GENITOURINARY AND ENDOCRINE INVESTIGATIONS Flashcards

1
Q

WHAT ARE THE NORMAL PROSTATE FINDINGS

A

RUBBERY AND SMOOTH
MIDDLE GROOVE SEPARATING THE TWO LOBES

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2
Q

WHAT ARE THE ABNORMAL DRE FINDINGS

A

ENLARGEMENT
HARD
NODULES
LOSS OF GROOVE
TENDERNESS

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3
Q

WHAT IS THE MAIN INDICATION FOR A PSA TEST

A

RULE OUT OR DETECT CANCER

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4
Q

WHAT CAN CAUSE BLOOD ELEVATED PSA

A

PROSTATE CANCER
BPH
PROSTATITIS
OLD MEN
STRENUOUS BIKE RIDING
REENT EJACULATION
BEING AFRICAN AMERICAN

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5
Q

WHAT IS A TRUS

A

TRANS RECTAL ULTRASOUND

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6
Q

A TRUSGB MAY BE PERFROMED IN MEN WITH

A

A PALABLE ABNORMALITY
AN ELEVATED PSA
A RAPIDLY INCREASING PSA
RISK FACTORS FOR PROSTATE CANCER

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7
Q

HOW MANY BIOPSIES ARE RECCOMENDED IN A TRUSGB

A

10-12

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8
Q

WHAT ARE THE COMPICATIONS OF A TRUSGB

A

HAEMATURIA
BLOOD IN FAECES
HAEMATOSPERMIA
SEPTIS
UTI
URINARY RETENTION
MILD PELVIC DISCOMFORT
SEDATION COMPLICATIONS

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9
Q

WHAT DOES A PAP TEST LOOK FOR

A

PRECANCEROUS CHANGES IN THE CELLS (EVERY 2 YEARS)

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10
Q

WHAT DOES THE HPV TEST LOOK FOR

A

PRESENCE OF DNA FROM THE HPV (ONLY EVERY 5 YEARS)

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11
Q

WHAT HAPPENS IF HPV DNA IS DETECTED IN A HPV TEST

A

CYTOLOGY TEST WILL BE PERFORMED ON TEH CELLS FOR EVIDENCE OF PRECANCEROUS CHANGES OR CANCER

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12
Q

WHAT ARE THE INDICATIONS FOR THE HPV TEST

A

ALL ASSYMPTOMATIC WOMEN AGED 25-74 EVERY 5 YEARS
ABNORNORMAL VAGINAL BLEEDING
PAIN WITH INTERCOURSE

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13
Q

WHAT IS THE GOLD STANDARD FOR DIAGNOSIS OF ENDO

A

LAPROSCOPY

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14
Q

WHAT ARE THE COMPLICATIONS OF LAPRSOSCOPY AND BIOPSY FOR ENDO

A

INFECTION
ADHESION FORMATION
ORGAN DAMAGE OR HAEMORRHAGE
DEATH

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15
Q

WHAT IMAGING TESTS CAN BE DONE FOR ENDO

A

US
MRI OR CT
HYSTERSALPINGOGRAPHY
LAPAROTOMY
IV PYLEOGRAPHY
COLONIC STUDIES

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16
Q

WHAT LABORATRY STUDIES ARE USED FOR ENDO

A

FBC
URINALYSIS
URINE CULTURE

17
Q

WHAT IS THE MOST COMMON CAUSE OF PID

A

SEXUALLY TRANSMITTED ORGANISMS (GONORRHOEA, CHLAMYDIA, MYCOPLASMA) ASCENDING FROM THE VAGINA

18
Q

WHAT ARE SOME DDX TO CONSIDER WITH PID

A

ECTOPIC PREGNANCY
APPENDICITIS
OVARIAN CYST RUPTURE
UTI/ PYLEONEPHRITIS
ENDO
MID CYCLE OVULATION PAIN
DYSMENORRHEA

19
Q

WHAT NON LABORATORY TESTS ARE USED FOR PCOS

A

US
LAPRASCOPY

20
Q

WHAT LAB TESTS ARE USED FOR PCOS

A

LH
TESTOSTERONE
LH:FSH
FSH
OESTROGENS

21
Q

WHAT ARE THE FASTING BLOOD GLUCOSE LEVELS INDICATING T2D

A

LESS THAN 5.5 = DIABETES UNLIKELY
5.5-6.9 = DIABETES POSSIBLE
MORE THAN 7 = DIABETES LIKELY

22
Q

WHAT ARE THE SYMPTOMS OF HYPO THYROIDISM

A

FATIGUE, WEIGHT GAIN, INCREASED SENS TO COLD, DRY SKIN

23
Q

WHAT ARE THE SSX OF HYPER THYROIDISM

A

FATIGUE, WEIGHT LOSS, INC SENS TO HEAT, NERVOUSNESS