Men's health

Question 1

You do a DRE (digital Rectal exam) for symmetrical large rubbery prostate and hesitancy urinating

Answer 1

BPH
Treatment” zosins”
edu take at bedtime (orthostatic hypotension)
Med that shrinks: finasteride -zosin is an alpha blocker,
can take up to 6 months to relieve symptoms, so it is not considered first line
herbal: sal palmetto

Question 2

What is PSA lab cut off before refer?

Answer 2

4
Do not start treatment unless 10 year life expect

Question 3

unilateral testicular pain, positive Phren’s sign, sctoum is swollen and angry
Diagnose and treatment?

Answer 3

epididymitis
treatment: doxycycline (Vibramycin) or Ceftriaxone (Rocephin)
if less than 35 b/c it is an STI
over 35 fluoroquinolone- levoquin

Question 4

unilateral testicular pain with cremasteric reflex absent

Answer 4

testicular torsion
referr to ED
check with US

Question 5

what med should not be prescribed with a history of cardiac issues and nitro? why?

Answer 5

phosphodiesterase type 5 (PDE-5) inhibitor. PDE-5 inhibitors are contraindicated within 24-48 hours of nitroglycerin due to the potential for severe hypotension.