Final Exam: NR601/ NR 601 (2023/ 2024 New
Update) Primary Care of the Maturing &
Aged Family Practicum Exam Review|
Weeks 5-8| Questions and Verified
... [Show More] Answers|
100% Correct- Chamberlain
QUESTION
Cranberry juice can reduce bacteriuria in older women how?
Answer:
By inhibiting the binding of gram negative bacilli to uroepithelial cells
QUESTION
BPH incidence?
Answer:
More than half of men over the age of 65 and affects most men older than 85.
QUESTION
Storage or irritative symptoms of BPH?
Answer:
Nocturia, urgency, frequency, incontinence
QUESTION
Voiding or obstructive symptoms of BPH?
Answer:
Slow stream, slitting, spraying, intermittent stream, straining.
QUESTION
What is the screening tool used for BPH to quantify the severity of LUTS?
Answer:
International prostate symptom score IPSS.
Incomplete emptying, frequency, intermittency, urgency, weak stream, straining, nocturia.
0-7 mild
8-19 moderate
20-35 severe
QUESTION
What exam is an essential assessment for BPH?
Answer:
DRE. Posterior lobe can be palpated through the rectum during DRE
QUESTION
What assessment may identify a distended bladder?
Answer:
Lower abdominal or suprapubic palpation.
QUESTION
Diagnostic test for BPH are done to ?
Answer:
To determine cause and rule out other diseases.
QUESTION
What are postmicturition Symptoms?
Answer:
Incomplete voiding or dribbling.
QUESTION
Management for BPH depends on what?
Answer:
On the patient and how symptoms affect quality of life
QUESTION
How should management of BPH be approached ?
Answer:
Education, self management interventions and behavioral therapies first before initiating meds.
QUESTION
What diagnostics tests are done for patients W BPH to rule out other diseases?
Answer:
UA, post void residuals, serum creatinine levels
QUESTION
What is the first line treatment for BPH? Ex?
Answer:
Alpha blockers
Terazosin, doxazosin, tamsulosin, silodosin, alfuzosin.
QUESTION
What do alpha blockers do?
Answer:
Relaxes smooth muscles in prostate and bladder decreasing resistance to urinary flow.
QUESTION
What are the s/e of alpha blockers?
Answer:
Ejaculatory dysfunction (especially tamsulosin) and floppy iris syndrome.
QUESTION
Which alpha blocker has minimal effects on BP. But causes ejaculatory dysfunction?
Answer:
Tamsulosin and silodosin
QUESTION
Which alpha blocker is least likely to cause ejaculatory dys? [Show Less]