Men's health

Question 1

s/s of BPH

Answer 1

decreased in force of urine stream, hesitancy, post void dribbling, frequency

Question 2

prostate in BPH

Answer 2

firm, smooth, symmetrically enlarged

Question 3

factors that can increase PSA levels

Answer 3

ejaculation, cycling, prostate infection, massage

Question 4

factors that can decrease PSA levels

Answer 4

bed rest, 5alpha-reductase inhibitors

Question 5

PSA levels after a DRE

Answer 5

increase but clinically insignificant. Okay to have labs drawn after DRE

Question 6

disease that can cause an elevated PSA

Answer 6

BPH, prostate cancer, prostate infection

Question 7

decrease bladder outlet obstruction

Answer 7

alpha-adrenergic antagonists

Question 8

reduce the size of the prostate

Answer 8

5-alpha-reductase inhibitors

Question 9

ex of alpha-adrenergic antagonists

Answer 9

terazosin (Hytrin), tamsulosin (Flomax), doxazosin (Cardura)

Question 10

education to give when rx alpha-adrenergic antagonists

Answer 10

take at bedtime, may cause 1st dose orthostatic hypotension

Question 11

education to give about 5-alpha reductase inhibitors

Answer 11

may take 6-12 months to see benefit

Question 12

ex of 5-alpha reductase inhibitors

Answer 12

duasteride, finasteride (Proscar)

Question 13

uro specific alpha blocker

Answer 13

tamsulosin (Flomax)

Question 14

precaution with tamsulosin (Flomax)

Answer 14

sulfa allergy

Question 15

Causes of acute prostatitis

Answer 15

E. coli (most common), Proteus, chlamydia, trich

Question 16

s/s of acute prostatitis

Answer 16

fever, chills, malaise, lower abd/pelvic pain, dysuria, pain with defecation, hematuria

Question 17

prostate in acute prostatitis

Answer 17

enlarged, boggy, and tender

Question 18

medication for acute prostatitis

Answer 18

TMPS or cipro x 6 weeks; if no improvement in 2-6 days, REFER

Question 19

defer PSA after acute prostatitis for

Answer 19

1 month after treatment

Question 20

prostate in chronic prostatitis

Answer 20

normal

Question 21

risk factors for prostate cancer

Answer 21

older age, African American, family hx

Question 22

prostate in prostate cancer

Answer 22

asymmetry, induration, nodules

Question 23

New onset erectile dysfunction

Answer 23

indicate a DRE to r/o prostate cx

Question 24

Normal PSA is

Answer 24

less than 4.0

Question 25

causes of noninfectious epididymitis

Answer 25

prolonged sitting (car/plane trip, desk job)

Question 26

causes of infectious epididymitis

Answer 26

chlamydia or gonorrhea

Question 27

s/s of epididymitis

Answer 27

gradual development of scrotal pain, dysuria, discharge, tender/enlarged/indurated epididymis

Question 28

diagnostic for epididymitis

Answer 28

UA: will be normal in noninfectious, pyuria in infectious;

Ultrasound

Question 29

trx for noninfectious epididymitis

Answer 29

scrotal support, ice, NSAIDs

Question 30

trx for infectious epididymitis

Answer 30

ceftriaxone 250 mg IM and doxycycline 100 mg bid x 10 days

Question 31

f/u with epididymitis

Answer 31

if no improvement in 3 days then refer

Question 32

s/s of inguinal hernia

Answer 32

scrotal mass with active bowel sounds in scrotum

Question 33

s/s of testicular torsion

Answer 33

sudden onset of tesituclar pain, N/V, absent cremasteric reflex

Question 34

trx for testicular torsion

Answer 34

must be referred and trx within 4-6 hours

Question 35

risk factors for testicular cx

Answer 35

men 15-30 years old, hx of cryptorchidism, family hx

Question 36

trx for testicular cx

Answer 36

radical orchiectomy

Question 37

management with 5alpha reductase inhibitors

Answer 37

check baseline PSA

Question 38

avoiding given alpha adrenergic blockers with

Answer 38

PDE5 meds for ED

Question 39

renal carcinoma risk factors

Answer 39

black men, smokers, family hx

Question 40

bladder cancer risk factors

Answer 40

white older men, smokers

Question 41

refer if testicle has not descended by age

Answer 41

6 months