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Flashcards in Men's Health Deck (25):
1

What is the positive predictive value for abnormal DRE?

18%-28%

2

What is an abnormal PSA antigen velocity for PSA less than and greater than 4?

<4 = .35/year
>4= .75/year

3

When do you start screening for PSA?

1. >50 with >10 year life expectancy
2. 40-45 if risk factors

4

Using the American Urological Symptom Index, when is watchful waiting appropriate for BPH?

<= 7

5

Using the American Urological Symptom Index, when is BPH severe?

20 or greater

6

What medications can aggravate BPH symptoms?

Anticholinergics, antihistamines, and decongestants

7

How soon will finasteride shrink prostate and by how much?

50% in 6 months.

8

How many cases of prostatitis are bacterial?

5-10%

9

What organisms are most likely in men less than 35 and men older than 35?

1. < 35= G and C
2. >35= enteric organisms

10

What is contraindicated in prostatitis?

Vigorous massage of prostate

11

What medication should be given for prostatitis and why?

Fluoroquinolone because of good tissue penetration. Give for 4-6 weeks.

12

What two medications do you not give ED meds with?

Alpha 1 antagonists, and nitrates

13

What is the most common extratesticular malignancy to affect the testicles?

Lymphoma

14

What labs should you do for testicular mass?

Alpha fetal protein
Beta humanchorionic gonadotropin- lydig cells convert testosterone to estrogen
Lactate dehydroginase

15

Is BPH linked to malignancy?

No

16

Findings for BPH on palpation of prostate?

May have loss of sulcus, enlarged, rubbery

17

What is the presentation of a chancroid?

painful ulcer

18

What organism is responsible for the chancroid?

Haemophilus ducreyi

19

What is unique about the lymph nodes with chancroid infection?

They may spontaneously rupture

20

What is the organism for lymphogranuloma venereum?

Chlamydiaphila trachomatis

21

What does lymphogranuloma venerum present as?

Vescular or ulcerative lesion on external genitalia with inguinal lymphadenitis or buboes

22

What stage of syphilis is it most contagious?

secondary stage

23

What strains of HPV cause anorectal carcinoma?

16 and 18

24

What strains of HPV are likely to cause condyloma acuminatum?

6 and 11

25

What would a virologic and serologic test look like for a newly infected patient with HSV?

Positive virologic test but negative serologic test