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APEA 3P EXAM PREP-MEN’S HEALTH WITH BEST SOLUTIONS

APEA 3P EXAM PREP-MEN’S HEALTH WITH BEST SOLUTIONS

APEA 3P EXAM PREP-MEN’S HEALTH WITH BEST SOLUTIONS
Hesselbach’s triangle forms the landmark for:
inguinal hernia.
femoral hernia.
abdominal hernia.
umbilical hernia.
A.
Direct inguinal hernias occur through Hesselbach’s triangle. The inguinal ligament,
the rectus muscle, and the epigastric vessels form the triangle. When there is a
weakness in the floor of the inguinal canal, a hernia can result. Inguinal hernias are
the most common groin hernias in men and women. Repair of this is the most
commonsurgicalprocedureperformedinthe US.
A 65-year-old Caucasian male has a firm, nontender, symmetrically enlarged
prostate gland on examination. His PSA is 3.9 ng/mL. His PSA level is influenced by:
race only.
age and race.
prostate volume.
race, age, and volume.
D.
These assessment findings probably indicate BPH, but cannot rule out prostate
cancer. PSA values may be specific for age and race and are influenced by the
volume of prostate tissue present. The greater the amount of prostate tissue
present, the greater the PSA value. Thus, these three factors are of great
importance in evaluating the PSA value.
What is the recommendation of the American Cancer Society (ACS) for screening
anaverage risk 40-year-old Caucasian male for prostate cancer?
Digital rectal exam
Serum prostate specific antigen (PSA)
Digitalrectalexam and PSA
Heshouldbescreenedstartingatage 50
years.D.
The ACS encourages men to be involved in the decision of whether to screen for
prostate cancer. Begin screening discussions at age 40-45 in patients who are
at high risk of developing prostate cancer (African Americans and men with a
first- degree relative with prostate cancer diagnosed prior to age 65 years). The
discussion regarding prostate cancer screening should take place in men who
areexpected to live at least 10 more years. Following this discussion, men who want
tobe screened should have PSA measurements with or without digital rectal
exam (DRE) beginning at 50 years of age. If initial PSA is > 2.5 ng/mL, annual
testing shouldtakeplace. If theinitial PSA is<2.5 ng/mL, testevery2years.
A 50-year-old male comes to the nurse practitioner clinic for evaluation. He
complains of chills, pelvic pain, and dysuria. He should be diagnosed with (VS in
image):
acute bacterial prostatitis.
chronicbacterial
prostatitis.urinary tract
infection. nonbacterial
prostatitis.
A.
Acute bacterial prostatitis should always be considered first in a male patient who
presents with these symptoms. He may have cloudy urine and symptoms of
obstruction, like dribbling. Chronic bacterial prostatitis presents with a more subtle
presentation, such as frequency, urgency, and rarely, low-grade fever. Urinary
tract infection is far less common in men than women and is usually associated
with analintercourse or being uncircumcised. Nonbacterial prostatitis presents like
chronic prostatitis except that urine and prostate secretion cultures are negative.
Noninfectious epididymitis is common in:
soccer players.
truckdrivers.
Correctmarathon
runners.
men who wear boxer-style underwear.
B.
Noninfectious epididymitis occurs when there is reflux of urine into the epididymis
from the ejaculatory ducts and vas deferens. This can cause ductal obstruction and
acute inflammation without infection. This can occur if males spend a lot of time
sitting. Truck drivers are particularly susceptible because they spend many
uninterrupted hours sitting when they are driving. Other typical risk factors are
vigorous exercise that involve heavy lifting or upper body workouts; especially situps or abdominal crunches.
The following PSA levels have been observed in a patient. What conclusion can be
made following these annual readings (SEE IMAGE)
They are all within the normal range.
None are within the normal range.
There is a steady increase that is worrisome.
There is a steady increase but not worrisome.

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