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CBUNA Certified Urologic Nurse Practitioner
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Which of the following body systems is primarily involved in allergy and immunology disorders?
Integumentary system
Cardiovascular system
espiratory system wer: D
anation: Allergy and immunology disorders primarily involve the ratory system. Conditions such as allergic rhinitis, asthma, and allergi chitis affect the airways and lungs, leading to symptoms such as whee hing, and difficulty breathing.
ch of the following conditions is characterized by excessive accumulat on in the body, leading to organ damage and dysfunction?
halassemia emochromatosis ckle cell disease
on-deficiency anemia
Gastrointestinal system
R
Ans Expl
respi c
bron zing,
coug
Whi ion
of ir
T
H
Si
Ir
Answer: B
Explanation: Hemochromatosis is a condition characterized by excessive accumulation of iron in the body, leading to organ damage and dysfunction. It is usually caused by a genetic mutation that affects iron metabolism and
absorption.
Which of the following activities is within the scope of practice of a certified urologic nurse practitioner?
onducting physical examinations and taking medical histories erforming open surgical procedures for renal stones dministering general anesthesia for urologic surgeries
wer: B
anation: Conducting physical examinations and taking medical histori n the scope of practice of a certified urologic nurse practitioner. They cial role in the assessment and diagnosis of urologic conditions but do orm surgical procedures or prescribe chemotherapy. Anesthesia nistration is typically the responsibility of an anesthesiologist.
-year-old male presents with painless hematuria. On further evaluatio renal mass is identified. The nurse practitioner suspects renal cell noma. Which of the following is the most common histologic subtype
Prescribing chemotherapy for genitourinary cancers
C
P
A
Ans
Expl es is
withi play
a cru not
perf admi
A 55 n, a
solid
carci of
renal cell carcinoma?
Papillary carcinoma
Clear cell carcinoma
Chromophobe carcinoma
Collecting duct carcinoma
Answer: B
Explanation: Clear cell carcinoma is the most common histologic subtype of renal cell carcinoma, accounting for approximately 75% of cases. It is characterized by clear cytoplasm and nests or sheets of polygonal cells.
-year-old male presents with persistent low back pain and numbness i leg. Magnetic resonance imaging (MRI) reveals a herniated disc at th vel. The nurse practitioner suspects compression of the right L5 nerv Which of the following physical examination findings would be cons his diagnosis?
ecreased sensation over the medial leg and foot oss of anal sphincter tone
iminished patellar reflex eakness of ankle dorsiflexion
wer: D
anation: Weakness of ankle dorsiflexion would be consistent with pression of the right L5 nerve root. The L5 nerve innervates the muscl onsible for ankle dorsiflexion, and compression of the nerve can result kness in this movement.
A 40 n his
right e L5-
S1 le e
root. istent
with t
D
L
D
W
Ans Expl
com es
resp in
wea
Which of the following structures is responsible for detecting sound vibrations and transmitting them to the brain for interpretation?
Auditory ossicles
Eustachian tube
Tympanic membrane
Cochlea Answer: D
ory cells called hair cells that convert mechanical vibrations into electr als, which are then transmitted to the brain via the auditory nerve.
ch of the following hormones is primarily responsible for regulating b ure and fluid balance?
ldosterone strogen
hyroid hormone nsulin
wer: A
anation: Aldosterone, a hormone produced by the adrenal glands, is arily responsible for regulating blood pressure and fluid balance. It ac idneys to increase the reabsorption of sodium and water while promot
Explanation: The cochlea, located in the inner ear, is responsible for detecting sound vibrations and transmitting them to the brain forinterpretation. It contains sens ical
sign
Whi lood
press
A
E
T
I
Ans Expl
prim ts on
the k ing
the excretion of potassium.
A 32-year-old female presents with pelvic pain, dyspareunia, and infertility. On pelvic examination, the nurse practitioner notes tender nodules and adhesions on the posterior vaginal wall. The patient's symptoms are most consistent with
which of the following conditions?
Pelvic inflammatory disease (PID)
Polycystic ovary syndrome (PCOS)
Endometriosis
Ovarian cyst
wer: C
anation: The patient's symptoms of pelvic pain, dyspareunia, and tility, along with the presence of tender nodules and adhesions on the erior vaginal wall, are consistent with endometriosis. Endometriosis is acterized by the presence of endometrial tissue outside the uterus, lead flammation, scarring, and adhesions.
-year-old male presents with sudden-onset severe chest pain radiating ack. On examination, blood pressure in the right arm is significantly er than in the left arm, and a widened pulse pressure is noted. The nur itioner suspects an aortic dissection. Which of the following imaging es is the most appropriate initial test to confirm the diagnosis?
omputed tomography angiography (CTA) chocardiography
Ans Expl
infer post
char ing
to in
A 65 to
the b
high se
pract studi
C
E
Chest x-ray
Magnetic resonance imaging (MRI)
Answer: A
Explanation: Computed tomography angiography (CTA) is the most
appropriate initial test to confirm the diagnosis of aortic dissection. It provides detailed imaging of the aorta and can identify the location, extent, and complications associated with the dissection.
alaria uberculosis yphilis
yme disease wer: D
anation: Lyme disease is caused by a spirochete bacterium called Borr dorferi and is transmitted to humans through the bite of infected ticks, arily the deer tick (Ixodes scapularis). It is characterized by symptoms sh, fever, fatigue, and joint pain.
tient presents with a red, raised, and itchy rash on the skin after using kincare product. The nurse practitioner suspects an allergic contact atitis. Which of the following is the most appropriate initial managem
Which of the following infectious diseases is caused by a spirochete bacterium and is transmitted to humans through the bite of infected ticks?
M
T
S
L
Ans
Expl elia
burg
prim such
as ra
A pa a
new s
derm ent
for this patient?
Prescribe a topical corticosteroid cream
Recommend oral antihistamines for symptom relief
Perform patch testing to identify the specificallergen
Advise the patient to discontinue using the skincare product
ch of the following genetic disorders is caused by an abnormality in th ber of sex chromosomes, resulting in a male individual having an extr mosome (XXY)?
own syndrome urner syndrome linefelter syndrome ragile X syndrome
wer: C
anation: Klinefelter syndrome is a genetic disorder caused by an rmality in the number of sex chromosomes, resulting in a male indivi ng an extra X chromosome (XXY). It is characterized by features such
Explanation: The most appropriate initial management for a patient with suspected allergic contact dermatitis is to advise the patient to discontinue using the skincare product that is causing the reaction. This helps remove the source of the allergen and prevent further exposure. Additional interventions, such as topical corticosteroids or patch testing, may be considered depending on the severity and persistence of symptoms.
Whi e
num a X
chro
D
T
K
F
Ans Expl
abno dual
havi as
tall stature, gynecomastia (enlarged breasts), small testes, and infertility.
A 2-year-old child is brought to the clinic with recurrent episodes of fever, abdominal pain, and joint swelling. On laboratory testing, the child is found to have an elevated white blood cell count and elevated serum uric acid levels.
Familial Mediterranean fever
Henoch-Schönlein purpura
Systemic lupus erythematosus (SLE)
anation: Familial Mediterranean fever is a genetic disorder characteriz current episodes of fever, abdominal pain, and joint swelling. It is mo mon in individuals of Mediterranean descent. Elevated white blood cel and elevated serum uric acid levels are commonly seen during episo
disease.
ch of the following gastrointestinal disorders is characterized by chron mmation and ulceration of the inner lining of the colon and rectum?
rohn's disease
ritable bowel syndrome (IBS) iverticulitis
lcerative colitis
wer: D
Acute lymphoblastic leukemia Answer: A
Expl ed
by re re
com l
count des
of the
Whi ic
infla
C
Ir
D
U
Ans
Explanation: Ulcerative colitis is characterized by chronic inflammation and ulceration of the inner lining of the colon and rectum. It typically involves continuous areas of the colon and presents with symptoms such as bloody diarrhea, abdominal pain, and urgency to have a bowel movement. Crohn's disease, on the other hand, can affect any part of the gastrointestinal tract and is characterized by patchy inflammation and the formation of strictures or fistulas.
enal ultrasonography
agnetic resonance imaging (MRI) of the kidneys oiding cystourethrogram (VCUG)
rine culture and sensitivity
wer: C
anation: VCUG is the most appropriate diagnostic test to confirm the nosis of vesicoureteral reflux (VUR) in children with recurrent UTIs. I ws visualization of the urinary tract and the detection of reflux of urine
the bladder into the ureters and kidneys.
ch of the following nutrients is essential for the synthesis of collagen, tural protein found in connective tissues?
A 7-year-old child presents with a history of recurrent urinary tract infections (UTIs). The nurse practitioner suspects vesicoureteral reflux (VUR) as the underlying cause. Which of the following diagnostic tests is most appropriate to confirm the diagnosis?
R
M
V
U
Ans Expl
diag t
allo from
Whi a
struc
Calcium
Vitamin D
Iron
Vitamin C Answer: D
Explanation: Vitamin C is essential for the synthesis of collagen, a structural protein found in connective tissues. It plays a crucial role in maintaining the integrity and strength of connective tissues, including skin, tendons, ligaments, and blood vessels.
-year-old male presents with urinary frequency, urgency, and nocturia rts a weak urinary stream and difficulty initiating urination. On physic mination, the prostate is enlarged and smooth. The nurse practitioner ects benign prostatic hyperplasia (BPH). Which of the following
cations is the most appropriate initial treatment option for this patient
inasteride oxazosin amsulosin erazosin
wer: C
anation: Tamsulosin, an alpha-1 adrenergic antagonist, is the most opriate initial treatment option for a patient with BPH. It helps relax t oth muscles of the prostate and bladder neck, improving urinary flow a cing symptoms.
A 45 . He
repo al
exa susp
medi ?
F
D
T
T
Ans Expl
appr he
smo nd
redu
A 25-year-old female presents to the clinic with symptoms of burning and itching in the vaginal area. On examination, the nurse practitioner notes a thick, white, cottage cheese-like discharge. The patient's symptoms are most consistent with which of the following infections?
Trichomoniasis
Candidiasis (yeast infection)
Bacterial vaginosis
Chlamydia
anation: The patient's symptoms of burning, itching, and a thick, whit ge cheese-like discharge are consistent with candidiasis, also known a infection. It is caused by an overgrowth of Candida, a type of fungus aginal area.
Answer: B
Expl e,
cotta s a
yeast , in
the v