bph, CA, acute kidney injury

Question 1

bph

Answer 1

increased testosterone = increased number of cells inner part of gland

Question 2

BPH obstructive symptoms

Answer 2

urinary retention, weak stream, difficulty initiating, intermittency, dribbling

Question 3

BPH irritative symptoms

Answer 3

Increased frequency, urgency, dysuria, bladder pain, nocturia, incontinence

Question 4

BPH comps

Answer 4

UTI from incomplete bladder emptying, Calculi in bladder from alkalinization from urine, Hydronephrosis and pyelonephritis bc of urine backpressure

Question 5

BPH dx

Answer 5

DRE, PSA>4= transrectal US

Question 6

BPH treatment

Answer 6

5a reductase inhibitor[-ide] pregnant women shouldnt handle, a-adrenergic receptor blocker [-osin]-htn meds to increase relaxation to decrease symptoms=retrograde ejaculation (w TURP too) saw palmetto helps urinary symptoms, ^BP/Bleeding

Question 7

Prostate cancer

Answer 7

androgen dependent

Question 8

Prostate cancer mets s/s

Answer 8

pain lumbosacral area->hips/legs

Question 9

Prostate CA dx

Answer 9

DRE , PSA>4, biopsy

Question 10

Prostate CA treatments

Answer 10

radical prostatectomy(!), radiation beam if confined, Brachytherapy (time, distance, shielding), cryosurgery freezes

Question 11

Prostate CA meds

Answer 11

Lh+FSH to decrease testosterone=gynecomastia, hot flash, , androgen receptor blocker

Question 12

Testicular CA mets s/s

Answer 12

chest pain, cough, dyspnea

cryopreservation to save sperm

Question 13

Acute Kidney injury caused by

Answer 13

renal ischemia- disruption of basement membrane
nephrotoxic injury (acute tubular necrosis)- tubules get clogged

Question 14

Acute kidney injury characterized by

Answer 14

rapid loss of kidney function (^cr, decrease UO, ^BUN-azotemia)

Question 15

Acute kidney injury follows what

Answer 15

lots of hypotension, hypovolemia, nephrotoxic agents

Question 16

Acute kidney injury Oliguric phase

Answer 16

?

Question 17

Acute kidney injury Diuretic phase

Answer 17

1-3L/day+

kidneys in recovery, can excrete, but cant concentrate

Question 18

Acute kidney injury recovery phase

Answer 18

Increased GFR= LOW BUN and CR

Question 19

Acute kidney injury meds

Answer 19

calcium gluconate to raise threshhold that dysrhythmias occur, keyexalate and dialysis to remove potassium

Question 20

Promt ____ to prevent ischemic tubular damage

Answer 20

replacement of fluid

Question 21

ACEi affect on GFR

Answer 21

decreases=increased potassium

STOP TAKING OR DECREASE

Question 22

BPH obstructive symptoms

Answer 22

urinary retention, weak stream, difficulty initiating, intermittency, dribbling

Question 23

BPH irritative symptoms

Answer 23

Increased frequency, urgency, dysuria, bladder pain, nocturia, incontinence

Question 24

BPH comps

Answer 24

UTI from incomplete bladder emptying, Calculi in bladder from alkalinization from urine, Hydronephrosis and pyelonephritis bc of urine backpressure

Question 25

BPH dx

Answer 25

DRE, PSA>4= transrectal US

Question 26

BPH treatment

Answer 26

5a reductase inhibitor[-ide] pregnant women shouldnt handle, a-adrenergic receptor blocker [-osin]-htn meds to increase relaxation to decrease symptoms=retrograde ejaculation (w TURP too) saw palmetto helps urinary symptoms, ^BP/Bleeding

Question 27

Prostate cancer

Answer 27

androgen dependent

Question 28

Prostate cancer mets s/s

Answer 28

pain lumbosacral area->hips/legs

Question 29

Prostate CA dx

Answer 29

DRE , PSA>4, biopsy

Question 30

Prostate CA treatments

Answer 30

radical prostatectomy(!), radiation beam if confined, Brachytherapy (time, distance, shielding), cryosurgery freezes

Question 31

Prostate CA meds

Answer 31

Lh+FSH to decrease testosterone=gynecomastia, hot flash, , androgen receptor blocker

Question 32

Testicular CA mets s/s

Answer 32

chest pain, cough, dyspnea | cryopreservation to save sperm

Question 33

Acute Kidney injury caused by

Answer 33

``` renal ischemia- disruption of basement membrane nephrotoxic injury (acute tubular necrosis)- tubules get clogged ```

Question 34

Acute kidney injury characterized by

Answer 34

rapid loss of kidney function (^cr, decrease UO, ^BUN-azotemia)

Question 35

Acute kidney injury follows what

Answer 35

lots of hypotension, hypovolemia, nephrotoxic agents

Question 36

bph

Answer 36

increased testosterone = increased number of cells inner part of gland

Question 37

Acute kidney injury Oliguric phase

Question 38

Acute kidney injury Diuretic phase

Answer 38

1-3L/day+ | kidneys in recovery, can excrete, but cant concentrate

Question 39

Acute kidney injury recovery phase

Answer 39

Increased GFR= LOW BUN and CR

Question 40

Acute kidney injury meds

Answer 40

calcium gluconate to raise threshhold that dysrhythmias occur, keyexalate and dialysis to remove potassium

Question 41

Promt ____ to prevent ischemic tubular damage

Answer 41

replacement of fluid

Question 42

ACEi affect on GFR

Answer 42

decreases=increased potassium | STOP TAKING OR DECREASE