Apea 3p Exam Prep-Nephrology/gu Questions With Correct Answers And Explanations

APEA 3P Exam Prep-Nephrology/GU Questions withCorrect Answers and ExplanationsA 79-year-old female patient with urinary frequency is found to have a UTI. What medication could produce arrhythmias in her?DoxycyclineAmoxicillinCiprofloxacin MacrodantinCiprofloxacin is a quinolone antibiotic. All quinolones have the potential to produce prolongation of the QT interval. It should be prescribed with caution in older adults.Mrs. Jackson complains of urinary incontinence when she laughs or sneezes. What should be used first line to treat her symptoms?Kegel exercises Prescribe oxybutyninAvoid caffeine and alcoholMinimize fluids at nighttimeThis patient has stress incontinence. The first-line approach with these patients is toattempt to strengthen the pelvic floor muscles. Appropriate performance of Kegel exercises is key. Prescribing an anticholinergic might worsen incontinence because itwill cause urinary retention. Avoiding caffeine and alcohol is especially helpful for people with urge incontinence, but could have a minimal benefit for this patient. However, this does not address the underlying problem, weak pelvic muscles. Minimizing fluids at nighttime will help if nocturia is a problem.A 76-year-old male presents with urethral irritation after voiding. If sexually transmitted diseases and urinary tract infection are ruled out, what is another etiology?Acute bacterial prostatitisChronic prostatitis EpididymitisAsymptomatic bacteriuriaChronic prostatitis can produce these symptoms. Sometimes this is accompanied byperineal