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Question 1

High level of free PSA are most likely the result of?

Answer 1

Benign prostatic hypertrophy

Question 2

PSA conc found in normal adult males below the age of 45 would most likely be _____ ng/ml

Answer 2

0-4

Question 3

A 75 year old male pt presents with complaint of severe low back pain, multiple urinary problems, significant unexplained weight loss, pallor and malaise. His PSA is 25 ng/ml. Prostate is enlarged. What is the most likely diagnosis based on these criteria?

Answer 3

Prostate cancer

Question 4

DRE palpatory findings in a patient are as follows: asymmetrical, stony hard irregular nodule, 1cm protrusion into the rectum, media sulcus is obliterated. These findings would be most indicative of:

Answer 4

Prostate cancer

Question 5

The serum PSA level divided by the prostate volume is:

Answer 5

A definition of PSA Density and A better differentiator of prostate problems when combined with serum PSA (A & C)

Question 6

Which of the following is TRUE about cryptorchid patients in general?

Answer 6

Testis is arrested in normal path of descent

Question 7

For testosterone to act on the prostate (to cause enlargement), it must first be converted to:

Answer 7

Dihydrotestosterone (DHT)

Question 8

Prostate cancer dev from cancer in situ to clinical presentation is about _____ years

Answer 8

10-12

Question 9

A 14 yo male patient present with a suddenly developed severe pain in one testicle, followed by swelling of the entire testicle and scrotal reddening. Pt also has lower abdominal pain and nausea and vomiting. The pt has a history of unilateral cryptorchidism and recent trauma to the groin. There is no fever. What is most likely clinical consideration for this pt?

Answer 9

Testicular torsion

Question 10

Which of the following is a risk factor for testicular cancer?

Answer 10

Cryptorchidism

Question 11

Accounts for 1% of all male cancers; the most common cancer in males aged 15-34%; often asymptomatic in early stages best describes:

Answer 11

Testicular cancer

Question 12

Lab test most pertinent to a suspected case of prostate cancer would include

Answer 12

Acid and Alkaline phosphatase

Question 13

The most common presenting complaint in a 28 year old male is a painless unilateral swelling or nodule in the testis, usually as an incidental finding by the pt or his sexual partner. Scrotal or lower abdominal pain (dull ache, heaviness) occurs in about one third of these pos. Pt also has an abdominal mass and extensive lymphadenopathy. No history of trauma. Pt has a history of unilateral cryptorchidism. This is a profile typical of _____.

Answer 13

Testicular cancer

Question 14

The thin layer of connective tissue that separates the prostate from the rectum is known as

Answer 14

Denonvillier’s fascia

Question 15

A 51 yo male presents with a history of nocturne, frequency, and urgency about half the time. He states that fro the last month he has had difficulty starting and maintaining his urine stream ( has to push or strain) more than half the time. He always feels like his bladder is not empty after urinating. On PE, the prostate is found to be enlarged, contender, rubbery, and boggy. His PSA lvl is 2.7 ng/ml. Does not have a fever. Which of the following is the most likely diagnose based on the data collected so far?

Answer 15

BPH

Question 16

Prostate cancer can be compared to ____ cancer, as they both are unusually similar in respect to: lifetime risks, age at diagnosis, response to hormone therapy, new cases annually

Answer 16

Breast

Question 17

DRE placatory findings in a pt are as follows: symmetrical, boggy, smooth, rubbery and median sulcus is partially obliterated. This is?

Answer 17

BPH

Question 18

PSA levels can be elevated by which of the following?

Answer 18

AOTA

Question 19

If the prostate gland becomes malignant and cancer cells begin to spread, the metastatic will most likely go to the?

Answer 19

lumbar spine

Question 20

70% of prostate cancer tissue is found in the ____ zone

Answer 20

Peripheral

Question 21

Brachytherapy is a radiotherapy treatment most commonly used for ____ cancer

Answer 21

Prostate

Question 22

A weak urine steam with decreased caliber is a classic symptom for?

Answer 22

BPH

Question 23

BPH often begins in the transition zone which surrounds the

Answer 23

Urethra

Question 24

According to autopsy studies, in men over age 90 there is a ____%

Answer 24

100

Question 25

A gleason grade 5 (this is not the Gleason score where the 2 grades are added together) would be indicative of:

Answer 25

2 of the above

Question 26

Significant findings w/ the PSA Velocity Test would be an increase of ___ ng/ml/yr.

Answer 26

.75

Question 27

T or F: In order to protect the fertility of the cryptorchid patient, their testes should be in the crotum by age 1.

Answer 27

True

Question 28

Dorsal curvature of the penis is known as:

Answer 28

Peyronie’s disease

Question 29

T/F: Men can perform their own DRE prostate exam.

Answer 29

True

Question 30

Prostate cancer kills about __ men per year in U.S.

Answer 30

32,000

Question 31

T/F: 80% of testicular cancer patients will have systemic metastatic signs at the time of diagnosis.

Answer 31

False

Question 32

A 25 Y.O. male patient recently experienced groin trauma presents w/ painless scrotal swelling that arises in the morning and becomes larger and tense throughout the day. Transillumination of scrotal fluid. These describe what?

Answer 32

Hydrocele

Question 33

A testicular cystic mass containing thin white cloudy fluid and is freely movable describes:

Answer 33

Spermatocele

Question 34

Downward/ventral curvature of the penis

Answer 34

Chordee

Question 35

A 21 Y.O. man recently recovered from the mumps and complains of a swollen and sudden onset of a painful left testicle. Physical exam shows testicular tenderness, enlargement , and hardening. Most likely?

Answer 35

Orchitis

Question 36

Possible tumor marker(s) for testicular cancer would be?

Answer 36

All of the above

lactate dehydrog., alpha feto-protein, human chorionic gonadotropin

Question 37

The group w/ highest incidence of cryptorchidism would be:

Answer 37

Premature infant boys

Question 38

One characteristic of testicular cancer:

Answer 38

Testicular dysgenesis is a risk factor

Question 39

Patient w/ priapism would be complaining of:

Answer 39

Unrelenting erection

Question 40

A 25 Y.O. male presents w/ a history of recurrent UTI, fever, malaise, and dysuria. Most likely:

Answer 40

Prostatitis

Question 41

Estrogens and progestins given to mothers during pregnancy are known to increase incidence of:

Answer 41

Hypospadia

Question 42

The foreskin becomes trapped behind the glans penis and cannot be pulled back to its normal position covering the glans. This is known as:

Answer 42

Paraphimosis

Question 43

A 30 Y.O. sexually overactive male patient presents w/ fever, rapid progressive onset of scrotal pain and urethral discharge. Only the superior portion of the testes is tender, enlarged and indurated. Most likely condition?

Answer 43

Epididymitis

Question 44

Define hypospadia

Answer 44

Opening of penis is on the underside of the hand

Question 45

Define androgen dependent prostate cancer (ADPC)

Answer 45

Early stage tumor growth that requires androgens for proliferation and regulation.

Question 46

List 5 conditions/events that can elevate PSA levels

Answer 46

Prostatitis, Benign prostatic hyperplasia, UTI, Normal aging, Post ejaculation

Question 47

List 5 natural treatments that prostate patients might benefit from

Answer 47

Pumpkin/watermelon seed, Corn silk, Consuming more fish (Omega 3’s), Stinging nettle, Palmetto extract, Adequate water

Question 48

Write 3 ways in which the signs and symptoms of BPH and prostate cancer may differ

Answer 48

Increase of PSA in BPH not as steep, dribbling of urine seen in BPH, Cancer has elevated Alkaline phosphatase