A nurse practitioner has a 30-year-old male patient presenting ...

[naturalchemist]

A nurse practitioner has a 30-year-old male patient presenting with fever and chills, urinary frequency and urgency, and pain with urination. A urine sample displays cloudy and foul-smelling urine.
 
  During digital rectal exam of the prostate, the nurse notes a thick white discharge. A likely diagnosis would be
  A)
  urinary tract infection requiring a prescription of sulfur drugs.
  B)
  acute bacterial prostatitis requiring antimicrobial therapy.
  C)
  testicular cancer requiring appointment with an urologist.
  D)
  inflammation of the epididymis requiring scrotal elevation.

Question 2

A 40-year-old woman with gray, runny vaginal discharge that has a foul, fishy odor has been told that she most likely has vaginosis. Which of the following phenomena most likely contributed to her present condition?
 
  A)
  Unprotected sex with a new partner who is a carrier of the relevant bacteria.
  B)
  Autoinoculation from a cold sore, wart, or oral fungal infection.
  C)
  A sharp reduction in the number of lactobacilli in the client's vaginal flora.
  D)
  Proliferation of sexually transmitted protozoa.

[hanadaa]

Answer to Question 1

Ans:
B

Feedback:

Manifestations of acute bacterial prostatitis include fever and chills, malaise, frequent and urgent urination, and dysuria. The urine may be cloudy and malodorous because of urinary tract infection. Rectal examination reveals a swollen, tender prostate. During exam, prostatic massage produces a thick discharge with WBCs that grow a large numbers of pathogens on culture.

Answer to Question 2

Ans:
C

Feedback:

Vaginosis is a disorder characterized by a shift in the vaginal flora from one dominated by hydrogen peroxide-producing Lactobacillus to one with greatly reduced numbers of Lactobacillus species and an overgrowth of other organisms. Autoinoculation or sexual transmission of bacteria or protozoa is unlikely to contribute.