Mens Health CE 1

Question 1

acute prostatitis think
2

Answer 1

bacterial
consider STI

Question 2

acute prostatitis - pain where
6

Answer 2

perineum
lower abd
testicles
penis
pain with ejaculation
voiding difficulty

Question 3

acute prostatitis in older men is most likely from what

Answer 3

UTI infection, e. coli

Question 4

acute prostatitis etiology
3

Answer 4

unknown usually
gram neg organisms are most common, e. coli
sti - chlamydia, ureaplasma, trich

Question 5

bacterial prostatitis usually has ___ onset

Answer 5

acute

Question 6

bacterial prostatitis assessment findings
9

Answer 6

1. spiking fever, chills, malaise, myalgias
2. pelvic, perineal pain, pain at tip of penis
3. enlarged, boggy, tender prostate
4. cloudy urine
5. frequency, urgency
6. dysuria, nocturia
7. pain with defecation
8. hematuria
9. elevated PSA

Question 7

pain with defecation - think

Answer 7

bacterial prostatitis

Question 8

spiking fever, chills, perineal pain - think

Answer 8

bacterial prostatitis

Question 9

enarlged, boggy, tender prostate - think

Answer 9

bacterial prostatitis

Question 10

bacterial prostatitis assessment/dx
3

Answer 10

1. rectal exam - prostate usually tender
2. UA to r/o UTI, look for hematuria
3. get culture but treat empirically

Question 11

bacterial prostatitis - a DRE will increase what
2

Answer 11

PSA level
risk of bacteremia

Question 12

bacterial prostatitis abx

Answer 12

bactrim, cipro, levo for 6 weeks - must achieve high abx concentrations to reach prostate

Question 13

bacterial prostatitis tx when caused by STI
2

Answer 13

1. gonorrhea - ceftriaxone
2. chlamydia - doxy

Question 14

bacterial prostatitis - conservative measures
2

Answer 14

stool softners
fluids

Question 15

bacterial prostatitis - should see improvement in s/sx when

Answer 15

2-6 days, if not then refer to urologist

Question 16

bacterial prostatitis - PSA

Answer 16

PSA will rise in response to infection; defer PSA screening by 1 month after treatment for infection

Question 17

bacterial prostatitis - how long to conitnue abx
3

Answer 17

1. negative urine, painless rectal exam, normal ESR, CRP
2. negative urine 7 days after initiation of abx predicts cure if full course of therapy continues
3. treatment 4-6 weeks

Question 18

prostatitis - presentation can be subtle

Answer 18

chronic prostatitis

Question 19

chronic prostatitis - symptoms of what are common

Answer 19

recurrent UTI

Question 20

chronic prostatitis - pain where
4

Answer 20

perineum
lower abd or back
testicles
with ejaculation

Question 21

chronic prostatitis - DRE exam

Answer 21

usually normal

Question 22

chronic prostatitis - dx may be presumptive when

Answer 22

persistent or recurrent bacteriuria

Question 23

chronic prostatitis tx

Answer 23

abx like for acute prostatitis - bactrim or quinolone for 4-6 weeks

Question 24

BPH

Answer 24

noncancerous enlargement of the prostate gland

Question 25

noncancerous enlargement of the prostate gland

Answer 25

BPH

Question 26

BPH goes hand in hand with

Answer 26

LUTS lower urinary tract symptoms

Question 27

BPH/LUTS s/sx
8

Answer 27

1. decrease in force or caliber of urine stream
2. hesitancy, postvoid dribbling
3. incomplete bladder emptying
4. incontinence
5. urinary retention
6. frequency, urgency, nocturia
7. painless hematuria
8. firm, smooth, symmetrically enlarged prostate

Question 28

what conditions are most likely associated with LUTS
3

Answer 28

BPH
prostate infection
UTI

Question 29

which BPH med is contraindicated in sulfa allergy

Answer 29

tamsulosin/Flomax