Prostate Colloquia Flashcards Preview

Jason's MD2 ED/Amb Rotation > Prostate Colloquia > Flashcards

Flashcards in Prostate Colloquia Deck (14):
1

prostatic fluid does what?

break down viscous semen to aid in fertilization

2

most significant risk factor for prostate Ca?

age
Afro-american
FHx (1st degree relatives)
FHx of breast cancer as well (BRCA1 + 2)

3

If you have high PSA, how to interpret with more tests?

Free to total ratio
If low ratio: cancer
if high ratio: not cancer

Prostate Health Index: Pro2 PSA
Trend of increasing

4

risks for trans-rectal biopsy?

sepsis, gram -ve

5

active surveillance means what?

Sees them regularly with intent to cure
avoid overtreatment

6

watchful waiting is what?

watch the patient but with non-curative intent

7

PSA goes up for what?

Prostate Cancer
BPH
prostatitis
infection

8

Gleason Score explain:

architectural for the glands
2 numbers:
1-5 for most common cells
1-5 for second more common cells

9

Gleason score starts where?

6 out of 10

10

what's an important PSA trend to consider?

PSA doubling time

11

what is ADT? when do you do it?

androgen deprivation therapy
post-intervention usually

12

ADT side effects?

cognitive change
cardio vascular disease - hypercholeserolemia, IHD
obesity
osteoporosis (DEXA)
lethargy, reduction in libido

hot flushes

13

when use chemo in prostate metastatic disease?

in conjunction with ADT

14

prostate accessible how?

perineal
rectum