1) An older male patient reports urinary frequency, back pain, and nocturia. A dipstick
urinalysis reveals hematuria. What will the provider do next to evaluate this condition?
A) PSA and perform a digital rectal exam
2) An older male patient has a screening PSA which is 12 ng/ml. What does this value
indicate?
D) BPH
3) A male patient reports nocturia and daytime urinary frequency and urgency without
changes in the force of the urine stream. What is the likely cause of this?
D) UTI
4) A 70-year-old male reports urinary hesitancy, post void dribbling, and a diminished urine
stream. A digital rectal exam reveals an enlarged prostate gland that feels rubbery and
smooth. Which tests will the primary care provider order based on these findings?
C) urinalysis and serum creatinine
5) The provider orders the oral phosphodiesterase type 5 inhibitor sildenafil to treat erectile
dysfunction in a 65-year-old male patient. What will be included when teaching this
patient about taking this medication? Select all that apply.
A) take on an empty stomach
C) The medication effects may last for 24 to 36 hours
E) Medication may be taken once daily
6) Which is true about hypoactive sexual desire in older men?
A) Hypoactive sexual desire in older men is related to sexual aversion.
, 7) A young adult male reports a dull pain in the scrotum and the provider notes a bluish
color showing through the skin on the affected side. Palpation reveals a “bag of worms”
on the proximal spermatic cord. What is an important next step in managing this patient?
D) Referral to an emergency department for surgical consultation.
8) An adolescent male reports severe pain in one testicle. The examiner notes edema and
erythema of the scrotum on that side with a swollen, tender spermatic cord and absence
of the cremasteric reflex. What is the most important intervention?
A) Doppler ultrasound to assess testicular blood flow
9) A high school athleteis brought to the emergency department after collapsing during
outdoor practice on a hot day. The patient is weak, irritable, and confused. Serum Na is
152 mEq/ml and has dry mucous membranes and tachycardia. What is the initial
approach for rehydration in this patient?
B) Intravenous fluid resuscitation with an isotonic solution.
10) An elderly patient who is taking thiazide diuretic has been ill with nausea and vomiting
and is brought into the emergency department for evaluation. An assessment reveals
oliguria, hypotension, and tachycardia and serum sodium is 118 mEq/ml. What is the
treatment.
C) Emergency volume repletion with 3% NaCl
11) Which thyroid stimulating hormone level indicates hyperthyroidism?
A) 0.2 Ulu/L
12) A patient has thyroid nodules and the provider suspects thyroid cancer. To evaluate
thyroid nodules for potential malignancy, which test is performed?
D) Thyroid ultrasound.
13) What are some common goals of neuropsychiatric evaluation?
C) To evaluate cognition when neuro-diagnostic tests are normal
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