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Testicular Disorders, Cancer, Hernia, ED , BPH, Prostate CA > General Male > Flashcards

General Male Flashcards

1
Q

5 Ps

A

Partners
Past Hx of STI
Practices
Prevention of STI
Prevention of Pregnancy

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2
Q

Hydrocele

A
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2
Q

Varicocele

A

Dilated veins of the spermatic cord

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3
Q

Asymptomatic UTI Males

A

WBC > 10 in single urine clean catch

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4
Q

Cystitis Meds
(TLC)

A

Urine c+s should be performed

Trimethoprim/Sulfamethoxazole
Levofloxaciin
Ciprofloxacin

7-14 days tx

Pyridium daily

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5
Q

BPH
When does it usually start what age

A

constrict urethra starts at age 40

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6
Q

Dx of BPH

A

UA,UC, PSA

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7
Q

Median sulcus

A

Separate right and left lobe of prostate

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8
Q

PSA elevated level

A

Age 55-69 y/o USPSTF
>4 increased risk of prostate ca

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9
Q

BPH Medical Management

What does Doxa, Tamsu, and Alfuz mx for what in reference to BP

A

1) Doxazosin, Tamsulosin, Alfuzosin : postural hypotension, dizziness, fatigue

2) Finasteride, Dutasteride: PSA max @ 6 months, LUTS AND BPH

3) Tadalafil

Void q 2-3 hours

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10
Q

5 Alpha Reductase

A

2) Finasteride, Dutasteride: PSA max @ 6 months, LUTS AND BPH

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11
Q

Prostatitis

A

Acute/chronic infx

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12
Q

Noninflammatory Prostatitis

A

WBC <10

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13
Q

Acute prostatitis, male, <35 y/o, urinary symptoms

A

Check for gonorrhea, and chlamydia

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14
Q

Acute Bacterial Prostatitis s/s

A

Fever, chills, malaise
Arthralgias, myalgias
Acute onset of dysuria
Obstructive urinary tract symptoms including
Hesitancy frequency, urgency, nocturia, urgency, incomplete voiding, weak stream Low back pain
Low abdominal pain
Neuropathic pain
Spontaneous urethral discharge

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15
Q

Perineal, inguinal, or suprapubic pain, irritative symptoms upon voiding, frequency and urgency, dysuria
**Hematuria, ****hematospermia or ***painful ejaculations
**Prostatic calculi

A

Chronic Bacterial Prostatitis

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16
Q

Perineal, suprapubic, coccygeal, rectal, urethral and testicular/scrotal pain for > 3***** days of the previous 6 months without documented urinary tract infection

A

Chronic Pelvic Pain Syndrome + Chronic Prostatitis

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17
Q

Penile discharge, noted during 1st BM in the day

A

NONBACTERIAL PROSTATITIS

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18
Q

Boggy and Tender Prostate

A

Acute Prostatitis

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19
Q

CBP Hallmark symptom

A

Recurrent UTI

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20
Q

Acute Prostatitis Meds
F/D

A

Fluoroquinolone or Doxycycline

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21
Q

Chronic Prostatitis and Pelvic Pain (F/T)

A

Fluoroquinolone
TMP/SMX

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22
Q

Fluoroquinolones in elderly can cause
S/D

A

Seizures + Dementia

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23
Q

Epididymitis- most common intrascrotal inflammation

How long till it takes to be chronic

A

Scrotal bacterial infection

Chronic: >6 weeks

<35 y/o chlamydia and gonorrhea

24
Q

Phrens sign

A

Unilateral swelling SO

Relief when lifting the bad testicle

25
Q

Cremasteric reflex

A

sign of testicular torsion check if normal

get US to r/o testicular torsion

26
Q

What urine/skin test you getting for Epidydimitis

A

TB, Syphillis, HIV, Chlamydia, Gonorrhea

27
Q

Acute Epidydimits: Chlamydia and Gonorrhea meds

C and D

A

Ceftriaxone IM + Doxycycline

28
Q

Acute Epidydimits : MSM Meds

C and L

A

Ceftriaxone IM + Levofloxacin

29
Q

Acute Epidydimits : Enteric meds

L

A

Levofloxacin

30
Q

Epididymitis only with EcoLi
prostate biopsy, vasectomy or any other urinary tract procedures using instruments

A

Levofloxacin

31
Q

Testicular torsion

Repair time

A

Twist, vas deferens

Left testes, repair in 6 hours, <20 y/o

32
Q

Testicular torsion s/s

A

unilateral scrotal pain

Cremasteric reflex absent
n/v/fever

33
Q

top 2 STI and swabbing

A

1) Chlamydia
2) Gonorrhea

dx: urethral swab + NAAT 1st catch

34
Q

Chlamydia tx (ADL)

A

Azithro
Doxy
Levofloxacin

35
Q

Gonorrhea tx
C/D

A

Ceftriaxone IM
Doxy

36
Q

HPV External Genital Warts(pt)

Meds

IPS

A

Imiquimod + Podofilox + Sinecatcins

37
Q

HPV External Genital Warts (provider)

A

Cryotherapy, Surgical Removal, TCA, BCA removal

38
Q

Rash
Mucocutaneous lesions
Generalized lymphadenopathy

A

Triad of syphillis

39
Q

Syphillis Dx

A

RPR Rapid Test
VDRL, TP-PA,

Neurosyphillis- Direct Fluorescent Antibody Test

40
Q

Syphillis Meds

A

Benzathine PCN G IM

41
Q

HSV 1

A

Oral facial

42
Q

HSV 2

A

Genital dz , genital oral secretions

43
Q

localized or genital pain, shooting, tingling pains legs hips, buttocks occurs hours to days before eruption of lesions.

A

Recurrent outbreak

44
Q

HSV dx

A

Polymer chain reaction or PCR assays for HSV- DNA

45
Q

Herpes 1st time Meds
AFV

A

Acyclovir
Famiciclovir
Valacyclovir. 7-10 days

46
Q

ED Penile plaques

A

Peyronies disease

47
Q
A
48
Q

ED Tx before you begin

A

Cardiology clearance, cardio embolic dz

49
Q

ED Meds and c/i

A

PDE5
Sildenafil (Viagra) and
Vardenafil (Levitra)
Tadalafil (Cialis)

c/I: high cv risk and nitrates

50
Q

what you check for vardenafil

A

Check EKG- prolong QT

51
Q

ED Intracavenous injection- with Alprostadil

How long the erection last

A

Erection last 4 hours

52
Q

Hypogonadism

A

not enough testosterone

t level 300-1000

53
Q

Secondary Hypogonadism
What labs/tests to get

A

Prolactin
Ferritin
MRI Brain

54
Q

T testing + confirmation

Like what time to get the labs

A

don’t screen when sick

repeat morning t (6-8 am)

55
Q

Hypogonadism

Who do you collaborate with

How often to give testosterone

A

work with endocrinology

Primary: testosterone IM 2-4 wks

56
Q

Testosterone tx check which labs

A

PSA
HCT
DRE

57
Q

Male infertility meds

A

clomiphene citrate
increase LH increase testosterone

Testicular Disorders, Cancer, Hernia, ED , BPH, Prostate CA (2 decks)

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