Ch 35 WS

Question 1

Where in the prostate do most cancers occur?

Answer 1

In the peripheral glands of the prostate

Question 2

Where in the prostate does most benign hyperplasia occur?

Answer 2

arises from the central (periurethral) portion.

Question 3

List the nodes (in order) in which prostate cancer spreads.

Answer 3

first involving the periprostatic and obturator nodes, followed by external iliac, hypogastric, common iliac, and periaortic nodes

Question 4

List the signs and symptoms of prostate cancer (clinical presentation).

Answer 4

1. decreased urinary stream
2. frequency
3. difficulty in starting urination
4. dysuia
5. infrequently
6. hematuria

Question 5

What is a transurethral resection?

Answer 5

a surgical procedure of the prostate performed for lower urinary tract obstructive symptoms

Question 6

What is the standard method used to diagnose prostate cancer?

Answer 6

Complete physical and rectal examinations

Question 7

What is the sensitivity rate for a digital rectal exam? What is the specificity rate for a digital rectal exam?

Answer 7

A digital rectal examination has a 70% sensitivity rate and 50% specificity rate in detection of prostate cancer.