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Quiz 2 Flashcards

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1
Q

The most common sexual problem with men

A

Erectile Dysfunction

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2
Q

What is a common associated with ED?

A

DM

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3
Q

What surrounds Corpus cavernosa

A

tunica albuginea

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4
Q

What surrounds all 3 components

A

Buck’s fascia

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5
Q

Causes smooth muscle relaxation

A

PGE1, PGE2, and vasoactive peptide

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6
Q

1 cause in older men with ED?

A

vascular disease

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7
Q

2 cause in older men with ED?

A

Neurologic disease

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8
Q

1 cause of young adult males with ED?

A

Psychogenic

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9
Q

What antihistamine causes ED?

A

Cimetidine

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10
Q

Two questionnaires to determine ED?

A

International Index of Erectile Function

Sexual Health Inventory for men

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11
Q

Asses between psychological and organic ED?

A

Nocturnal penile tumescence testing (NPT)

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12
Q

What is the stamp test used for?

A

ED

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13
Q

What is the txt for ED?

A

CBT w/ focus exercises

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14
Q

What is 1st txt for ED?

A

Phosphodiesterase- 5 inhibitors (-fil)

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15
Q

What should phosphodiesterase inhibitors not be used with?

A

alpha- adrenergic antagonists

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16
Q

What is used for men with ED and hypogonadism?

A

testosterone

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17
Q

Injection into the penis

A

Alprostadil

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18
Q

1st txt for premature ejaculation

A

SSRI

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19
Q

TXT for retrograde ejaculation

A

reassurance

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20
Q

Complete inability to ejaculate, w/wo orgasms

A

anejaculation

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21
Q

Txt for delayed ejaculation

A

sex therapy (no meds)

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22
Q

Occurs in males only

A

hypospadias

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23
Q

occurs in females and males

A

episadias

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24
Q

Most common birth defect in the world

A

hypospadias

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25
Dx of epispadias
prenatal US
26
What is phimosis?
inability to retract foreskin over glans
27
What age does phimosis retract?
3yr
28
penile trauma (piercing)
paraphimosis
29
Foreskin trapped behind corona?
Paraphimosis
30
What is the strongest risk factor for Female UI?
Obesity (3x)
31
What is the 1st most common cause of female UI?
URGE
32
What is the 2nd most common cause of female UI?
Stress
33
What is the MC cause of incontinence in hospitalized pts?
delirium
34
What is MC cause of transient incontinence?
pharmaceuticals
35
What is suggestive of stress incontinence?
positive leakage
36
What is the cornerstone txt for female UI?
Bladder training
37
What is best for stress incontinence?
surgery
38
Worst pain ever
Nephrolithiasis
39
Economic burden w/ cost of txt and missed work days
Nephrolithiasis
40
What month does nephrolithiasis occur?
summer
41
Most important inhibitor of calcium stones?
urine citrate
42
What 4 beverages lower the risk of nephrolithiasis?
coffee, tea, beer and wine
43
Where is nephrolithiasis more prevalent?
southeastern US
44
Seen with acidic urine <5.5
uric acid stones
45
Seen with alkaline urine >6.5
Ca phosphate and struvite stones
46
not influenced by pH?
Ca+ oxalate stones
47
What makes up most calcium stones?
calcium oxalate
48
What type of imaging is done for nephrolithiasis?
KUB
49
radio-lucent imaging?
urea and cystine
50
radio-dense or radio-opaque imaging?
calcium stone, struvite/staghorn stone
51
What is the gold standard for diagnosing nephrolithiasis?
non-contrast helical abd/pelvic CT
52
What is the most common pathogen for struvite or infection stones?
Proteus
53
What is the most common benign tumor in men?
BPH
54
What is the hallmark for BPH?
age related proliferation of prostatic glandular and stromal tissue
55
What is BPH dependent on?
age and androgen
56
What is the annual cost of BPH?
$4 billion
57
Where is prostate cancer more likely to occur?
peripheral (posterior zone)
58
What is the gold standard with highest rate of symptom improvement?
Transurethral resection of prostate
59
What is the most common risk factor for bladder cancer?
smoking
60
Dx of bladder cancer?
cystourethroscopy and biospy
61
Most common solid malignant tumor in young men?
Testicular cancer
62
Most testicle for testicular cancer?
right side
63
What should be avoided in testicular cancer?
testicular biopsies
64
Study of choice for TC?
Testicular US
65
What is recommended in a young healthy male with ED?
penile revascularization
66
Least common male sexual dysfunction?
Delayed ejaculation
67
Over ??? is considered delayed?
30-45 mins
68
Inability or persistent difficulty achieving orgasm despite normal sexual desire and stimulation
delayed ejaculation
69
Established causes of Female UI?
``` Urge- 1st mc Stress- 2nd mc Mixed Overflow Functional ```
70
DIAPPERS
``` Delirium Infection Atrophic vaginitis or urethritis Pharmaceuticals Psychological disorders Endocrine disorders Restricted mobility Stool impaction ```
71
Transient/ Temporary UI?
DIAPPERS
72
MC kidney stone?
Calcium oxalate
73
Males G-spot
prostate
74
The most common urologic cancer?
bladder cancer
75
The most common type of bladder cancer?
urothelial carcinoma (transitional cell)
76
Painless gross hematuria?
bladder cancer
77
MC testicular cancer?
germ cell tumors
78
MC risk factor for TC?
Marijuana (70%)
79
MC tumor in testicular cancer and histologic finding?
Seminoma tumor
80
MC presentation of TC?
PAINLESS mass or enlargement of the testis
81
What's elevated in NSGCT tumors?
Alpha fetal protein
82
What's NOT elevated in pure seminomas?
Alpha Fetal protein
83
Stage I TC?
lesion confined to testes
84
Stage II TC?
Testes and lymph node involvement
85
Stage III TC?
testes, lymph nodes, and metastasis involvement
86
Should TC be screened?
NOPE
87
DX for stress incontinence?
Bladder stress test

Renal (9 decks)

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