NUR 634 APEA Urology Qbank Questions Complete Solution
1. In men, painful urination without frequency or urgency suggests:
a. Urethritis
2. After
... [Show More] running a 5k race, 1 35-year-old man presents with complaints of muscle pain in the shoulders, weakness in both legs, and dark brown urine. These findings are consistent with:
a. Rhabdomyolysis, a serious syndrome resulting from direct or indirect muscle injury. Results from death of muscle fibers and release of their content into the bloodstream, leading to renal failure. Exertional activity like running a marathon or strenuous exercise can cause this.
3. Which of the following symptoms is NOT associated with nephrotic syndrome?
a. Hyperalbumiosa, nephrotic syndrome is diagnosed by the presence or proteinuria, hyperlipidemia, edema, or swelling (usually in the legs, feet, or ankles and less often in the hands or face), and hypoalbuminemia
4. A 65-year-old woman complains that when she feels the urge to urinate, she has to go immediately or else she urinates “on herself”. She has become homebound because she wants to stay close to the bathroom. This condition is termed:
a. Urge incontinence
5. Which of the following is described as an involuntary loss of urine occurring for no apparent reason while suddenly feeling the need to urinate?
a. Urge incontinence
6. Symptoms of fever, chills, flank pain, costovertebral angle tenderness, and vomiting suggest:
a. Pyelonephritis
7. A 50-year-old male describes difficulty emptying his bladder. On exam, a distended bladder is noted following urination. This finding may be associated with:
a. Overflow incontinence, which is associated with a neurological or anatomical obstruction from pelvic organs or the prostate which limits bladder emptying and causes distended bladder.
8. Which of the following is NOT a cause of vaginitis?
a. Herpes simplex virus
9. A 66-year-old man presents with recent complaints of nocturia, hesitancy, straining, and a slow urine stream. These symptoms describe:
a. Benign Prostatic Hyperplasia (BPH)
10. A useful mnemonic for elucidating causes of incontinence in the older adult is:
a. Diapers, which means: Delirium, Infection, Atrophic urethritis/vaginitis, Pharmaceuticals, Excess urine output from conditions like hyperglycemia or heart failure, restricted mobility, and stool impaction) and DDRRIIPP (delirium, drug side effects, retention of feces, restricted mobility, infection of urine, and inflammation, polyuria, and psychogenic)
11. Which of the following substances is found in the urine of a child suspected of having streptococcal glomerulonephritis?
a. Blood and protein, also the child may have a hx of recent strep infection (pharyngitis or impetigo)
12. A gynecological infection characterized by itching, burning, and a vaginal discharge that is typically cheesy in texture and white in color is:
a. Yeast infection
13. Which conditions usually coexists with epididymitis?
a. Chlamydia infection
14. In renal adaptation of the newborn, which one of the following statements is correct?
a. The kidneys have an inability to concentrate urine and adapt to fluid and electrolyte stress. (in a neonate, the kidneys are structurally complete but physiologically immature, the glomeruli can’t filter and concentrate urine, therefore glucose and amino acids escape and there is decreased ability to remove uric acid crystals which give the reddish appearance to the urine)
15. Which is the most common non-skin cancer in America?
a. Prostate cancer, is the most common non-skin cancer in America. 1 in 8 men will be diagnosed with it at some point in their lives. Nearly 60% of all prostate cancers are diagnosed in men older than 65.
16. One cause of proctitis could be related to:
a. Frequent anal intercourse
17. Undescended testicles in a young male is termed:
a. Cryptorchidism
18. In afebrile patients who experience intermittent sharp flank pain in addition to gross hematuria, further testing would be indicated for:
a. Nephrolithiasis
19. A 40-year-old male complains of right flank pain. His temp is 102 degrees F. These symptoms may be characteristic of:
a. Acute Pyelonephritis
20. A 40-year-old male states that he felt “something” above his left testis. On examination, a painless cyst is noted above the left testicle. Transillumination is positive. This is consistent with a:
a. Spermatocele of the epididymis, a painless movable cyst just above the testicle suggests either a spermatocele or an epididymal cyst.
21. Which of the following symptoms would be least indicative of acute glomerulonephritis?
a. Polyuria
22. Glomerulonephritis can cause:
a. Nephrotic syndrome
23. A significant increase in 24-hour urine volume that exceeds 3 liters is called:
a. Polyuria
24. The prostate is assessed by:
a. A digital rectal examination (DRE)
25. A form of urinary incontinence that is characterized by the involuntary relase of urine from a full bladder in the absence of any need to urinate is called:
a. Overflow incontinence [Show Less]