FNP Midterm Exam 2023/2024 (VERIFIED Q & A)
All questions answered
- The presentation of acute epididymitis in an otherwise well 22-year-old man
includes:
- the presence of a positive Prehn sign
- low back pain
- absent cremasteric reflex
- diffuse abdominal pain
Answer: the presence of a positive Prehn sign.
2. Creatinine is best described as:
- a substance produced by the kidney.
- a product related to skeletal muscle metabolism
- produced by the liver and filtered by the kidney
- a by-product of protein metabolism
Answer: a product related to skeletal muscle metabolism
3. Risk factors for prostate cancer include all of the following except:
- African ancestry
- history of genital trauma
- family history of prostate cancer
- high-fat diet
Answer: history of genital trauma
The best diagnostic test to identify the offending organism in acute bacterial prostatitis is a urine culture with a midstream urine sample. This test helps identify the specific bacteria causing the infection in the prostate gland. The process involves collecting a midstream urine sample and culturing it in a laboratory to allow the bacteria to grow and be identified.
- / 3
Acute bacterial prostatitis is an infection of the prostate gland caused by bacteria.Prompt and accurate identification of the causative organism is crucial for appropriate antibiotic treatment. In some cases, a doctor may also consider obtaining a prostatic fluid sample through a procedure called prostatic massage and culturing it to increase the sensitivity of the test.
Other diagnostic tests that may be considered include a complete blood count (CBC) to check for signs of infection and a prostate-specific antigen (PSA) blood test to assess the prostate's health and rule out other conditions. However, the urine culture remains the most important test for identifying the specific bacteria causing acute bacterial prostatitis.
- The best diagnostic test to identify the offending organism in acute bac- terial
prostatitis is:
Answer: A urine culture
- A 47-year-old woman with lupus erythematosus is diagnosed with acute
glomerulonephritis. Treatment options include all of the following except:
- systemic corticosteroids.
- systemic antimicrobials.
- immune suppressors.
- plasmapheresis.
Answer: systemic antimicrobials.
- A 35-year-old man presents with edema of the face, hands, and ankles along with
hypertension (175/115 mm Hg). He reports urine that is darkly colored and foamy.You suspect acute glomerulonephritis and would expect urinalysis results to include
all of the following findings except:
- Elevated level of protein
- Presence of red blood cells
- Presence of renal casts
- Abnormally high glucose levels
Answer: Abnormally high glucose levels
- / 3
7. When assessing a 78-year-old man with suspected BPH, the NP considers that:
- prostate size does not correlate well with severity of symptoms.
- BPH affects less than 50% of men of this age.
- he is at increased risk for prostate cancer.
- limiting fluids is a helpful method of relieving severe symptoms.
Answer: prostate size does not correlate well with severity of symptoms.
8. Pharmacologic intervention for patients with urge incontinence includes:
- Doxazosin (Cardura)
- Terodiline (Detrol)
- Finasteride (Proscar)
- Pseudoephedrine
Answer: Terodiline (Detrol)
9. The most common renal stones are composed of:
- calcium
- uric acid
- sodium
- iron
Answer: CALCIUM
- A 78-year-old man presents with fatigue and difficulty with bladder emp- tying.
Examination reveals a distended bladder but is otherwise unremark- able. The blood urea nitrogen (BUN) is 88 mg/dL (31.4 mol/L0; the creatinine is 2.8 mg/dL. This
clinical assessment is most consistent with:
- prerenal azotemia
- acute glomulonephritis
- acute tubular necrosis
- post renal azotemia
Answer: post renal azotemia
- / 3