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M/S 2 > Exam 5 - Mens Health > Flashcards

Exam 5 - Mens Health Flashcards

1
Q

prostate gland encircles the ___

A

urethra

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2
Q

what are the 4 categories of prostatitis

A

acute bacterial
chronic bacterial
chronic/chronic pelvic pain syndrome
asymptomatic inflammatory prostatitis

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3
Q

organisms that can cause prostatitis

A

E coli
Klebsiella
Pseudomonas
Gonorrhea
Chlamydia
Group B strep

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4
Q

s/sx of prostitis

A

fever
chills
dysuria
urgency
pain (back, perineal)
cloudy urine

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5
Q

abx treatment length for acute and chronic prostitis

A

A: 4 weeks
C: 8-12 weeks

educate: eat yogurt to prevent yeast infection

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6
Q

s/sx of ED

A

inability to attain, maintain erection
sudden, gradual onset
anger
anxiety
depression

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7
Q

what must you ask all men > 20 y/o if they’ve been given nitro?

A

if they’ve taken erectogenic meds within the last 24 hours

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8
Q

what can be taken for a HA following erectogenic meds

A

Tylenol

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9
Q

what meds to avoid if taking Viagra (Sildenafil) or Levitra (vardenafil HCl)

A

nitrates
caution: alpha-blockers

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10
Q

what meds to avoid with Tadalafil (Cialis)

A

nitrates
Alpha-blockers
erythromycin
rifampincin
ketoconazole
itraconazole
protease inhibitors

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11
Q

retrograde ejaculation

A

seminal fluids discharged into the bladder

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12
Q

what medication for BPH can cause retrograde ejaculation

A

tamsulosin (Flomax)

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13
Q

BPH risk factors

A

age
family hx
environment
diet

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14
Q

s/sx of BPH

A

gradual/insidious onset
urinary frequency
urgency
dysuria
bladder pain
nocturia
incontinence
incomplete emptying
difficulty initiating voiding
dribbling
force of stream

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15
Q

when should you start checking for BPH

A

45 y/o

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16
Q

complications r/t BPH

A

UTI
calculi
renal failure r/t hydronephrosis
acute urinary retention
–sudden inability to void

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17
Q

conservative care “watching waiting” re: BPH

A

change diet
avoid decongestants
avoid anticholinergics
restrict evening fluid intake
re-examine annually

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18
Q

review BPH meds - slides 13-15

A

review BPH meds - slide 13-15

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19
Q

most invasive treatment for BPH

A

TURP

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20
Q

TURPS acronym

A

T ubes
U rinary output
R ed drainage
P ieces of clots
S pasms

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21
Q

how long for hospitalization after TURP

A

24-48 hours

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22
Q

how long are blood clots expected with TURP

A

24-36 hours

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23
Q

BPH TURP home care

A

may go home with foley, cath care
Kegel’s
2-3 L fluid/day
prevent constipation
avoid heavy lifting
avoid prolong sitting, driving
refrain from sexual activity
avoid ASA, NSAIDS x2 weeks
avoid alcohol

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24
Q

health promotion re: BPH

A

DRE (> 50 unless AA, then >45)
decrease alcohol, caffeine
avoid pseudoephedrine, phenylephrine
urinate q2-3h
Kegal
normal fluid intake
post residual void

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25
Q

prostate cancer risk factors

A

age
African American
family hx
high fat, low veggie diet
genetic variants (8q24, HoXB13, G8r, BRCA2)

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26
Q

prostate cancer s/sx

A

usually asymptomatic
like BPH
if in bone, pain

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27
Q

normal PSA

A

0-4

28
Q

PSA for BPH

A

4-19

29
Q

PSA for prostate cancer

A

10-20

30
Q

prostate cancer drugs - slide 39-42

A

prostate cancer drugs - slide 39-42

31
Q

how long is external radiation needed for prostate cancer

A

5 days week x4-8 weeks

most common

32
Q

brachytherapy care for prostate cancer

A

foley x3 days
drain foley or void into strainer to remove “radioactive seeds”
“seeds” must be in a glass jar
assigned bathroom
no one to sit on their lap
no sexual activity

33
Q

complications r/t radical prostatectomy

A

ED
incontinence
hemorrhage
urinary retention
infection
wound dehiscence
DVT

34
Q

infection of the testicle often cause by a virus or bacteria

A

orchitis

35
Q

s/sx of orchitis

A

pain
swelling
feeling of heaviness in scrotum
fever

36
Q

common viruses r/t orchitis

A

mumps
flu
TB
STD

37
Q

orchitis viral and bacterial treatment

A

V: rest, pain meds

B: abx, pain meds

38
Q

epididymitis cause in men < 35

A

e coli
c trachomatis
N gonorrhoeae

39
Q

epididymitis cause in men > 35

A

BPH
UTI
prostitis

40
Q

epididymitis risk factors

A

surgical procedures of urinary tract
—STD, UTI
uncircumcised
foley use

41
Q

s/sx of epididymitis

A

pain (lower abdomen)
edema
erythema
low grade fever

42
Q

testicular torsion is a ___ ___

A

medical emergency

43
Q

cause of testicular torsion

A

spontaneous
trauma
physical exertion

sudden pain will develop over 1-2 hours with our without event

44
Q

2 types of testicular cancer

A

germinal (seminoma, nonseminomas)

nongerminal

45
Q

s/sx of testicular cancer

A

enlargement of 1 testicle with discomfort
abdominal ache
heaviness
mass, lump
back, lower abdominal pain

46
Q

most common age group for testicular cancer

A

15-35

47
Q

testicular cancer risk factors

A

cryptochidism
HIV
common in twin brothers

48
Q

T or F. Testicular cancer is highly treatable and curable.

A

True

49
Q

where may testicular cancer spread

A

retroperitoneal lymph nodes
liver

50
Q

build up of fluid around the testicles

A

hydrocele

d/t trauma, infection, tumors
fertility NOT affected

51
Q

cyst on the epididymis

A

spermatocele

d/t trauma, infection
fertility NOT affected

52
Q

dilation of a vein in the spermatic cord (varicose vein)

A

varicelocele

53
Q

varicelocele treatment

A

clip the veins

54
Q

varicelocele s/sx

A

scrotal heaviness
pain

55
Q

T or F. Varicelocele causes infertility d/t to decrease blood flow

A

True

56
Q

constriction of the foreskin

A

phimosis

r/t HM, poor hygiene

57
Q

constriction of the foreskin, unable to cover the glans penis

A

paraphimosis

58
Q

inflammation of the foreskin/head of the penis

A

balanitis

59
Q

what is given for an erection that has lasted less than 4 hours

A

decongestants

60
Q

primary cause of priapism

A

tumors
infection
trauma

61
Q

secondary cause of priapism

A

blood, neurological disorders
renal failure
medications

62
Q

priapism treatment

A

ice saline enemas
IV ketamine
spinal anesthesia
aspiration of blood from corpus
vascular shunts

63
Q

cancer of the penis risk factors

A

uncircumcised
10+ sexual partners
poor hygiene
phimosis
balanitis
HPV

64
Q

how to prevent cancer of the penis

A

no high risk behaviors
good hygiene
condom use

65
Q

build up of fibrous plaques in the sheath of the corpus cavernosum

A

peyronie’s disease

buildup beings in ages 45-60

M/S 2 (10 decks)

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