Unit 6 Flashcards
Is acute prostatitis more likely in younger or older men
younger
True or false: prostatitis does not affect fertility
false, it is possible it can cause infertility
what finding would you expect on a digital rectal exam in prostatitis
prostate is boggy, warm, tender, or enlarged
why does prostatitis cause UTI like symptoms such as frequency, urgency and nocturia
the inflammed prostate compresses the urethra
what class of abx is ciprofloxicin
fluroqionolone
if patient is allergic to fluroqionolones, what is next line for treatment of prosatitis
sulfa drugs (septra)
what is first line abx choice for prostatitis
fluroqionolones
besides abx, what other medications may be used in chronic prostatitis
anti inflammatories and alpha blockers
why are alpha blockers used in chronic prostatitis
help dilate urethra that is being compressed by the inflammed prostate
besides aging, what else can cause low T
diabetes, obesity, infection, kidney or liver disease, CA
what is first line treatment for ED
PDE5 inhibitor
Tadalafil is what class of medication
PDE5 inhibitor
What is the MOA of PDE5 inhibitors
inhibits phosphodiesterase enzymes in endothelial layer of penis which causes cAMP and cGMP to rise and Ca to decrease resulting in smooth muscle relaxation
What medication should not be used with PDE5 inhibitors and why
nitrates as it potentiates the vasoactive properties and can lead to severe hypotension
True or false: testosterone therapy can improve bone denisty
true
