NURSING HEALTH ASS APEA TB 2 Exam Questions and
Answers 100%correct/verified Rated A+ new update
Question:
What is the recommendation of American Cancer Society for initial
screening of an African-American male for 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 age 65 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-ol
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 75 years.
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 < 10 years,
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 evaluated in 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 the past 4 days. He is diagnosed with epididymitis.
What is the most likely reason?
His ageInfection with Chlamydia CorrectUnderlying hydroceleUrinary tract infection
,Explanation:
Several ffactors fpredispose fmales fto fepididymitis. fIn fmen funder fage f35,
the fmost fcommon fcause fof fepididymitis fis finfection fwith fChlamydia
f
trachomatis. fIn folder fmen, furinary ftract fpathogens fare fmore ftypical. fIn
f
pre-pubertal fboys, fbicycle friding fand fheavy fphysical fexertion fare fmost
f
common. fIn fpre-pubertalfboys, fconsideration fshould fbe fgiven fto
f
congenital fabnormalities.
f
Question:
Digital frectal fexam fmay fbe fperformed fto fassess fthe fprostate fgland. fWhich
term fdoes fNOT fdescribe fafprostate fgland fthat fmay fhave fa ftumor?
f
NodularAsymmetricalBoggy f CorrectIndurated
Explanation:
A fboggy fprostate fdescribes fa fgland fthat fis fedematous fand ftender, fsuch fas
is fseen fin fa fpatient fwith fbacterialfprostatitis. fThe fother fterms findicate fan
f
abnormality fthat fcould frepresent fa fprostate fgland ftumor.
f
Question:
A fmale fpatient fhas fepididymitis. fHis fmost flikely fcomplaint fwill fbe:
burning fwith furination.testicular fpain.scrotal fpain. f Correctpenile fdischarge.
Explanation:
The fmost fcommon fcomplaint fis fscrotal fpain. fIt fusually fdevelops fover fa
period fof fdays. fOccasionally, fit fdevelops facutely fand fwill fbe
f
accompanied fby ffever, fchills, fand fa fvery fill-appearing fpatient. fBurning
f
, withfurination fis fpossible fif fthe funderlying fcause fis fa furinary ftract
f
infection, fbut, fthis fis fnot fusual. fThis fpresentation fis fseen fmore
f
commonly fin folder fmales. fTesticular fpain fis fnot fa fcommon fcomplaint
f
with fepididymitis. fPenile fdischarge fwould fnot findicate fan finfection fin
f
the fepididymis fsince fthe fepididymis fis faftightly fcoiled ftubular fstructure
f
located fon fthe ftestis.
f
Question:
What fis fthe frecommendation fof fAmerican fCancer fSociety ffor fscreening fan
average frisk f40 fyear-oldfCaucasian fmale ffor fprostate fcancer?
f
Digital frectal fexamSerum fprostate fspecific fantigen f(PSA)Digital frectal
exam fand fPSAHe fshould fbefscreened fstarting fat fage f50 fyears. fCorrect
f
Explanation:
American fCancer fSociety frecommends finitial fprostate fscreening fof fan
average frisk fmale fat fage f50 fyears fwith fPSA ftesting fwith for fwithout
f
digital frectal fexam. fIf fthe finitial fPSA fis f< f2.5 fng/mL, fthe fscreen fcan fbe
f
repeated fin f2 fyears. fIf fthe fPSA fis f> f2.5, fannual fscreening fshould ftake
f
place.
f
Question:
Which fof fthe ffollowing fresults fin fa fclinically finsignificant fincrease fin fthe
prostate fspecific fantigen f(PSA)?fDigital frectal fexam
f
f CorrectEjaculationProstatitis fIncorrectProstate fbiopsy
Explanation:
Digital frectal fexam f(DRE) fleads fto fa fclinically finsignificant fincrease fof
0.26-0.4 fng/ml ffor fabout f48-72 fhours fafterwards. fProstate fbiopsy
f
Answers 100%correct/verified Rated A+ new update
Question:
What is the recommendation of American Cancer Society for initial
screening of an African-American male for 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 age 65 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-ol
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 75 years.
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 < 10 years,
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 evaluated in 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 the past 4 days. He is diagnosed with epididymitis.
What is the most likely reason?
His ageInfection with Chlamydia CorrectUnderlying hydroceleUrinary tract infection
,Explanation:
Several ffactors fpredispose fmales fto fepididymitis. fIn fmen funder fage f35,
the fmost fcommon fcause fof fepididymitis fis finfection fwith fChlamydia
f
trachomatis. fIn folder fmen, furinary ftract fpathogens fare fmore ftypical. fIn
f
pre-pubertal fboys, fbicycle friding fand fheavy fphysical fexertion fare fmost
f
common. fIn fpre-pubertalfboys, fconsideration fshould fbe fgiven fto
f
congenital fabnormalities.
f
Question:
Digital frectal fexam fmay fbe fperformed fto fassess fthe fprostate fgland. fWhich
term fdoes fNOT fdescribe fafprostate fgland fthat fmay fhave fa ftumor?
f
NodularAsymmetricalBoggy f CorrectIndurated
Explanation:
A fboggy fprostate fdescribes fa fgland fthat fis fedematous fand ftender, fsuch fas
is fseen fin fa fpatient fwith fbacterialfprostatitis. fThe fother fterms findicate fan
f
abnormality fthat fcould frepresent fa fprostate fgland ftumor.
f
Question:
A fmale fpatient fhas fepididymitis. fHis fmost flikely fcomplaint fwill fbe:
burning fwith furination.testicular fpain.scrotal fpain. f Correctpenile fdischarge.
Explanation:
The fmost fcommon fcomplaint fis fscrotal fpain. fIt fusually fdevelops fover fa
period fof fdays. fOccasionally, fit fdevelops facutely fand fwill fbe
f
accompanied fby ffever, fchills, fand fa fvery fill-appearing fpatient. fBurning
f
, withfurination fis fpossible fif fthe funderlying fcause fis fa furinary ftract
f
infection, fbut, fthis fis fnot fusual. fThis fpresentation fis fseen fmore
f
commonly fin folder fmales. fTesticular fpain fis fnot fa fcommon fcomplaint
f
with fepididymitis. fPenile fdischarge fwould fnot findicate fan finfection fin
f
the fepididymis fsince fthe fepididymis fis faftightly fcoiled ftubular fstructure
f
located fon fthe ftestis.
f
Question:
What fis fthe frecommendation fof fAmerican fCancer fSociety ffor fscreening fan
average frisk f40 fyear-oldfCaucasian fmale ffor fprostate fcancer?
f
Digital frectal fexamSerum fprostate fspecific fantigen f(PSA)Digital frectal
exam fand fPSAHe fshould fbefscreened fstarting fat fage f50 fyears. fCorrect
f
Explanation:
American fCancer fSociety frecommends finitial fprostate fscreening fof fan
average frisk fmale fat fage f50 fyears fwith fPSA ftesting fwith for fwithout
f
digital frectal fexam. fIf fthe finitial fPSA fis f< f2.5 fng/mL, fthe fscreen fcan fbe
f
repeated fin f2 fyears. fIf fthe fPSA fis f> f2.5, fannual fscreening fshould ftake
f
place.
f
Question:
Which fof fthe ffollowing fresults fin fa fclinically finsignificant fincrease fin fthe
prostate fspecific fantigen f(PSA)?fDigital frectal fexam
f
f CorrectEjaculationProstatitis fIncorrectProstate fbiopsy
Explanation:
Digital frectal fexam f(DRE) fleads fto fa fclinically finsignificant fincrease fof
0.26-0.4 fng/ml ffor fabout f48-72 fhours fafterwards. fProstate fbiopsy
f
