Clinical Knowledge

Question 1

Tumor localized to prostate and not felt on DRE

Answer 1

T1

Question 2

Tumor is localized and detectable on DRE

Answer 2

T2

Question 3

Locally advnaced disease w extracapsular

Answer 3

T3

Question 4

Cancer has advnaced to local strutures

Answer 4

T4

Question 5

What is the PSA threshold for concern

Answer 5

4

Question 6

Two types of BX

Answer 6

1. transperineal2. transrectal

Question 7

Gleason 6 risk

Answer 7

low

Question 8

Immediate/favorable gleason

Answer 8

7 3+4

Question 9

Intermediate/non-favorable

Answer 9

4 + 3

Question 10

High Gleason Score

Answer 10

8

Question 11

Very high Gleason

Answer 11

10-Sep

Question 12

Describe targeted tissue after ablation

Answer 12

Fibrotic

Question 13

Thickening of the rectal wall caused by abnormal heating

Answer 13

Symp[tomatic Edema

Question 14

What does levels of “red” mean on Hausdoff Distance Scale

Answer 14

less similar

Question 15

what does levels of “blue” mean on Hausdoff Distance Scale

Answer 15

More simular

Question 16

MRI image that splits body between left/right vertical side view

Answer 16

longitudinal

Question 17

MIR Image that devidesthe body from head to tail, horizontal plane from top down

Answer 17

transverse

Question 18

Gland that produces seminal fluid

Answer 18

prostate

Question 19

Prostate location 2

Answer 19

1. behind pubis2. infront of rectum

Question 20

PSA less than 10Gleason 6 or less ANDStage T1c/T2a

Answer 20

low rish

Question 21

PSA between 10 and 20Gleason 7 ORT2b

Answer 21

Medium risk

Question 22

DX PSA Greater than 20Gleason 8 ORT2c/T3

Answer 22

High Risk

Question 23

used to predict the aggressiveness of cancer from BX

Answer 23

Genomic test

Question 24

Low Risk on Decipher Scale

Answer 24

0-.45

Question 25

High Risk on Decipher Scale

Answer 25

.6-1

Question 26

Identifies enlarged nodes or abnormalities

Answer 26

CT + PET

Question 27

Can detect evidence of spread to nodes and bones

Answer 27

MRI

Question 28

stageHalf or less of one glandMore than half of lobe but not both sidesCancer found in both lobes

Answer 28

T2

Question 29

stageCancer spread through capsule, not into the SVSpread to both sides

Answer 29

T3

Question 30

stageCancer found in bladder neck, external sphinxtor or rectumSpread to pelvic floor/wall

Answer 30

T4

Question 31

The lowest point narrow of prostate at sphincter

Answer 31

anatomyical apex

Question 32

Widest point of the prostate against the inferior surface of the bladder

Answer 32

base

Question 33

4 potential reasons for a high PSA and no cancer

Answer 33

1. UTI2. Stimulation3. Exercise4. medication

Question 34

How much can the MRi underestimate tumor size

Answer 34

6-9 mm

Question 35

Active survallience patient type

Answer 35

1. Low risk disease2. more t han 10 years to live3. Young and active

Question 36

T3b

Answer 36

SV inclusion

Question 37

T2c

Answer 37

Both sides of prostate have disease

Question 38

T2b

Answer 38

More than half, but not on both lobes

Question 39

T2a

Answer 39

Half or less one side

Question 40

T1c

Answer 40

Found on both lobes

Question 41

What does Gleason Score represent

Answer 41

Agressivness of disease

Question 42

Howq is the Gleason score determined from BX

Answer 42

Ranges 1-5 and dscribes how much disease is in each core

Question 43

What do pathologists look for when grading BX cores

Answer 43

1. abnormal growth2. Uncontrolled Proliferation of cells

Question 44

Gleason 1

Answer 44

slow growing, non-aggressive cancer

Question 45

Gleason 2

Answer 45

1. shows more space between glands2. slight irregularity3. slow growing

Question 46

Gleason 3

Answer 46

Intermediate forma of cancer, not aggressive

Question 47

FIrst number on Gleason represents

Answer 47

most prevelont form of cancer

Question 48

second Gleason number represents

Answer 48

Less prevelant form of cancer

Question 49

Gleason score for active survallience

Answer 49

less than 63 + 4

Question 50

Gleason score requiring immediate therapy

Answer 50

4+3 or above 8

Question 51

What does a 4K test measure

Answer 51

cancer aggressiveness

Question 52

Workflow for elevated PSA

Answer 52

1. re-test2. MRI/4K test3. Targeted BX

Question 53

Used to optimize the size of ablative lesion, while perserving rectum and surrounding structures

Answer 53

HIFI parameters

Question 54

Tempature that destroys tissue C

Answer 54

80-95

Question 55

Walnut size gland that produces seminal fluid

Answer 55

Prostate

Question 56

What percentage of lesions are located in posterior prostate

Answer 56

80