Assignment: Discuss Dipstick Urinalysis
Assignment: Discuss Dipstick Urinalysis
Week 4 Quiz
Question 1 (1 point)
An older male patient reports urinary frequency, back pain, and nocturia. A dipstick urinalysis reveals hematuria. What will the provider do next to evaluate this condition?
Question 1 options:
a) Order a PSA and perform a digital rectal exam
b) Refer for a biopsy
c) Refer the patient to a urologist
d) Schedule a transurethral ultrasound
Question 2 (1 point)
An older male patient has a screening PSA which is 12 ng/mL. What does this value indicate?
a) A normal result
b) Benign prostatic hypertrophy
c) Early prostate cancer
d) Prostate cancer
Question 3 (1 point)
A male patient reports nocturia and daytime urinary frequency and urgency without changes in the force of the urine stream. What is the likely cause of this?
a) Bladder outlet obstruction
b) Lower urinary tract symptoms
c) Prostate cancer
d) Urinary tract infection
Question 4 (1 point)
A 70-year-old male reports urinary hesitancy, post-void dribbling, and a diminished urine stream. A digital rectal exam reveals an enlarged prostate gland that feels rubbery and smooth. Which tests will the primary care provider order based on these findings?
a) Bladder scan for post-void residual
b) PSA and bladder imaging
c) Urinalysis and serum creatinine
d) Urine culture and CBC with differential
Question 5 (1 point)
The provider orders the oral phosphodiesterase type 5 inhibitor sildenafil to treat erectile dysfunction in a 65-year-old male patient. What will be included when teaching this patient about taking this medication?
a) The medication is best taken on an empty stomach.
b) The medication should be taken with a fatty food or meal.
c) The medication’s effects may last for 24 to 36 hours.
d) This medication has a rapid onset and short duration of action.
e) This medication may be taken once daily.
Question 6 (1 point)
Which is true about hypoactive sexual desire in older men?
Question 6 options:
a) Hypoactive sexual desire in older men is related to sexual aversion.
b) Hypoactive sexual desire is a conscious choice to avoid sexual relations.
c) Men with hypoactive sexual desire may have normal excitement and orgasm.
d) The most common type of sexual dysfunction is hypoactive sexual desire.
Question 7 (1 point)
A young adult male reports a dull pain in the right scrotum and the provider notes a bluish color showing through the skin on the affected side. Palpation reveals a “bag of worms” on the proximal spermatic cord. What is an important next step in managing this patient?
Question 7 options:
a) Anti-infective therapy with ceftriaxone or doxycycline
b) Consideration of underlying causes of this finding
c) Reassurance that this is benign and may resolve spontaneously
d) Referral to an emergency department for surgical consultation
Question 8 (1 point)
An adolescent male reports severe pain in one testicle. The examiner notes edema and erythema of the scrotum on that side with a swollen, tender spermatic cord and absence of the cremasteric reflex. What is the most important intervention?
Question 8 options:
a) Doppler ultrasound to assess testicular blood flow
b) Immediate referral to the emergency department
c) Prescribing anti-infective agents to treat the infection
d) Transillumination to assess for a “blue dot” sign
Question 9 (1 point)
A high school athlete is brought to the emergency department after collapsing during outdoor practice on a hot day. The patient is weak, irritable, and confused. Serum sodium is 152 mEq/L and has dry mucous membranes and tachycardia. What is the initial approach to rehydration in this patient?
Question 9 options:
a) Hypotonic intravenous fluid replacement
b) Intravenous fluid resuscitation with an isotonic solution
c) Loop diuretics and hypotonic intravenous fluids
d) Oral water replacement
Question 10 (1 point)
An elderly patient who is taking a thiazide diuretic has been ill with nausea and vomiting and is brought to the emergency department for evaluation. An assessment reveals oliguria, hypotension, and tachycardia and serum sodium is 118 mEq/L. What is the treatment?
Question 10 options:
a) A single infusion of hypertonic saline
b) Addition of spironolactone
c) Emergency volume repletion with 3% NaCl.
d) Fluid and dietary sodium restriction
Question 11 (1 point)
Which thyroid stimulating hormone (TSH) level indicates hyperthyroidism?