Urology Diagnostic Testing Flashcards Preview

Urology > Urology Diagnostic Testing > Flashcards

Flashcards in Urology Diagnostic Testing Deck (27)
Loading flashcards...
1

Symptoms of deficiency of this hormone include decreased libido, energy, muscle mass, body hair

testosterone

2

Single most important diagnostic test for male hypogonadism

testosterone

3

Normal range for testosterone

300-800 ng/dL

4

When should testosterone levels be tested?

8AM

5

Testosterone low and LH and FSH high

primary hypogonadism

6

Testosterone low and LH and FSH low

secondary hypogonadism

7

Indirect measurement of prostate glandular size in men without cancer

PSA

8

Medications that reduce PSA

5-alpha reductase inhibitors, NSAIDs, Statins, thiazides

9

what is important to follow when using PSA values to assess for prostate cancer?

the trend-how much has the PSA increased over the last year

10

A higher value indicates greater likelihood of cancer.
It is not considered to be as specific as PSA Velocity or Free/Total PSA (not useful)

PSA density

11

What happens to the percentage of free PSA and total PSA in men with prostate cancer?

free PSA decreases and total PSA increases

12

When should you talk to patients about prostate cancer if they're at an average risk?

age 50 if they're expected to live another 10 yrs

13

When should you talk to patients about prostate cancer if they have more than one 1st degree releative who had prostate cancer?

age 40

14

Remains the mainstay in investigating male fertility potential

semen analysis

15

What are patient instructions for semen analysis?

abstain from coitus 2-3 days and analyze within 1 hr

16

How is the diagnosis of chronic prostatitis made?

analyzing specimens obtained following prostatic massage (four-glass test)

17

What should not be used to diagnosis a UTI?

urinary bags or bed pans

18

How is a reliable sample obtained to diagnosis UTI in infants?

catheterization or suprapubic aspiration

19

What is the traditional gold standard for a positive urine culture of bacteriuria?

>100,000 cfu/mL of urine

20

Diagnostic test for bladder cancer

cystoscopy

21

Studies used to assess how well the bladder and urethra are functioning: Sphincter control and Bladder filling/emptying

urodynamic assessment

22

Screening tool for patients with suspected bladder outlet obstruction. Reserved for patients with severe symptoms where invasive therapy is considered—done by urologist

uroflowmetry

23

Graphic display of vesical pressure. Used to asses detrusor activity, sensation, capacity and compliance

cystometrogram

24

Used to asses total stone burden, composition, and location of stones.

KUB

25

Why might a KUB miss 15% of stones?

Pure uric acid, indinavir-induced, and cystine calculi are relatively radiolucent on plain radiography

26

Type of swab preferred to check for chlamydia in men

urine or urethral swab

27

test for males with suspected urethritis due to gonorrhea

Microscopy with Gram stain of a urethral swab