NR511 / NR 511 Differential Diagnosis and

Primary Care Practicum Final Exam Quiz

Bank

1. A patient is seen in the office with complaints of six to seven liquid bowel movements

per day. Which of the following assessment findings would lead the clinician to a

diagnosis of inflammatory bowel disease?

- History of international travel

2. Which of the following is part of the treatment plan for the patient with irritable bowel

syndrome?

- High-fiber diet

3. 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 diagnosis?

- Benign prostatic hypertrophy

4. 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?

- Urinary tract infection

5. 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?

- Immediate referral to a urologist

6. 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?

- Benign prostatic hyperplasia (BPH), Prostate cancer, Parkinson's disease

7. Which of the following would be an appropriate treatment for a patient with mild benign

prostatic hyperplasia (BPH)?

- Reevaluate symptoms in 1 to 3 months

8. Chronic prostatitis should be treated with Bactrim or TMP-SMX for how long? \

- 6 to 12 weeks

9. 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?

- Testosterone level

10. Which of the following should be considered in a patient presenting with erectile

dysfunction?

- Diabetes mellitus,

- Atherosclerosis,

- Hypertension

11. A 35-year-old man presents with complaints of painful erections, and he notices his penis

is crooked when erect. What is the most likely diagnosis?

- Peyronie's disease

12. The patient with benign prostatic hyperplasia (BPH) is seen for follow-up. He has been

taking finasteride Proscar for 6 months. The clinician should assess this patient for which

of these side effects of the medication?

- Erectile dysfunction

13. The clinician should prescribe an antibiotic that covers which of these organisms for a

patient with acute prostatitis?

- Gram-negative bacillus

14. The 56-year-old man with chronic prostatitis should be treated with trimethoprim 80 mgsulfamethoxazole 400 mg (TMP-SMX, Bactrim) for how long?

- 6 to 12 weeks