Mens health

Question 1

BPH presentation is

Answer 1

urinary frequency, hesitancy, nocturia, postvoid dribbling and weak stream

Question 2

on digital rectal exam the prostate feels

Answer 2

non-tender, enlarged, symmetrical rubbery prostate

Question 3

Treatment for BPH

Answer 3

Alpha aldrogergic blockers
(zosin)
terazosin - take them at bedtime

Question 4

5 alpha reducaste inhibitors

Answer 4

Finesteride (proscar) - take 6 months for full effect

Question 5

Herbal supplent for BPH is

Answer 5

Saw Palmetto

Question 6

Acute Bacterial Prostatitis

Answer 6

Do not massage the prostate

Question 7

acute bacterial prostatitis treatment

Answer 7

STI - treat
bactrim or levaquin

Question 8

Testicular cancer is diagnosed in

Answer 8

younger to middle age

Question 9

Testicular cancer is usually a

Answer 9

firm , fixed, painless nodule

Question 10

Biggest risk factor for testicular cancer is

Answer 10

crypotorchodism

Question 11

epididymitis presentation

Answer 11

unilateral testicular pain
positive phrens sign

Question 12

epididymtiits tx

Answer 12

usually STI related treat with rocephin or doxy - younger than 35
older than 35 treat with fluroquinolones usually bacterial

Question 13

hydrocele

Answer 13

fluid around the fluid and testicles
can occur in infants
painless swelling and heaviness of scrotum
DX tool is transillumination

Question 14

varicocele

Answer 14

enlargement of veins in the scrotum
feels like a bag of worms
dx - physical, US

Question 15

Balanitis is

Answer 15

swelling of glans penis
risk - poor hygiene, diabetes, uncircumcised
Common cause - candida - fungal infection
treatment is usually antifungal

Question 16

Peyronies disease

Answer 16

curvature of penis due to fibrous scar tissue
Erections become painful
Refer to urology

Question 17

medication to treat peryronies disease is

Answer 17

collagenase Clostridium histolyticum (Xiaflex).

Question 18

Priapism has what

Answer 18

painful erection over 4 hours

Question 19

Who is higher risk of priapism

Answer 19

sickle cell anemia patients

Question 20

treatment for ED is

Answer 20

PDE (penis doesnt erect)- 5 inhibitors
Viagra
do cardiac work up

Question 21

what is contraindicated in PDE

Answer 21

nitrate

Question 22

When diagnosing a patient with erectile dysfunction, the nurse practitioner knows which of the following questions would best determine a psychogenic cause?

Answer 22

do you ever wake up with an erection? Evaluating the patient’s ability to experience an erection while sleeping can help to determine a psychogenic cause of erectile dysfunction (ED).

Question 23

BPh first tretment

Answer 23

Zosins - flomax, hytrin
Take at bedtime

Question 24

what med shrinks the prostate

Answer 24

Proscar - finasteride (5 alpha reducate inhibitors0

Question 25

PSA cut off before we refer out

Answer 25

4

Question 26

Clozapine is most likely to produce

Answer 26

galactorrhea

Question 27

A patient reports taking saw palmetto for relief of benign prostatic hyperplasia. The patient states that the saw palmetto is no longer providing much relief and they would like to try a pharmaceutical drug. What is the nurse practitioner’s first choice in treatment of this patient?

Answer 27

Doxazosin (cardura)

Question 28

first line med for ED is

Answer 28

PDE - 5 inhibitors (penise doesnt erect)
Sildenafil (viagra)
Cardiovascular issues

Question 29

what drug is contraindicated to be on viagra

Answer 29

nitrates - they can not take PDE - 5 inhibitors

Question 30

BPH meds

Answer 30

Alpha blockers (zosin) go to because they provide quick relief
Terazosin (hytrin) any zosin meds
Take before bed due to ortho hypo

Question 31

Hytrin is also use for

Answer 31

BPH and HTN

Question 32

5 alpha reductase inhiborts do what

Answer 32

shink prostate, but takes longer
(finasteride) proscar
causes impotence and ED
Do not give to pregant women or do not touch

Question 33

BPH to give for BPH herbal

Answer 33

saw palmetto