Sex pt 2

Question 1

Disorders of the prostate gland

Answer 1

benign prostatic hyperplasia 
Acute bacterial Prostatis
Chronic Bacterial Prostatis
Asymptomatic inflammatory prostatic
Chronic prostatic/ chronic pelvis pain syndrome

Question 2

benign prostatic hyperplasia

Answer 2

Enlargement of the prostate gland
Symptoms associated with urethral compression
Relationship to aging

Question 3

benign prostatic hyperplasia evaluation

Answer 3

Digital rectal examination

Prostate specific antigen monitoring

Question 4

benign prostatic hyperplasia is treated with

Answer 4

Medications to shrink prostate

Question 5

What are two medications that will shrink the prostate

Answer 5

a1- adrenergic blockers

Antiandrogen agents

Question 6

Acute bacterial Prostatis

Answer 6

Ascending infection of the urinary tract

Question 7

Acute bacterial Prostatis Infection stimulates …

Answer 7

an inflammatory response in which the prostate becomes enlarged, tender, firm, or boggy

Question 8

Acute bacterial Prostatis Manifestations

Answer 8

same as UTI or pyelonephritis

Question 9

Acute bacterial Prostatis treated with

Answer 9

antibiotics

Question 10

Chronic Bacterial Prostatis

Answer 10

Recurrent UTI symptoms and persistence of pathogenic bacteria in urine or prostatic fluid

Question 11

Chronic Bacterial Prostatis Symptoms

Answer 11

Similar to those with acute bladder infection

Question 12

Chronic Bacterial Prostatis Treatment

Answer 12

Treatment is difficult because it is often caused by prostatic calculi that harbour bacteria
Surgical intervention for permanent cure

Question 13

Chronic prostatic/ chronic pelvis pain syndrome

Answer 13

refers to inflammatory to chronic pelvis pain syndrome
WBC elevated and localized to prostate
persistent annoying symptoms

Question 14

Chronic prostatic/ chronic pelvis pain syndrome Diagnosed when…

Answer 14

No pathogenic bacteria can be localized to the prostate

Question 15

Asymptomatic inflammatory prostatis

Answer 15

Asymptomatic but there is an increase in bacteria and WBC localized to the prostate

Question 16

Prostate Cancer is often asyptomatic until..

Answer 16

advanced

Question 17

Prostate cancer risk factors

Answer 17

Dietary Factors
Hormones
Vasectomy
Chronic inflammation

Question 18

Prostate Cancer Evaluation

Answer 18

Screening that includes digital rectal examination and prostate specific antigen blood test

Question 19

Prostate Cancer Treatment

Answer 19

Depends on age and health of the individual, stage of the neoplasm and anticipated effects

Question 20

Disorders of the male breast

Answer 20

Gynecomastia

Carcinoma

Question 21

Gynecomastia

Answer 21

Overdevelopment of the breast tissue in male

Results from hormonal alterations

Question 22

Carcinoma

Answer 22

Tumours resemble carcinomas of the breast in women

Crusting and nipple discharge are common clinical manifestations

Question 23

Andogenic Antagonists

Answer 23

Block the effects of naturally occurring androgens

5-a reductase inhibitors

Question 24

Andogenic Antagonists treatment for

Answer 24

Benign prostatic hyperplasia treatment

Question 25

Andogenic Antagonists examples

Answer 25

Finasteride | Dutasteride

Question 26

Androgens Mechanism of action

Answer 26

stimulate normal growth and development of the male sex organs development and maintenance of male secondary sex characteristics Stimulate increased synthesis of body proteins, aiding in the formation of muscular and skeletal proteins Enhanced erythropoiesis

Question 27

Finasteride (Proscar)

Answer 27

Inhibition of 5-a reductase prevents the thinning of hair caused by increased levels of 5a-dihydrotesterone (DHT) Treatment for Male pattern baldness

Question 28

Finasteride (Proscar) treating women.

Answer 28

Not for treatment of female baldness Teratogenic in pregnant women Use in women of any age is not recommended Women need to wear gloves when handling finasteride

Question 29

Androgen Receptor Blockers

Answer 29

Block the activity of androgen hormones at target tissue receptors

Question 30

Androgen Receptor Blockers used to treat ...

Answer 30

Prostate cancer

Question 31

examples of Androgen Receptor Blockers

Answer 31

Flutamide (Eulflex) Nilutamide (Anandron) Bicalutamide (Casodex)

Question 32

Gonadotropin- Releasing Hormone Analogues Action

Answer 32

Inhibit the secretion of pituitary gonadotropin, which eventually leads to a decrease in testosterone production

Question 33

Gonadotropin- Releasing Hormone Analogues USED TO TREAT

Answer 33

Prostate Cancer

Question 34

Gonadotropin- Releasing Hormone Analogues examples

Answer 34

Goserelin (Zoladex) Leuprolide (Lupron) Triptorelin (Trelstar)

Question 35

a1-adrenergic Blockers

Answer 35

Used for symptomatic relief of obstruction caused by benign prostatic hyperplasia

Question 36

a1-adrenergic Blockers examples

Answer 36

``` Doxazosin (Cardura) Tamsulosin (Flomax) Terazosin (Hytrin) Alfuzosin (Xatral) Silodosin (Rapaflo) ```

Question 37

a1-adrenergic Blockers Have clinical effects of...

Answer 37

Prostate Shrinkage

Question 38

5-a Reductase inhibitors may take up to _____ For clinical effects of prostate shrinkage

Answer 38

6 months of continual therapy

Question 39

Phosphodiesterase inhibitors are used to treat...

Answer 39

Erectile dysfunction

Question 40

Sildenafil (Viagra)

Answer 40

First oral drug for treatment of ED | Causes relaxation of the smooth muscle in the corpora cavernous of the penis and permits the inflow of blood

Question 41

Drugs that are similar to viagra but have a longer duration of action

Answer 41

Vardenafil (Levitra) | Tadalfil (Cialis)

Question 42

Tadalfil & Vardenafil under the trade names Revatio and Adcirca are also used to treat

Answer 42

Pulmonary hypertension

Question 43

Alprostadil (Caverject)

Answer 43

Prostaglandin

Question 44

Alprostadil (Caverject) Administration

Answer 44

Injecting directly into the erectile tissue of the penis or by pushing a suppository form of the drug into the urethra

Question 45

Mens health drugs Indications

Answer 45

Primary use: replacement therapy | Other issues vary with the specific medication

Question 46

Mens health drugs Contraindications

Answer 46

Known androgen-responsive tumours sildenafil, vardenafil, tadalafil: contraindicated for men with major cardiovascular disorders, especially if they use nitrate medications such as nitroglycerin

Question 47

Mens health drugs Adverse effects

Answer 47

Androgens cause fluid retention

Question 48

Priapism

Answer 48

Abnormally prolonged penile erection

Question 49

Finasteride

Answer 49

loss of libido, loss of erection, ejaculatory dysfunction, hypersensitivity reactions, gynecomastia, severe myopathy, and a 50% decrease in prostate-specific antigen (PSA) concentrations

Question 50

Androgens with oral anticoagulants

Answer 50

significantly increase or decrease anticoagulant activity

Question 51

Androgens with Cyclosporine

Answer 51

Increase the risk of cyclosporin activity

Question 52

Androgens with Sildenafil, vardenafil, and tadalafil

Answer 52

Cause severe hypotension when given together with nitrates such as nitroglycerin, isosorbide mononitrate, or isosorbide dinitrate.

Question 53

Androgens and a-blockers

Answer 53

Additive hypotension when given with other drugs that lower blood pressure

Question 54

Saw Palmetto

Answer 54

Herbal product | Used to treat benign prostatic hyperplasia and alopecia

Question 55

Saw Palmetto Adverse effects

Answer 55

Gastrointestinal Upset Headache Back pain Dysuria