Exam 4: Male reproductive problems, STDs, and transgender

Question 1

Benign prostatic hyperplasia: Risk

Answer 1

• Increased age

- African Americans

Question 2

Benign prostatic hyperplasia: Symptoms

Answer 2

• Painless (important)
• Hyperirritable bladder
• Increased urgency and frequency (important)
• Hypertrophied bladder wall muscles
• Cellules and diverticula
• Hydroureter
• Hydronephrosis
• Overflow urinary incontinence

Question 3

Benign prostatic hyperplasia: Diagnosis

Answer 3

• Digital rectal exam (Draw PSA first)

International Prostate Symptom Score

• 1-7 is mild
• 8-19 is moderate
• 20-35 is severe

Question 4

Benign prostatic hyperplasia: Treatment/medications

Answer 4

• 5-alpha reductase inhibitor (may take up to 6 months to improve) (decreases size of prostate)
  finesteride (Proscar) (important)
  dutasteride (Avodart) (important)
• Alpha-1 selective blocking agents (important) (Increase urinary stream)
  tamsulosin (Flomax) (important)
  doxazosin (Cardura) (important)

Question 5

Benign prostatic hyperplasia: 5-alpha reductase inhibitor side effects

Answer 5

• ED
• Decreased libido
• dizziness
• orthostatic hypotension

Question 6

Benign prostatic hyperplasia: Alpha-1 selective blocking agents side effects

Answer 6

• Peripheral vasodilation
• decreased peripheral vascular resistance
• Orthostatic hypotension, tachycardia, and syncope

Question 7

Benign prostatic hyperplasia: Treatment/Surgical and post op

Answer 7

Transurethral resection of prostate (TURP)

post op

• urinary catheter with retention balloon placed
• traction- uncomfortable urge to void continuously
• continuous bladder irrigation for hematuria

Question 8

Benign prostatic hyperplasia: Teaching

Answer 8

• no meds that cause urinary retention
• no alcohol
• no drinking a lot of fluids at once
• no caffiene
• no diuretics
• Void when you have the urge
• Increase sex means decrease in prostate fluid

Question 9

Syphilis: Treatment

Answer 9

• Penicillin IM injection one time

Late latent and tertiary- receive dose each week for 3 weeks

Question 10

Gonorrhea: symptoms

Answer 10

• Male: dysuria and penile discharge (important)
• Female: change in vaginal discharge, urinary frequency, or dysuria; ascending spread that can cause endometritis, salpingitis, and pelvic inflammatory disease

Question 11

Gonorrhea: Treatment

Answer 11

• ceftriaxone (Rocephin) IM single dose

- Typically occurs with chlamydia and will be treated at same time