Session 7: Urology Flashcards Preview

PHASE 2A: EYGP > Session 7: Urology > Flashcards

Flashcards in Session 7: Urology Deck (13):
1

What are 4 RF for LUTS

Age
BPH
Diabetes
Inflammation
Obesity
Elevated dihydrotestosterone

2

What type of urinary test should you do?

MSUS
THEN DIPSTICK

3

What can be measured on a dipstick? 6 things

calcium, blood, glucose, bilirubin, urobilinogen, ketones, leukocytes, creatinine, microalbumin, pH, ascorbic acid and protein.

4

Give 5 signs of uremia

Nausea.
Vomiting.
Fatigue.
Anorexia.
Weight loss.
Muscle cramps.
Pruritus.

5

Give an example of a 5 alpha reductase inhibitor:
Give 3 SE

Finasteride
Gynaecomastia
Loss of libido, ejaculation
Depression

6

What is PSA?

PSA is a hormone that is measured in the blood. It is needed to break down teh seminal fluid so it doesn't coagulate. This is produced by epithelial prostate cells so the more cells the more that is made

7

What can cause PSA to be raised?

PSA can be raised due to inflammation, trauma, infection or cancer

8

What are the levels of PSA? in each of the age groups
40-49
50-59
60-69
70-79

40-49 0-2.5
50-59 3.5
60-69 4.5
70-79 6.5

9

What % of people with a raised PSA will not have prostate cancer?

3/4

10

Who can you not do a PSA test on? 3 reasons

- Active UTI
- Recent ejaculation
- Recent rectal exam
- Anal sex

11

What does IPSS stand for what is the score for mild, moderate and severe symptoms ?

International Prostate Symptom Score:
0-7 mild
8-19 moderate
20-35 severe
** ASKS about LUTS**

12

What counseling for PSA testing needs to be given?

Advantage: picks prostate cancer up early. Can be used to reduce metastatic spread
Disadvantage: raised PSA doesn't always mean cancer. Can cause unnecessary health anxiety and also prostate cancer isn't even that significant

13

What screening criterial is used for Prostate cancer?

Gleason Staging