Nursing NR 509 APEA Exam - UROLOGY Question and Answers with Explanations (CORRECT ANSWERS ARE HIGHLIGHTED) Question 1 In men, painful urination without frequency or urgency suggests: A.cystitis. B.urethritis. C.constipation. D.acute prostatitis. Explanation: In men, painful urination without frequency or urgency suggests urethritis. Cystitis presents with frequency and urgency. Constipation usually does not present with urinary tract symptoms. Acute prostatitis presents with frequency, urgency, and dysuria. Question 2 A 65-year-old woman complains that when she feels the urge to urinate, she has to go immediately or else she urinates "on herself". She has become homebound because she wants to stay close to the bathroom. This condition is termed: A.functional incontinence.B.overflow incontinence. C.urge incontinence. D.stress incontinence. Explanation: In urge incontinence, (overactive bladder), urgency is followed by immediate involuntary leakage due to uncontrolled detrusor contractions that overcome urethral resistance. Following an urge to void, there is an involuntary loss of urine since the patient cannot get to the toilet quickly enough. Overflow incontinence is associated with a neurological or anatomical obstruction from pelvic organs or the prostate which limits bladder emptying and causes an overdistended bladder. Stress incontinence is commonly seen in women and arises from decreased intraurethral pressure. This condition is