NATIONAL AND STATE NURSING EXAM- MCQ _MG_00 141
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1. Aim of medical management of benign prostate hyperplasia (BPH) is:
a. Prevent UTIs and avoid renal insult
b. Improve symptoms and relief obstruction.
c. Improve bladder emptying
d. All of the above.
Answer: d. All of the above.
Description:The aim of medical management for benign prostate hyperplasia (BPH) is to improve symptoms, relieve obstruction, enhance bladder emptying, prevent urinary tract infections, and avoid renal damage. Therefore, the correct answer is d) All of the above.
2. Patients who have been operated for BPH:
a. Require routine rectal examination to detect development of Ca prostate
b. Have a greater incidence of Ca prostate.
c. Do not require prostate examination
d. Have lesser incidence of Ca prostate
Answer: a. Require routine rectal examination to detect development of Ca prostate
Description:Patients who have undergone surgery for BPH should undergo routine rectal examinations to detect any potential development of prostate cancer. Therefore, the correct answer is a) Require routine rectal examination to detect the development of Ca prostate.
3. The following are the important preoperative nursing care for a patient with benign prostatic hypertrophy; EXCETP:
a. Hormonal therapy
b. Acid-ash diet to treat infection
c. Assure nutrition and correct fluid and electrolyte balance
d. Promoting urinary drainage
Answer: a. Hormonal therapy
Description:Hormone therapy is not advised for a client with benign prostatic hypertrophy, it can further increase the growth of prostatic cells.
4. Major clinical finding in prostatic enlargement is:
a. Red blood cell casts in urine
b. Pain in the groin
c. Increased urinary frequency in an old man
d. General malaise
Answer: c. Increased urinary frequency in an old man
Description:The major clinical finding in prostatic enlargement is increased urinary frequency in an older man. Therefore, the correct answer is c) Increased urinary frequency in an old man.
5. Which of the following test is used to asses size, shape and consistency of prostate?
a. PSA
b. DRE
c. TURP
d. Proctoscope
Answer: b. DRE
Description:In a male patient, Digital Rectal Examination (DRE) is used to examine prostate for its size, shape and consistency by palpating the prostate through rectal wall as shown in the picture below.
6. Surgical removal of prostate through an endoscope is called:
a. PVP
b. TURP
c. PUJO
d. TUNA
Answer: b. TURP
Description:Surgical removal of the prostate through an endoscope is called TURP (Transurethral Resection of the Prostate). Therefore, the correct answer is b) TURP.
7. Important nursing management following transurethral resection of resection of prostate is:
a. Administer ordered analgesics.
b. Assess the surgical site for signs of infection.
c. Maintain patency of a three-way Foleys catheter for hemostasis
d. Asses the vital signs
Answer: c. Maintain patency of a three-way Foleys catheter for hemostasis
Description:Catheter provide decompression to the bladder and it prevent bladder distention and bleeding and thus. Promote hemostatic.
8. Which among the following will be affected in a client with prostatectomy?
a. Erection function
b. Spermatogenesis
c. Production of seminal fluid
d. Ejaculatory function
Answer: c. Production of seminal fluid
Description:A client with prostatectomy will experience a reduction in the production of seminal fluid. Therefore, the correct answer is c) Production of seminal fluid.
9. Which of the following complication require immediate attention in a patient who underwent prostatectomy?
a. Oliguria
b. Hemorrhage
c. Urinary incontinence
d. Abdominal pain
Answer: b. Hemorrhage
Description:Among the given options, hemorrhage is the complication that requires immediate attention in a patient who underwent prostatectomy. Hemorrhage refers to significant bleeding and can be life-threatening if not promptly addressed.
10. During bladder irrigation with a three-way urinary catheter following prostatectomy client complains of bladder spams with the catheter in place. The best nursing advice is:
a. Remove the catheter
b. Educate Kegel exercise
c. Insert new catheter
d. This feeling is normal and he should not try to urinate around the catheter.
Answer: d. This feeling is normal and he should not try to urinate around the catheter.
Description:When a client experiences bladder spasms during bladder irrigation with a three-way urinary catheter after prostatectomy, the best nursing advice is to reassure them that this feeling is normal and they should not try to urinate around the catheter. Bladder spasms can occur due to irritation from the catheter, and trying to urinate around it might worsen the discomfort.
11. Vaccination against mumps can prevent?
a. Varicocele
b. Orchitis
c. Undescended tests.
d. Hydrocele
Answer: b. Orchitis
Description:Most common cause of viral orchitis is the mumps. Vaccination against mumps can prevent orchitis
12. Complete absence of seminal fluid upon ejaculation is known as:
a. Aspermia
b. Asthenospermia
c. Azoospermia
d. Teratozoospermia
Answer: a. Aspermia
Description:The complete absence of seminal fluid upon ejaculation is known as aspermia. This condition results in the absence of semen during ejaculation.
13. Absence of sperm in the ejaculate is know is:
a. Teratozoospermia
b. Azoospermia
c. Asthenospermia
d. Aspermia
Answer: b. Azoospermia
Description:Azoospermia is a condition in which there is no sperm in the ejaculate. A patient has azoospermia if microscopic examination of two separate contracted semen sample reveals no sperm. Aspermia is the complete absence of seminal fluid upon ejaculation.
14. Asthenospermia is:
a. Failure to produce semen
b. Absence of sperms from the semen
c. Reduced sperm motility
d. Presence of sperm with abnormal morphology
Answer: c. Reduced sperm motility
Description:Asthenospermia refers to reduced sperm motility, where the sperm cells have difficulty moving properly. This can impact their ability to reach and fertilize an egg.
15. Presence of sperm with abnormal morphology that affects fertility in males:
a. Azoospermia
b. Teratozoospermia
c. Asthenospermia
d. Aspermia
Answer: b. Teratozoospermia
Description:The presence of sperm with abnormal morphology that affects male fertility is known as teratozoospermia. This condition involves sperm with structural abnormalities that can hinder their ability to fertilize an egg.
16. Normospermia refers to:
a. Immotile sperm
b. Dead sperm
c. Low sperm count
d. Absence of sperm
Answer: b. Dead sperm
Description:Normospermia refers to the presence of dead sperm in the semen. This condition indicates that although there are sperm present, they are not viable or alive, which can impact fertility.
17. Causes of infertility in males include:
a. Sexual dysfunction
b. Obstruction of the efferent duct
c. Defective spermatogenesis
d. All of the above.
Answer: d. All of the above.
Description:Causes of infertility in males include defective spermatogenesis (problems with sperm production), sexual dysfunction, and obstruction of the efferent duct (blocks in the pathways for sperm). Therefore, the correct answer is d) All of the above.
18. Hydrocele is
a. Collection of clear yellow fluid in scrotum
b. Collection of blood in the tunica vaginalis layer of testes
c. Dilation and varicosity of the network of veins supplying the testicles.
d. All of the above.
Answer: a. Collection of clear yellow fluid in scrotum
Description:Hydrocele is the collection of clear yellow fluid in the scrotum, leading to swelling. This condition can cause enlargement and discomfort in the scrotal area.
19. Hematocele is:
a. Collection of clear yellow fluid in scrotum
b. Collection of blood in the tunica vaginalis layer of testes
c. Dilation and varicosity of the network of veins supplying the testicles.
d. All of the above.
Answer: b. Collection of blood in the tunica vaginalis layer of testes
Description:Hematocele is the collection of blood in the tunica vaginalis layer of the testes. This can result in swelling and discomfort in the scrotal area due to the accumulation of blood.
20. Dilation of the pampiniform venous plexus and the internal spermatic vein is known as:
a. Varicose veins
b. Varicosities
c. Varicocele
d. Hematocele
Answer: c. Varicocele
Description:Dilation of the pampiniform venous plexus and the internal spermatic vein is known as a varicocele. This condition involves enlarged and twisted veins within the scrotum, potentially causing discomfort and affecting fertility.
21. “Bag of worms†feel in testis is characterized of:
a. Varicocele
b. Testicular malignancy
c. Hydrocele
d. Rotation of testis
Answer: a. Varicocele
Description:The sensation of a "bag of worms" feel in the testis is characteristic of a varicocele. This term describes the enlarged and twisted veins within the scrotum, giving a distinct texture resembling a bag of worms.
22. Varicocele is most commonly seen in:
a. Left side
b. Equally on left and right side
c. Right side
d. Always occurs on both side together
Answer: a. Left side
Description:Most varicoceles occur on the left side as result in the left spermatic vein draining into the left renal vein at 90 degree angle, compared to the right spermatic vein, which drains more directly into the inferior vena cava.
23. What is the common complication of varicocele?
a. Phimosis
b. Erectile dysfunction
c. Infertility
d. Cancer
Answer: c. Infertility
Description:The common complication of varicocele is infertility. Varicoceles can disrupt normal blood flow to the testicles, potentially leading to reduced sperm quality and production, which can affect a man's fertility.
24. Infertility is defined as pregnancy doesn’t occur even after having regular unprotected sex over the period of:
a. Eighteen months
b. Six months
c. Twelve months
d. Nine months
Answer: c. Twelve months
Description:Infertility is defined as pregnancy not occurring even after having regular unprotected sex over the period of twelve months. This duration allows for a medical evaluation to determine potential underlying causes of the fertility issue.
25. Post-testicular cause of infertility includes:
a. Testicular torsion
b. Varicocele
c. Congenital blockage of vas deferens
d. Hormonal problems
Answer: c. Congenital blockage of vas deferens
Description:Post-testicular cause of infertility in male includes problem with structures distal to testiest such as congenital blockage vas deference. Hormonal problems are pretesticular, varicocele and testicular torsion are testicular cause of infertility.
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