nr 511 differential diagnosis and primary care practicum
chamberlain
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NR 511
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Score for this quiz: 15 out of 15
Submitted Oct 18 at 7:32pm
This attempt took 4 minutes.
Question 1
pts
A patient’s chief complaint is pain and heaviness in the scrotum. The nurse
practitioner notes swelling of the testes, along with warm scrotal skin. Which of
the following diagnoses is most probable?
Correct!
Orchitis.
Cryptorchidism.
Testicular torsion.
Epididymitis.
Orchitis refers to an acute, painful onset of swelling of the testicle accompanied
by warm scrotal skin. The client usually complains of a heavy feeling in the
scrotum. It is typically unilateral but after 1 week may progress to the other
testicle.
Question 2
pts
A patient is being treated for erectile dysfunction. The patient is morbidly obese
and is also being treated for a coagulopathy. Which of the following medications
would be contraindicated?
Subcutaneous pellet testosterone (Testopel).
Topical testosterone (AndroGel).
Correct!
Alprostadil (Caverject).
, Sildenafil (Viagra).
The vasoactive injectable alprostadil (Caverject) should not be used in patients
with sickle cell anemia, coagulopathy, severe cardiovascular disease, myeloma,
leukemia, morbid obesity, or penile deformity, fibrosis, or implants.
Question 3
pts
A 72-year-old unmarried, sexually active man, presents to the clinic with
complaints of hesitancy, urgency, and occasional uncontrolled dribbling.
Although the nurse practitioner suspects benign prostatic hyperplasia, what else
should the differential diagnosis include?
Correct!
Urethral stricture.
Antihistamine use.
Renal calculi.
Detrusor hyperreflexia.
Urethral strictures may develop as a result of sexually transmitted diseases and
should be considered in sexually active individuals (primarily males) no matter
their age. Antihistamine use generally will result in hesitancy and urinary
retention but not incontinence.
Question 4
pts
A 54-year-old male is complaining of erectile dysfunction. He also has a condition
that has reduced arterial blood flow to his penis. The most common cause of this
condition is:
Parkinson disease.
Multiple sclerosis.
Correct!
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