APEA Urology
Objective final exam
A+graded <<100% guaranteed
Pass>>updated syllabus;
Newest version
A 24 year old female patient has been diagnosed with an uncomplicated UTI.
Which assessment below is least important at this time?
a. body temperature
b. abdominal exam
c. assessment of CVA tenderness
d. vaginal exam - ANSWER ✅answer:
d. vaginal exam
a 26 year old female presents with flank pain that waxes and wanes. What findings
on urinalysis should direct the nurse practioner's next action?
a. blood
b. nitrites
c. leukocytes
d. calcium - ANSWER ✅answer:
a. blood
a 6 month old male has a palpable cystic mass in his scrotum. His mother states
that sometimes the size of his scrotum varies. What should the nurse practitioner
do next?
a. referral to urology as soon as possible
b. referral to urology if this has not resolved in 6 more months
c. scrotal ultrasound should be ordered
d. order a urine specimen to rule out infection - ANSWER ✅answer:
b. referral to urology if this has not resolved in 6 more months
, this is the clinical description of a hydrocele. It is very common in young males
and usually resolves by a year of age. If it has not resolved by 12 months of age,
the patient should be referred to urology.
A physically independent 75 year old was diagnosed with mild cognitive
impairment 6 months ago. She resides in an assisted living facility. She is in the
clinic for a scheduled visit. Her adult daughter reports that about 2 weeks ago her
mother had an episode of urinary incontinence, but no known episodes since. She
is found to have asymptomatic bacteriuria. How should she be managed?
a. repeat the UA in 7 days
b. treat her today with one day dose of an antibiotic
c. monitor her for symptoms of a urinary tract infection
d. repeat the UA in 4 weeks - ANSWER ✅answer:
c. monitor her for symptoms of a urinary tract infection
a female patient with a complaint of dysuria has the following urinalysis result.
The most appropriate diagnosis is:
positive hmg, positive leukocyte, positive nitrites, 15-20 WBC, 10 RBC, positive
bacteria
a. UTI
b. asymptomatic bacteriuria
c. UTI with hematuria
d. UTI or chlamydia - ANSWER ✅answer:
c. UTI with hematuria
A 55 year old patient has been found to have persistent proteinuria and chronic
kidney disease is suspected. The diagnosis that is known to be the leading cause of
CKD and ESKD in the US is:
a. polycystic kidney disease
b. peripheral arterial disease
c. diabetes
d. history of acute kidney injury - ANSWER ✅answer:
c. diabetes
An adolescent male has had a sudden onset of severe scrotal pain following a kick
in the groin earlier in the day during soccer game. How should this be managed.
a. a urine specimen should be collected
b. a scrotal ultrasound should be ordered
c. he should be referred to the emergency room
Objective final exam
A+graded <<100% guaranteed
Pass>>updated syllabus;
Newest version
A 24 year old female patient has been diagnosed with an uncomplicated UTI.
Which assessment below is least important at this time?
a. body temperature
b. abdominal exam
c. assessment of CVA tenderness
d. vaginal exam - ANSWER ✅answer:
d. vaginal exam
a 26 year old female presents with flank pain that waxes and wanes. What findings
on urinalysis should direct the nurse practioner's next action?
a. blood
b. nitrites
c. leukocytes
d. calcium - ANSWER ✅answer:
a. blood
a 6 month old male has a palpable cystic mass in his scrotum. His mother states
that sometimes the size of his scrotum varies. What should the nurse practitioner
do next?
a. referral to urology as soon as possible
b. referral to urology if this has not resolved in 6 more months
c. scrotal ultrasound should be ordered
d. order a urine specimen to rule out infection - ANSWER ✅answer:
b. referral to urology if this has not resolved in 6 more months
, this is the clinical description of a hydrocele. It is very common in young males
and usually resolves by a year of age. If it has not resolved by 12 months of age,
the patient should be referred to urology.
A physically independent 75 year old was diagnosed with mild cognitive
impairment 6 months ago. She resides in an assisted living facility. She is in the
clinic for a scheduled visit. Her adult daughter reports that about 2 weeks ago her
mother had an episode of urinary incontinence, but no known episodes since. She
is found to have asymptomatic bacteriuria. How should she be managed?
a. repeat the UA in 7 days
b. treat her today with one day dose of an antibiotic
c. monitor her for symptoms of a urinary tract infection
d. repeat the UA in 4 weeks - ANSWER ✅answer:
c. monitor her for symptoms of a urinary tract infection
a female patient with a complaint of dysuria has the following urinalysis result.
The most appropriate diagnosis is:
positive hmg, positive leukocyte, positive nitrites, 15-20 WBC, 10 RBC, positive
bacteria
a. UTI
b. asymptomatic bacteriuria
c. UTI with hematuria
d. UTI or chlamydia - ANSWER ✅answer:
c. UTI with hematuria
A 55 year old patient has been found to have persistent proteinuria and chronic
kidney disease is suspected. The diagnosis that is known to be the leading cause of
CKD and ESKD in the US is:
a. polycystic kidney disease
b. peripheral arterial disease
c. diabetes
d. history of acute kidney injury - ANSWER ✅answer:
c. diabetes
An adolescent male has had a sudden onset of severe scrotal pain following a kick
in the groin earlier in the day during soccer game. How should this be managed.
a. a urine specimen should be collected
b. a scrotal ultrasound should be ordered
c. he should be referred to the emergency room
