NR 509 / NR509 / NURSING509/ NR509 APEA Test Urology: CHAMBERLAIN (GRADE A).

NR509 APEA Test Urology

Question:

1.      In men, painful urination without frequency or urgency suggests:

cystitis.Incorrect

urethritis:Correct

constipation.

acute prostatitis.

.

Question:

2.      A 65-year-old woman complains that when she feels the urge to urinate, she has to go immediately or else she urinates "on herself". She has become homebound because she wants to stay close to the bathroom. This condition is termed:

functional incontinence.

overflow incontinence.

urge incontinence:correct

stress incontinence.

Question:

3.      Symptoms of proctitis may include all of the following except:

left-sided abdominal pain.

rectal pain.

suprapubic pain:Correct

tenesmus.

Question:

4.      A 40 year old male complains of right flank pain. His temperature is 102° F. These symptoms may be characteristic of:

renal calculi.

acute pyelonephritis:Correct

urethritis.

prostatitis.

Question:

5.      A useful mnemonic for elucidating causes of incontinence in the older adult is:

STOOL.

DIAPERS: Correct

DRIP.

URINE.

Question:

6.      Which condition usually coexists with epididymitis?

Varicocele of the spermatic cord

Spermatocele of the epididymis :Incorrect

Torsion of the spermatic cord

Chlamydia infection: Correct

Question:

7.      Which of the following substances is found in the urine of a child suspected of having post streptococcal glomerulonephritis?

Blood and protein :Correct

Bacteria and ketones

Glucose and white blood cells

Casts and mucous threads

Question:

8.      A whitish sebaceous secretion that collects between the glans penis and foreskin or in the vulva is known as:

candida.

Smegma:Correct

leukorrhea.

Leukocoria:Incorrect

Question:

9.      A 40 -year-old male states that he felt "something" above his left testis. On examination, a painless cyst is noted above the left testicle. Transillumination is positive. This is consistent with a:

varicocele of the spermatic cord.  Incorrect

spermatocele of the epididymis.  Correct

torsion of the spermatic cord.

prostatitis.

Question:

10.  Undescended testicle(s) in a young male is termed:

testicular torsion.

epispadias.

hydrocele.

cryptorchidism. Correct

Question:

11.  When examining the scrotum in a young male child, test the cremasteric reflex by:

scratching the medial aspect of the thigh. Correct

having the child lie down and palpate the femoral pulse.

gently pulling the penis downward. Incorrect

palpating the area above the symphysis pubis.

Question:

12.  Which one of the following patient positions would be least beneficial to examine the genitals of a young female child?

Have the child sit on her parent's lap with the parent holding the child's knees apart

Have the child lie supine in the frog-leg position

Have the child sit crossed legged on the examination table .Correct

Position the child in the knee-chest position

Question:

13.  A 50-year-old male describes difficulty emptying his bladder. On exam, a distended bladder is noted following urination. This finding may be associated with:

functional incontinence. Incorrect

overflow incontinence.Correct

urge incontinence.

stress incontinence.

Question:

14.  One cause of proctitis could be related to:

gastritis.

frequent anal intercourse.Correct

cirrhosis.

pancreatitis.

Question:

15.  Which one of the following symptoms would be least indicative of acute glomerulonephritis?

Hematuria

Polyuria.Correct

Proteinuria

Hypertension

Question:

16.  In renal adaptation of the newborn, which one of the following statements is correct?

The kidneys have an inability to concentrate urine and adapt to fluid and electrolyte stress.Correct

In the nephrons of the kidneys long tubules enhance the effectiveness of tubular reabsorption.

The kidneys are fully capable of concentrating urine and maintaining fluid and electrolyte balance.

The kidneys have the ability to increase the production of antidiuretic hormone (ADH) effectively.

Question:

17.  A 33 year old male presents for examination because of a scrotal complaint. The exam reveals the presence of 2 testicles and palpable tissue resembling a "bag of worms" over the left testicle. When in the supine position with the scrotum elevated, the "bag of worms" disappears. This condition is suggestive of a:

varicocele of the spermatic cord. Correct

spermatocele of the epididymis.

torsion of the spermatic cord.

prostatitis.

Question:

18.  Benign prostatic hypertrophy begins in the:

second decade of life.

third decade of life.Correct

fourth decade of life.

fifth decade of life.  Incorrect