Question 1 Sarah tested positive for an

Question 1 Sarah tested positive for an inherited genetic mutation for breast cancer, the BRCA1. She wants to know how she got this genetic mutation. What will you tell her? Question 2 Sam is a pleasant 72-year-old male who comes in with his wife. His wife states that he is getting up “at least seven to eight times a night to pee.” What ROS questions would you ask Sam? Please list at least four. Question 3 Ben is your 85-year-old patient with mild BPH. Name at least two classes of medications that Ben should avoid that could make voiding with BPH more difficult. Question 4 Clark is a 72-year-old patient who complains of worsening symptoms of BPH, his nocturia has increased significantly over the past year. He would like to try a medication to ease these symptoms. List two medications you would consider for him and describe the mechanism of action for the two medications you chose. Question 5 Mary is a 67-year-old post-menopausal female who complains of vaginal dryness, vulvar and vaginal itching, urinary frequency, blood-tinged vaginal discharge, and dyspareunia. What would be your primary diagnosis? Question 6 A 79-year-old patient presents with cramping abdominal pain, nausea, and vomiting for 4 days. List at least three (3) differential diagnoses. Question 7 Maggie is a 70-year-old female who presents for a routine checkup. She admits she has not been to a health care provider for 10 years. Describe at least four (4) important ROS questions you will ask this older female about her genitourinary and reproductive system. Question 8 Would you perform a pap smear on June, your 69-year-old patient? (She has had normal pap smears in the past.) Question 9 Your 75-year-old female patient calls to complain of “a pain in my right side that won’t go away.” She tells you she has had nausea, vomited twice in 2 days, feels terrible, and cannot eat. When you examine her, she has a positive Murphy’s sign. What diagnostic test would you order? Question 10 Sarah’s breast cancer is staged at 0. How would you explain this to her?

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