APEA 3P Exam Prep- Nephrology/GU Questions
with Correct Answers and Explanations
A 79-year-old female patient with urinary frequency is found to have a UTI. What medication could produce
arrhythmias in her?
Doxycycline
Amoxicillin
Ciprofloxacin
Macrodantin
Ciprofloxacin is a quinolone antibiotic. All quinolones have the potential to produce prolongation of the QT
interval. It should be prescribed with caution in older adults.
Mrs. Jackson complains of urinary incontinence when she laughs or sneezes. What should be used first line
to treat her symptoms?
Kegel exercises
Prescribe oxybutynin
Avoid caffeine and alcohol
Minimize fluids at nighttime
This patient has stress incontinence. The first-line approach with these patients is to attempt to strengthen
the pelvic floor muscles. Appropriate performance of Kegel exercises is key. Prescribing an anticholinergic
might worsen incontinence because it will cause urinary retention. Avoiding caffeine and alcohol is
especially helpful for people with urge incontinence, but could have a minimal benefit for this patient.
However, this does not address the underlying problem, weak pelvic muscles. Minimizing fluids at nighttime
will help if nocturia is a problem.
A 76-year-old male presents with urethral irritation after voiding. If sexually transmitted diseases and
urinary tract infection are ruled out, what is another etiology?
Acute bacterial prostatitis
Chronic prostatitis
Epididymitis
Asymptomatic bacteriuria
Chronic prostatitis can produce these symptoms. Sometimes this is accompanied by perineal pain, but the
patient may have a normal prostate exam. Acute bacterial prostatitis patients will present with fever, chills.
Examination of the prostate gland reveals a tender, boggy prostate gland. Epididymitis can produce scrotal
pain, not dysuria or irritation with voiding. Asymptomatic bacteriuria is asymptomatic. These patients don’t
know they have this because they have no symptoms.
A healthy 32-year-old female has left flank pain and nausea. What is the most likely diagnosis
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- Level:University
- School:Chamberlain
- Course:Nursing
- Subject:APEA 3P Exam Prep- Nephrology/GU Questions with Correct Answers and Explanations
- All documents for this course ›
- Year of study:2024/2025
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- Section:Examinations
- Made on:06-09-2024
- Type:.pdf
- Pages:13
- Language:English
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