizontal, bottle feeding,
attending daycare, GERD, pacifier use, craniofacial abnormalities
- Most common organisms: Strep Pneumo, H.Flu, Moraxella Catarrhalis
- most frequent childhood infectious disease
13.causes of urinary incontinence - ANSWER-weak bladder muscles, overactive bladder
muscle, nerve damage, drugs, pregnancy, childbirth, menopause, BPH, prostate
cancer
14.Chalazion - ANSWER-A chronic sterile, lipogranulomatous inflammation lesion of
the mibomian gland.
15.Characteristics of Stable Angina - ANSWER-Pressure, tightness, heaviness in
central/ retrosternal chest may radiate to upper body, arms, jaws, and or back
brief; gradual onset then relief
- intensity increases and then decreases over several mins, pain does not change
with position or respiration
- improves with rest or nitroglycerin
-shortness of breath
16.Cholycystitis - ANSWER-Inflammation of the gall bladder
Usually follows an obstruction
RUQ Pain (Biliary colic)
Nausea and vomiting
Fever
Imaging: Hyda scan, ultrasound
17.Chrohns disease - ANSWER-affects any part of the GI tract, all parts of the bowel
- diarrhea, non bloody, mucous and pus
- less than 5 stools/day
- not cured by surgery
18.Chronic Bacterial Prostatitis - ANSWER-systemic illness usually not present,
hallmark feature is recurrent UTI, UA contains pus and bacteria
Management: 6-12 weeks of abx, segmented cultures q 4-6 weeks
urology referral
19.chronic sinusitis - ANSWER-Symptoms last for > 12 weeks
20.Clinical of Afib - ANSWER-palpitations, syncope, lightheadedness, chest ache,
shortness of breath, hypotension
21.Clinical of GERD - ANSWER-Heart burn (caused by using food intake, worse after
going to mattress, regurgitation)
- chest pain
- issue swallowing and ache on swallowing (red flags)
