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Flashcards in Prostate Deck (48)
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What 4 factors assoc with inc PSA (prostate specific antigen)

Patient age
Prostate volume inc
Benign prostatic hyperplasia
Prostate cancer

1

Rectum is ____ to the prostate

Posterior

2

Zone most likely involved with cancer

Peripheral zone

70%, Cancer is hypo peripherally oriented lesion

3

BPH is in what zone

Transitional zone

4

Trans rectal US image patient position

LLD

5

Lab test for prostate cancer

PSA prostate specific antigen

6

MC symptoms of Prostatism

Difficult initiation of voiding
Nocturia
Small stream

7

Indication for transrectal

Abnl digital rectal exam
Abnl lab indicating prostate cancer
Guidance for biopsy
Monitor prostate cancer treatment

8

Color Doppler in transrectal exam

Allows improved perception of pathologic vessels assoc with cancer

9

US appearance of prostate cancer

Hypo, hyper, Iso lesions

10

Patient prep for transrectal biopsy

A cleansing enema immediately prior to exam and antibiotics given before and after exam.

11

Prostate gland anatomic classification used

Zonal anatomy

12

The prostaticovesical arteries that supply prostate are branches off the

Internal iliac arteries

13

Display of prostate with transrectal US

The rectum is shown at the bottom of the screen

14

Transrectal prostate sag plane. The most lateral images of the gland show

The peripheral zone

15

Frequency for transrectal imaging

7-8MHz

16

Seminal vesicles in transrectal US looks

Hypoechoic, symmetrical, irregular shape

17

US appearance of BPH

Enlarged prostate gland, focal or diffuse

18

Cyst associated with infertility

Ejaculatory duct cyst

19

Acute prostatitis with an anechoic mass

abscess

20

4 zones of Prostate

Peripheral zone (prostate cancer)
Transitional zone (BPH)
Central zone
Fibromuscular stroma (nonglandular region)

21

What area in the prostate Is not affected by cancer

Fibromuscular stroma

Not affected by cancer, prostatitis, or hyperplasia

22

Fibromuscular Stroma

Non glandular anterior part of prostate. Not affected by cancer, prostatitis, or hyperplasia.

23

Benign Prostatic Hyperplasia (BPH)

Enlargement of inner prostate gland. Hypo to peripheral zone.
95% in transitional zone
Originates from inner gland

24

Ejaculatory ducts pass through ___ and empty into urethra

The central zone

25

Seminal vesicles are 2 sac-like out pouchings of the vas deferans situated adj to the ____ aspect of the prostate between the urinary bladder and rectum

Superior / posterior

26

The base of the prostate is the ____ part of the gland

Superior

27

The apex of the prostate is the __ part of the gland

Inferior

28

The demarcation between the inner gland and the outer gland is called the

Surgical capsule

29

The prostate is situated in the retroperitoneum and is bordered ant by _____, post by _____, sup by _____, and inf by ______

Ant by the pubic bone
Post by the rectum
Sup by the urinary bladder
Inf by the urogenital diaphragm