Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Urology > Disorders of the Prostate and Treatment > Flashcards

Disorders of the Prostate and Treatment Flashcards

1
Q

most common benign tumor in men

A

BPH

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What happens pathophysiologically as the prostate gland enlarges?

A

Increased resistance to urine flow leads to bladder muscle hypertrophy. Predisposes to infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the irritative symptoms of BPH?

A

frequency, nocturia, urgency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Obstructive symptoms include: hesitancy, weak stream, incomplete emptying, straining, dribble

A

BPH

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What labs should you order for BPH?

A

UA, Cr, PSA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

When is imaging such as IVU, IVP, CT or renal ultrasound ordered to evaluate BPH?

A

recommended only in the presence of concomitant urinary tract disease, or complications from benign prostatic hyperplasia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Medication primarily used for symptomatic relief of BPH

A

alpha blockers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Medication class used to reduce prostate size

A

5-alpha-reductase inhibitors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Most common alternative supplement for BPH

A

saw palmetto

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the treatment recommendations for a man who has AUA score <7?

A

watchful waiting (limit fluids after dinner, avoid decongestants, void frequently)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Indications include refractory acute retention, hydronephrosis, repeated UTIs, recurrent or refractory gross hematuria, or elevated Cr level that responds to catheter drainage

A

prostatectomy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Most common surgical procedure for BPH

A

transurethral prostatectomy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Common complication of transurethral prostatectomy

A

Retrograde ejaculation resulting in infertility

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Better surgical option for younger men with smaller prostates; reduces risk for retrograde ejaculation and subsequent infertility

A

Transurethral Incision of the Prostate (TUIP)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Most common cancer detected in american men and second leading cause of cancer related death. ‘Merica!

A

prostate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Clinical findings suggestive of prostate cancer

A

induration at time of DRE and elevated PSA

17
Q

Most common site of prostate cancer metastases

A

axial skeleton

18
Q

standard method for detection of prostate cancer. Taken from the apex, midportion and base of prostate

A

transrectal-guided biopsy

19
Q

Most frequently used to stage prostate cancer

A

transrectal ultrasound

20
Q

When should you order a bone scan for prostate cancer?

A

those with advanced local lesions, symptoms of mets, high grade prostate cancer and PSA’s >20

21
Q

Stage of cancer where tumor is microscopic and confined to prostate but is undetectable by a digital rectal exam (DRE) or by ultrasound

A

stage T1

22
Q

Stage of cancer where Tumor is confined to prostate and can be detected by DRE or ultrasound

A

stage T2

23
Q

Stage of cancer when it has spread to tissue adjacent to the prostate or to the seminal vesicles

A

stage T3 or T4

24
Q

Stage of cancer when it has spread to pelvic lymph nodes, lymph nodes, organs, or bones distant from the prostate

A

N+ or M+

25
Q

What stage tumors are candidates for curative therapy with either radiation therapy or radical prostatectomy. Usually external beam radiation therapy

A

T1 or T2

26
Q

Benefits of external beam radiation therapy

A

lower risk of erectile dysfunction and incontinence

27
Q

involves placing radioactive, rice-sized pellets directly into the prostate gland; the radiation is emitted from within the gland for a specified period of time and then dissipates

A

brachytherapy

28
Q

Abx treatment for acute bacterial prostatitis caused by STD

A

A shot of ceftriaxone followed by a 7-day course of doxycycline

29
Q

Common symptoms of acute prostatitis that are often not present with chronic prostatitis

A

perineal pain and exquisite tenderness of the prostate

30
Q

In men older than 35, what bacteria typically cause prostatitis?

A

e. coli

31
Q

Why are men over age 50 who have an enlarged prostate at increased risk for acute bacterial prostatitis?

A

due to their risk of urinary tract infection

32
Q

What should you avoid during physical exam if you suspect acute bacterial prostatitis due to risk of sepsis?

A

prostate massage or DRE

33
Q

Most common pathogens of chronic bacterial prostatitis

A

gram-negative rods

34
Q

Exam findings associated with chronic prostatitis

A

asymmetrical enlarged prostate that is boggy and tender

35
Q

Most common form of prostatitis. Presentation is identical to that of Chronic, without any UTI present. Recurrent symptomatic exacerbations, termed male chronic pelvic pain syndrome

A

nonbacterial prostatitis

36
Q

Treatment for chronic prostatitis

A

Bactrim for 2-3 months or cipro for 4 weeks

37
Q

Can help with symptoms of bacterial and nonbacterial prostatitis in addition to anti-inflammatories and sitz baths

A

alpha blockers

38
Q

What is back pain unrelieved or worsened by lying down often associated with?

A

a tumor

Urology (14 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions