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Final Exam: NR 576 / NR576 (
Update 2025 / 2026) Differential Diagnosis in Adult-Gerontology Primary Care Questions & Answers - Chamberlain
Question:
Discuss an appropriate treatment for prophylaxis or treatment of traveler's diarrhea
Answer:
-empirical antimicrobial therapy: Trimethoprim-sulfamethoxazole (Bactrim)
- PO BID ×3d
-ciprofloxacin (Cipro) 500 mg -norfloxacin (Noroxin) 400 mg -ofloxacin (Floxin) 300 mg
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Question:
Identify the population most commonly affected by bacterial prostatitis
Answer:
- Acute - Sexually active men 30 to 50 years
- Chronic bacterial prostatitis common in men older than 50 years old
- Athletes who run long distance are predisposed
- Complaints of fever, chills, LBP, malaise, arthralgia, myalgia, frequency,
urgency, dysuria, nocturia, and bladder outlet obstruction
- Chronic bacterial prostatitis- men over age 50 years of age. Symptoms often
absent , perineal pain, lower abdomen pain, scrotal or penile pain, pain with ejaculation, dysuria, irritative voiding
Question:
Discuss the physical exam characteristics of acute bacterial prostatitis
Answer:
Abdominal exam to detect distended bladder, costovertebral angle tenderness, genital exam, and digital rectal exam
Acute bacterial prostatitis- warm, tense, swollen , boggy and very tender prostate.
Most common pathogen Strep faecalis and staph aureus
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Question:
Discuss how the Phren sign can differentiate between testicular torsion and epididymitis
Answer:
Epididymis characteristic is relief of discomfort with elevation of testis.Positive Prehn's sign = pain relief.
Testicular torsion elevation of the affected testicle does NOT relieve the pain (Negative Prehn's sign = pain is NOT relieved)
Epididymis Positive Prehn's sign = pain relief. Neg = no pain relief = testicular torsion).
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Question:
Discuss common symptoms reported from a patient with BPH
Answer:
Affects men age 40 years and older.
Obstructive symptoms include • Decreased stream • Hesitancy • Postvoid dribbling • Sensation of incomplete bladder emptying • Overflow incontinence • Inability to voluntarily stop the urine stream • Urinary retention • Straining
Irritative symptoms include • Nocturia • Urinary frequency • Urinary urgency • Dysuria Urge incontinence
Erectile dysfunction should be assessed on patient taking finasteride.
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