APEA 3P EXAM PREP-MEN’S HEALTH WITH BEST SOLUTIONS

APEA 3P EXAM PREP-MEN’S HEALTH WITH BEST SOLUTIONS

Hesselbach’s triangle forms the landmark for:

inguinal hernia. femoral hernia. abdominal hernia. umbilical hernia. A.

Direct inguinal hernias occur through Hesselbach’s triangle. The inguinal ligament, the rectus muscle, and the epigastric vessels form the triangle. When there is a weakness in the floor of the inguinal canal, a hernia can result. Inguinal hernias are the most common groin hernias in men and women. Repair of this is the most common surgical procedure performed in the US.

A 65-year-old Caucasian male has a firm, nontender, symmetrically enlarged prostate gland on examination. His PSA is 3.9 ng/mL. His PSA level is influenced by:

race  only. age and race.

prostate volume.

race, age, and volume. D.

These assessment findings probably indicate BPH, but cannot rule out prostate cancer. PSA values may be specific for age and race and are influenced by the volume of prostate tissue present. The greater the amount of prostate tissue present, the greater the PSA value. Thus, these three factors are of great importance in evaluating the PSA value.

What is the recommendation of the American Cancer Society (ACS) for screening an average risk 40-year-old Caucasian male for prostate cancer?

Digital rectal exam

Serum prostate specific antigen (PSA)

Digital rectal exam and PSA

He should be screened starting at age 50 years. D.

The ACS encourages men to be involved in the decision of whether to screen for prostate cancer. Begin screening discussions at age 40-45 in patients who are at high risk of developing prostate cancer (African Americans and men with a first- degree relative with prostate cancer diagnosed prior to age 65 years). The discussion regarding prostate cancer screening should take place in men who are expected to live at least 10 more years. Following this discussion, men who want to be screened should have PSA measurements with or without digital rectal exam (DRE) beginning at 50 years of age. If initial PSA is > 2.5 ng/mL, annual testing should take place. If the initial PSA is < 2.5 ng/mL, test every 2 years.

A 50-year-old male comes to the nurse practitioner clinic for evaluation. He complains of chills, pelvic pain, and dysuria. He should be diagnosed with (VS in image):

acute bacterial prostatitis. chronic bacterial prostatitis. urinary tract infection. nonbacterial prostatitis.

A.

Acute bacterial prostatitis should always be considered first in a male patient who presents with these symptoms. He may have cloudy urine and symptoms of obstruction, like dribbling. Chronic bacterial prostatitis presents with a more subtle presentation, such as frequency, urgency, and rarely, low-grade fever. Urinary tract infection is far less common in men than women and is usually associated with anal intercourse or being uncircumcised. Nonbacterial prostatitis presents like chronic prostatitis except that urine and prostate secretion cultures are negative.