1. A 63-year-old man is seen in the clinic with a chief complaint of nocturia. Which of the following should be included in the differential
... [Show More] diagnosis?
a. Psychogenic nocturia
b. Urethral polyp
c. Irritative posterior urethral lesion
d. Benign prostatic hypertrophy - answerd. Benign prostatic hypertrophy
2. A 76-year-old man is seen in the office for complaints of urinary incontinence. The clinician should explore which of these causes of incontinence in men?
a. Urethral polyps
b. Urinary tract infection (UTI)
c. Anticholinergic medication
d. All of the above - answerb. Urinary tract infection (UTI)
Others have symptoms of blockage
IRRITATIVE
⬜ Nocturia
⬜ Urinary frequency
⬜ Urgency
⬜ Dysuria
⬜ Urge incontinence
OBSTRUCTIVE
⬜ Decreased force of stream
⬜ Hesitancy
⬜ Post-void dribbling
⬜ Sensation of incomplete bladder emptying
⬜ Overflow incontinence
⬜ Inability to voluntarily stop the urinary stream
⬜ Urinary retention
⬜ Double voiding (voiding a second time within 2 hours)
⬜ Straining
3. A 14-year-old male is seen with complaints of severe testicular pain. The clinician suspects testicular torsion. Which of the following is the appropriate action?
a. Refer to a urologist immediately.
b. Obtain a computed tomography (CT) scan.
c. Instruct the patient to elevate the scrotum.
d. Prescribe ibuprofen. - answera. Refer to a urologist immediately.
4. An 82-year-old man is seen in the primary care office with complaints of dribbling urine and difficulty starting his stream. Which of the following should be included in the list of differential diagnoses?
a. Benign prostatic hyperplasia (BPH)
b. Parkinson's disease
c. Prostate cancer
d. All of the above - answerd. All of the above
5. Which of the following would be an appropriate treatment for a patient with mild BPH?
a. Refer to a urologist for surgery.
b. Prescribe a trial of tamsulosin.
c. Recommend cranberry supplements.
d. Reevaluate symptoms in 1 to 3 months. - answerd. Reevaluate symptoms in 1 to 3 months.
6. A 30-year-old man is seen with a chief complaint of loss of libido. Which of the following laboratory tests would help establish a diagnosis?
a. Testosterone level [Show Less]