Disorders of the Prostate

Question 1

BPH

Answer 1

Poorly understood hypertrophe of prostate
Increased incidence w/ age
most common benign tumor

Question 2

AUA <7 tx

Answer 2

Watchful waiting
Avoid degongestants, void frequently
Limit fluids after dinner

Question 3

Therapy for AUA >7

Answer 3

Alpha blocker
or
5-alpha reductase inhibitor

Question 4

TURP

Answer 4

trans-urethral prostatectomy

Most common surgical procedure for BPH

Question 5

Most common site of mets from prostate CA

Answer 5

Axial skeleton

Question 6

Common prostatitis bugs

Answer 6

E-coli
Enterococci
Klebs

Question 7

Chronic bacterial prostatitis often caused by?

Answer 7

Gram- rods

Question 8

Saw palmetto can cause?

Answer 8

False negative PSA

Question 9

Tamsulosin brand name

Answer 9

Flomax

Question 10

Tamsulosin (flomax)

Answer 10

Selective alpha blocker
Fewer SE, less orthostatic hypotension
May cause floppy iris syndrome

Question 11

Doxazosin (Cardura)

Answer 11

May have secondary benefit in pt’s with cardiac dz

Question 12

Terazosin (hytrin)

Answer 12

SE more common
Often used for HTN
Take at bedtime

Question 13

PSA levels must be _____ is patients using 5-alpha-reductase inhibitors

Answer 13

Doubled

Question 14

FInasteride (Proscar)

Answer 14

5-alpha-reductase inhibitor
also used for baldness
Produce 50% decrease in PSA levels
Reduces prostate size

Question 15

Tolterodine (Detrol)

Answer 15

Antimuscarinic

Helps urgency and bladder spasm