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 dfactors dpredispose dmales dto depididymitis. dIn dmen dunder dage d35,
d the dmost dcommon dcause dof depididymitis dis dinfection dwith dChlamydia
d trachomatis. dIn dolder dmen, durinary dtract dpathogens dare dmore dtypical. dIn
d pre-pubertal dboys, dbicycle driding dand dheavy dphysical dexertion dare dmost
d common. dIn dpre-pubertaldboys, dconsideration dshould dbe dgiven dto
d congenital dabnormalities.
Question:
Digital drectal dexam dmay dbe dperformed dto dassess dthe dprostate dgland.
Which dterm ddoes dNOT ddescribe dadprostate dgland dthat dmay dhave da
d
tumor?
d
NodularAsymmetricalBoggy d CorrectIndurated
Explanation:
A dboggy dprostate ddescribes da dgland dthat dis dedematous dand dtender, dsuch
d as dis dseen din da dpatient dwith dbacterialdprostatitis. dThe dother dterms
indicate dan dabnormality dthat dcould drepresent da dprostate dgland dtumor.
d
Question:
A dmale dpatient dhas depididymitis. dHis dmost dlikely dcomplaint dwill dbe:
burning dwith durination.testicular dpain.scrotal dpain. d Correctpenile ddischarge.
Explanation:
The dmost dcommon dcomplaint dis dscrotal dpain. dIt dusually ddevelops dover
d a dperiod dof ddays. dOccasionally, dit ddevelops dacutely dand dwill dbe
, d accompanied dby dfever, dchills, dand da dvery dill-appearing dpatient.
d Burning dwithdurination dis dpossible dif dthe dunderlying dcause dis da durinary
d tract dinfection, dbut, dthis dis dnot dusual. dThis dpresentation dis dseen dmore
d commonly din dolder dmales. dTesticular dpain dis dnot da dcommon dcomplaint
d with depididymitis. dPenile ddischarge dwould dnot dindicate dan dinfection din
the depididymis dsince dthe depididymis dis dadtightly dcoiled dtubular
d
d structure dlocated don dthe dtestis.
Question:
What dis dthe drecommendation dof dAmerican dCancer dSociety dfor dscreening
an daverage drisk d40 dyear-olddCaucasian dmale dfor dprostate dcancer?
d
Digital drectal dexamSerum dprostate dspecific dantigen d(PSA)Digital drectal
exam dand dPSAHe dshould dbedscreened dstarting dat dage d50 dyears. dCorrect
d
Explanation:
American dCancer dSociety drecommends dinitial dprostate dscreening dof dan
d average drisk dmale dat dage d50 dyears dwith dPSA dtesting dwith dor dwithout
digital drectal dexam. dIf dthe dinitial dPSA dis d< d2.5 dng/mL, dthe dscreen dcan
d
be drepeated din d2 dyears. dIf dthe dPSA dis d> d2.5, dannual dscreening dshould
d
take dplace.
d
Question:
Which dof dthe dfollowing dresults din da dclinically dinsignificant dincrease din
the dprostate dspecific dantigen d(PSA)?dDigital drectal dexam
d
d CorrectEjaculationProstatitis dIncorrectProstate dbiopsy
Explanation:
Digital drectal dexam d(DRE) dleads dto da dclinically dinsignificant dincrease
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 dfactors dpredispose dmales dto depididymitis. dIn dmen dunder dage d35,
d the dmost dcommon dcause dof depididymitis dis dinfection dwith dChlamydia
d trachomatis. dIn dolder dmen, durinary dtract dpathogens dare dmore dtypical. dIn
d pre-pubertal dboys, dbicycle driding dand dheavy dphysical dexertion dare dmost
d common. dIn dpre-pubertaldboys, dconsideration dshould dbe dgiven dto
d congenital dabnormalities.
Question:
Digital drectal dexam dmay dbe dperformed dto dassess dthe dprostate dgland.
Which dterm ddoes dNOT ddescribe dadprostate dgland dthat dmay dhave da
d
tumor?
d
NodularAsymmetricalBoggy d CorrectIndurated
Explanation:
A dboggy dprostate ddescribes da dgland dthat dis dedematous dand dtender, dsuch
d as dis dseen din da dpatient dwith dbacterialdprostatitis. dThe dother dterms
indicate dan dabnormality dthat dcould drepresent da dprostate dgland dtumor.
d
Question:
A dmale dpatient dhas depididymitis. dHis dmost dlikely dcomplaint dwill dbe:
burning dwith durination.testicular dpain.scrotal dpain. d Correctpenile ddischarge.
Explanation:
The dmost dcommon dcomplaint dis dscrotal dpain. dIt dusually ddevelops dover
d a dperiod dof ddays. dOccasionally, dit ddevelops dacutely dand dwill dbe
, d accompanied dby dfever, dchills, dand da dvery dill-appearing dpatient.
d Burning dwithdurination dis dpossible dif dthe dunderlying dcause dis da durinary
d tract dinfection, dbut, dthis dis dnot dusual. dThis dpresentation dis dseen dmore
d commonly din dolder dmales. dTesticular dpain dis dnot da dcommon dcomplaint
d with depididymitis. dPenile ddischarge dwould dnot dindicate dan dinfection din
the depididymis dsince dthe depididymis dis dadtightly dcoiled dtubular
d
d structure dlocated don dthe dtestis.
Question:
What dis dthe drecommendation dof dAmerican dCancer dSociety dfor dscreening
an daverage drisk d40 dyear-olddCaucasian dmale dfor dprostate dcancer?
d
Digital drectal dexamSerum dprostate dspecific dantigen d(PSA)Digital drectal
exam dand dPSAHe dshould dbedscreened dstarting dat dage d50 dyears. dCorrect
d
Explanation:
American dCancer dSociety drecommends dinitial dprostate dscreening dof dan
d average drisk dmale dat dage d50 dyears dwith dPSA dtesting dwith dor dwithout
digital drectal dexam. dIf dthe dinitial dPSA dis d< d2.5 dng/mL, dthe dscreen dcan
d
be drepeated din d2 dyears. dIf dthe dPSA dis d> d2.5, dannual dscreening dshould
d
take dplace.
d
Question:
Which dof dthe dfollowing dresults din da dclinically dinsignificant dincrease din
the dprostate dspecific dantigen d(PSA)?dDigital drectal dexam
d
d CorrectEjaculationProstatitis dIncorrectProstate dbiopsy
Explanation:
Digital drectal dexam d(DRE) dleads dto da dclinically dinsignificant dincrease
