Exam 5 - Mens Health Flashcards

(65 cards)

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
prostate cancer risk factors
age African American family hx high fat, low veggie diet genetic variants (8q24, HoXB13, G8r, BRCA2)
26
prostate cancer s/sx
usually asymptomatic like BPH if in bone, pain
27
normal PSA
0-4
28
PSA for BPH
4-19
29
PSA for prostate cancer
10-20
30
prostate cancer drugs - slide 39-42
prostate cancer drugs - slide 39-42
31
how long is external radiation needed for prostate cancer
5 days week x4-8 weeks most common
32
brachytherapy care for prostate cancer
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
complications r/t radical prostatectomy
ED incontinence hemorrhage urinary retention infection wound dehiscence DVT
34
infection of the testicle often cause by a virus or bacteria
orchitis
35
s/sx of orchitis
pain swelling feeling of heaviness in scrotum fever
36
common viruses r/t orchitis
mumps flu TB STD
37
orchitis viral and bacterial treatment
V: rest, pain meds B: abx, pain meds
38
epididymitis cause in men < 35
e coli c trachomatis N gonorrhoeae
39
epididymitis cause in men > 35
BPH UTI prostitis
40
epididymitis risk factors
surgical procedures of urinary tract ---STD, UTI uncircumcised foley use
41
s/sx of epididymitis
pain (lower abdomen) edema erythema low grade fever
42
testicular torsion is a ___ ___
medical emergency
43
cause of testicular torsion
spontaneous trauma physical exertion sudden pain will develop over 1-2 hours with our without event
44
2 types of testicular cancer
germinal (seminoma, nonseminomas) nongerminal
45
s/sx of testicular cancer
enlargement of 1 testicle with discomfort abdominal ache heaviness mass, lump back, lower abdominal pain
46
most common age group for testicular cancer
15-35
47
testicular cancer risk factors
cryptochidism HIV common in twin brothers
48
T or F. Testicular cancer is highly treatable and curable.
True
49
where may testicular cancer spread
retroperitoneal lymph nodes liver
50
build up of fluid around the testicles
hydrocele d/t trauma, infection, tumors fertility NOT affected
51
cyst on the epididymis
spermatocele d/t trauma, infection fertility NOT affected
52
dilation of a vein in the spermatic cord (varicose vein)
varicelocele
53
varicelocele treatment
clip the veins
54
varicelocele s/sx
scrotal heaviness pain
55
T or F. Varicelocele causes infertility d/t to decrease blood flow
True
56
constriction of the foreskin
phimosis r/t HM, poor hygiene
57
constriction of the foreskin, unable to cover the glans penis
paraphimosis
58
inflammation of the foreskin/head of the penis
balanitis
59
what is given for an erection that has lasted less than 4 hours
decongestants
60
primary cause of priapism
tumors infection trauma
61
secondary cause of priapism
blood, neurological disorders renal failure medications
62
priapism treatment
ice saline enemas IV ketamine spinal anesthesia aspiration of blood from corpus vascular shunts
63
cancer of the penis risk factors
uncircumcised 10+ sexual partners poor hygiene phimosis balanitis HPV
64
how to prevent cancer of the penis
no high risk behaviors good hygiene condom use
65
build up of fibrous plaques in the sheath of the corpus cavernosum
peyronie's disease buildup beings in ages 45-60