ch 17 pt 2

Question 1

prostate lesions vary by region, with 70-80% of carcinomas in the ___ zone, and hyperplasia in the ____ zone, which surrounds the urethra

Answer 1

peripheral

transitional

Question 2

two types of prostatitis that make up about 10% of prostatitis combined (both occur 2-5%)

Answer 2

acute bacterial

chronic bacterial

Question 3

MC cause of prostatitis that is AKA chronic pelvic pain syndrome, prostatodynia

Answer 3

chronic nonbacterial (90-95%)

Question 4

benign prostatic hyperplasia (BPH), the increase in cells overall size (glandular hyperplasia), causes large well-circumscribed nodules in this zone:

Answer 4

transitional zone

Question 5

BPH occurs in __% of males > __ yo, though only 10% are symptomatic (involves urethral obstruction)

Answer 5

90%

70

Question 6

__% of male CA is prostate CA, and ___% of them are glandular adenocarcinoma

Answer 6

25

100

Question 7

prostate cancer occurs 70-80% of the time in the ___ zone as a small, firm mass with an increased risk over 50 yo, MC___-___

Answer 7

peripheral

65-75

Question 8

prostate CA mets in advanced stages, MC to the:

Answer 8

axial skeleton (osteoblastic mets)

Question 9

blocking of ureteropelvic jxn seen in infatns and young boys

Answer 9

hydronephrosis

Question 10

ureter blockage type that causes severe ureter pain, flank pain, may pass on its own within 4 weeks or after a lithotripsy

Answer 10

renal calculus

Question 11

acquired urethral obstruction that is MC small and asymptomatic but can cause infection

Answer 11

diverticula

Question 12

urinary bladder general inflam

Answer 12

cystitis

Question 13

__% of CA dx are bladder cancer, with 90% of those being ____ carcinoma

Answer 13

7%

urothelial

Question 14

___ infection, common in egypt can cause SCC

Answer 14

schistosoma (blood fluke)

Question 15

risks for bladder ca include being male 50-80 yo, chronic bladder irritation, or living in this type of environment

Answer 15

industrialized/urban

Question 16

bladder ca has high recurrence and causes painless _____, and is tx with a radical ____

Answer 16

hematuria

cystectomy

Question 17

2 MC std in US

Answer 17

genital herpes

HPV

Question 18

organism that causes syphilis, which is transmitted via direct mucosal contact or transplacentally, will cause a chancre

Answer 18

treponema pallidium

Question 19

demographic most at risk for syphilis

Answer 19

african american (30x)

Question 20

• pathology seen in the primary stage of syphilis

- resolves in 4-6 wk

Answer 20

chancre

Question 21

palmar rash, lymphadenopathy, condyloma latum are the patholgies of syphilis seen in the ___ stage

Answer 21

secondary

Question 22

three pathologies seen in tertiary stage syphilis

Answer 22

neurosyphilis
aortitis
gummas (uncommon modernly)

Question 23

congenital syphilis usually results in one of these two things

Answer 23

late abortion

stillbirth (40% if untx)

Question 24

saddle nose deform, periostitis, mulberry molars, hutchinson’s teeth are all seen in what std

Answer 24

congenital syphilis