bates physical assessment test bank

bates physical assessment test bank Related

Review bates physical assessment test bank related questions and content

A 75-year-old man presents with the chief concern, “I may have a bladder infection.” Further questioning reveals for several months he has been needing to void every couple of hours (can’t sit through a whole ball game), feels he must go as soon as he feels the urge (he tried putting it off and had urinary leakage), and is getting up two to three times at night to void. He denies delay in voiding or straining to initiate voiding, slow stream, feeling of incomplete emptying, or dribbling after completion of urination. He also denies dysuria and abdominal pain. Which of the following best describes the category or type of his lower urinary tract symptoms?

  • A. Prostatism
  • B. Overactive bladder
  • C. Postmicturition
  • D. Storage (irritative)
Correct Answer: D

Rationale: Storage symptoms (irritative) include urgency, frequency, and nocturia, which are characteristic of overactive bladder.

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Why is it important to consider intracranial hemorrhage when a patient presents with epistaxis?

  • A. It indicates a possible allergic reaction.
  • B. It may suggest a more serious underlying condition.
  • C. It is a common cause of nasal congestion.
  • D. It usually resolves without treatment.
Correct Answer: B

Rationale: Epistaxis can be a symptom of intracranial hemorrhage, especially if the bleeding is sudden or severe.

Which of the following is NOT a common safety concern for adult patients?

  • A. Physical health risks
  • B. Occupational safety
  • C. Substance abuse
  • D. Childhood vaccinations
Correct Answer: D

Rationale: Childhood vaccinations are not a common safety concern for adult patients.

A patient arrives at the clinic appearing disheveled, with a flat affect and difficulty maintaining eye contact. Based on the general appearance assessment, which of the following conclusions might you draw?

  • A. The patient is likely experiencing a physical illness.
  • B. The patient may be suffering from a mental health issue.
  • C. The patient is well-adjusted and healthy.
  • D. The patient is simply tired.
Correct Answer: B

Rationale: A flat affect and difficulty maintaining eye contact are commonly associated with mental health issues, such as depression.

Two years later Mr. Hunter reports progression of his urinary symptoms and desires “a pill to make this better.” His current IPSS is 17, with a bother score of 3 indicating moderate voiding symptoms with moderate impact on his quality of life. On review of systems he notes that his vision has worsened, especially in his left eye. His ophthalmologist has recommended cataract surgery. For which of the following medications would initiation of therapy be delayed until after cataract surgery?

  • A. Finasteride
  • B. Tamsulosin
  • C. Tadalafil
  • D. Oxybutynin
Correct Answer: B

Rationale: Tamsulosin may cause intraoperative floppy iris syndrome, so it is often delayed until after cataract surgery.

An elderly male with benign prostate hyperplasia (BPH) should be advised to avoid antihistamines. What is the reason for this?

  • A. Urinary incontinence
  • B. Constipation
  • C. Orthostatic hypotension
  • D. Urinary retention
Correct Answer: D

Rationale: Antihistamines can cause urinary retention, worsening BPH symptoms.

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