NR511 / NR 511 Differential Diagnosis and Primary Care Final Exam 

1. 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

2. 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

3. 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

4. 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

5. 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

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

- 6 to 12 weeks

7. 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

8. Which of the following should be considered in a patient presenting with erectile dysfunction?

- Diabetes mellitus, 

- Atherosclerosis, 

- Hypertension

9. 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

10. 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

11. The clinician should prescribe an antibiotic that covers which of these organisms for a patient with acute prostatitis?

- Gram-negative bacillus