Question 1

Which procedure is most helpful in screening for impotence?

Accepted Answer

It is important to take a thorough history of sexual activity and a psychiatric history of the patient before undergoing different and expensive laboratory tests. By interviewing the patient's wife or partner, you are narrowing down possible causes of the condition and determining whether the symptoms reported are just an exaggeration of the patient.
Physical examination is important to gather evidence of overt testicular atrophy or penile disease. And the laboratory and diagnostic test would be used to form a definitive diagnosis.

Question 2

The Bartholin gland is responsible for secreting mucus to lubricate the vagina. Where is it specifically located?

Accepted Answer

The Bartholin gland is located below and to the left and right of the vaginal opening. Option A refers to the Skene's gland, option B refers to the clitoris, while option D refers to the vagina.

Question 3

A patient has a known case of congestive heart failure. Upon assessment, the patient presents with oliguria, asterixis, confustion, and orthostatic blood pressure. The diagnosis was azotemia. What type of azotemia is the patient under?

Accepted Answer

Azotemia is a condition where there is increased level of nitrogen-type waste in the blood. Pre-renal azotemia refers to a type of kidney failure caused by a reduction of blood supply to the kidneys. This includes burn, congestive heart failure, dehydration, or massive bleeding. Pre-renal azotemia is characterized by confusion, drowsiness, oliguria, fatigue, pallor, tachycardia, edema, thirst, and dry mouth.

Question 4

Which is the most significant procedure in screening for benign prostatic hypertrophy?

Accepted Answer

PSA, or Protein Specific Antigen, is a tool for detecting prostate disease; however, digital rectal examination, where the prostate can be palpated through the rectal wall, would be a more definitive diagnosis. Hard nodule or benign enlargement of the prostate can be felt through DRE. An increasing PSA may indicate prostate cancer.

Question 5

A patient is diagnosed with diabetes insipidus after a series of diagnostic tests. Which of the following signs and symptoms is indicative of this disorder?

Accepted Answer

Diabetes insipidus is hyposecretion of aldosterone, a hormone that increases the absorption of sodium and water. This disorder is manifested by signs of fluid deficit. Diabetes insipidus is manifested by polydipsia, polyuria, dehydration, fatigue, inability to concentrate urine, and postural hypotension. Options B, C, and D are common signs of syndrome of inappropriate antidiuretic hormone.

Question 6

You suspect a patient has Type I Diabetes. The following statements are true about Type I Diabetes except:

Accepted Answer

Type 1 Diabetes Mellitus is caused by the destruction of Beta islet cells in the pancreas, which ensue a deficiency of insulin. Type 1 DM is formerly known as juvenile-onset DM since it afflicts the younger population, usually prior to the age of 20. The recommended treatment for this condition is insulin replacement (thru injection) therapy.

Question 7

A female patient complains of an enlarged thyroid gland, and protruding eye ball. Further evaluation reveals that the patient has hypertension, nervousness, and fine tremors of the hands. Which of the following medications should be ordered for the patient?

Accepted Answer

Propylthiouraciis an anti-thyroid medication that inhibits the synthesis of thyroid hormones. The other medications are thyroid hormones that control the metabolic balance rate of tissues.

Question 8

A newly diagnosed client is prescribed with insulin. The patient is taught to rotate injection sites when administering insulin to prevent which of the following reasons complications?

Accepted Answer

Rotating injection sites are essential to prevent insulin lipodystrophy, which may result in decreased or altered absorption of insulin. The other options are not correct.

Question 9

The following statements are true regarding Burkitt's lymphoma, except:

Accepted Answer

Burkitt's lymphoma is a rare and highly aggressive type of Non-Hodgkin's lymphoma that usually affects children. It is a rapid-growing B-cell lymphoma that involves parts of the body other than the lymph nodes. Burkitt's lymphoma is highly associated with the chromosomal translocation of the c-myc gene. Numerous cases of this lymphoma have decreased resistance to EBV (Epstein-Barr virus).

Question 10

The following are characteristics of nephrogenic diabetes insipidus, except:

Accepted Answer

Unlike Central Diabetes Insipidus, Nephrogenic diabetes insipidus is caused by the kidney's resistance to ADH rather than a deficiency of this hormone. This results in a decreased ability of the kidneys to concentrate the urine. The disease is rare, but 90% of the known cases are believed to be X-linked, which causes the vasopressing receptor to not function properly. The primary symptom of NDI is excessive thirst and excretion of large amount of urine. Dehydration is a common complication of the disease.

Quiz 1: Adult Nurse Practioner Practice: Medical Conditions and Disorders