Final Exam: NR 576 NR576 Latest

Final Exam: NR 576 / NR576 (Latest

Update 2025 / 2026) Differential Diagnosis in Adult-Gerontology Primary Care | Questions & Verified Answers | 100% Correct | Grade A - 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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