Mr. Quince is a 68-year-old patient who describes several months of urinary frequency and a sensation of incomplete emptying with no associated dysuria, hematuria, or fever. Physical examination reveals a slightly enlarged but nontender prostate, a postvoid residual urine volume of 20 mL, and a urinalysis with 15 white blood cells (WBCs) and 5 red blood cells (RBCs). Urine culture reveals 30,000 colony-forming units of Escherichia coli. You see a report from last year that shows urinalysis with 10 WBCs and 4 RBCs that was obtained as part of a routine evaluation. What is the most appropriate next step in the management of Mr. Quince�s symptoms?- Skildor

Question 1 of 5

Mr. Quince is a 68-year-old patient who describes several months of urinary frequency and a sensation of incomplete emptying with no associated dysuria, hematuria, or fever. Physical examination reveals a slightly enlarged but nontender prostate, a postvoid residual urine volume of 20 mL, and a urinalysis with 15 white blood cells (WBCs) and 5 red blood cells (RBCs). Urine culture reveals 30,000 colony-forming units of Escherichia coli. You see a report from last year that shows urinalysis with 10 WBCs and 4 RBCs that was obtained as part of a routine evaluation. What is the most appropriate next step in the management of Mr. Quince�s symptoms?

A. Start an alpha-blocker. B. Start a 5-alpha-reductase inhibitor. C. Start combination therapy with an alpha-blocker and a 5-alpha-reductase inhibitor. D. Start a 4-week course of ciprofloxacin.

Correct Answer: D

Rationale: A 4-week course of ciprofloxacin is appropriate to treat the urinary tract infection and resolve symptoms.

Question 2 of 5

Which of the following statements regarding programs to increase daytime engagement in persons with dementia is true?

A. Daytime exercise programs are contraindicated in this population because of high risk of fall and fracture. B. Daytime programs are designed to maintain client wakefulness, and as such can cover a broad range of topics, including music, art, exercise, dance, and cognitive tasks (puzzles, etc.), and should be designed with patient cognitive and physical status, cultural beliefs, social support, and available staffing in mind. C. Daytime programs that lack a physical exertion component do not contribute to physiologic need for sleep, and are thus less effective than programs that require client physical exertion. D. Daytime programs must include moderate to rigorous intensity physical exercise (3�6 mets) to generate an appropriate sleep deficit in nursing home residents.

Correct Answer: B

Rationale: Daytime programs designed with a variety of activities, including exercise, cognitive tasks, and creative activities, can help maintain wakefulness and improve sleep.

Question 3 of 5

Which medication is indicated for patients with generalized anxiety disorder?

A. Buspirone (Buspar) B. Citalopram (Celexa) C. Imipramine (Tofranil) D. Bupropion HCL (Wellbutrin)

Correct Answer: A

Rationale: Buspirone is specifically indicated for the treatment of generalized anxiety disorder.

Question 4 of 5

Which assessment findings are NOT associated with pyloric stenosis in a 2-month-old infant?

A. Projectile vomiting B. Severe dehydration as demonstrated by sunken eyeballs and depressed anterior fontanelle C. A bloated and tense tympanic abdomen D. A palpable mass the size and shape of an olive, located in the right upper quadrant of the abdomen

Correct Answer: C

Rationale: A bloated and tense tympanic abdomen is not typically associated with pyloric stenosis.

Question 5 of 5

Key neurotransmitter-based therapeutic strategies for PD include all the following except:

A. Increase glutamatergic stimulation B. Decrease cholinergic stimulation C. Increase dopaminergic stimulation D. Decrease glutamatergic stimulation

Correct Answer: A

Rationale: PD treatment aims to increase dopaminergic activity and reduce cholinergic activity, not increase glutamatergic stimulation.

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Mr. Quince is a 68-year-old patient who describes several months of urinary frequency and a sensation of incomplete emptying with no associated dysuria, hematuria, or fever. Physical examination reveals a slightly enlarged but nontender prostate, a postvoid residual urine volume of 20 mL, and a urinalysis with 15 white blood cells (WBCs) and 5 red blood cells (RBCs). Urine culture reveals 30,000 colony-forming units of Escherichia coli. You see a report from last year that shows urinalysis with 10 WBCs and 4 RBCs that was obtained as part of a routine evaluation. What is the most appropriate next step in the management of Mr. Quince�s symptoms?

In a patient who has a history of migraine headaches, which characteristic is most common?

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The following are components of the open disclosure of medical error, except:

physical examination and health assessment test bank

Skildor

ATI RN