GU

Question 1

how to screern for prostate CA? how to confirm + screen?

Tx?

Answer 1

PSA (>10) or DRE

confirm with US guided needle biopsy

Tx radical prostatectomy (local), radiation + flutamide + leuprolide (invasive)

Question 2

what are the cancers that rarely metastasize

Answer 2

prostate, esophageal, skin (nonmelanoma), oropharyngeal

Question 3

What paraneoplastic syndroms are assc with renal cell cardinoma

Answer 3

PAPER – 
PTH-rP,
ACTH, 
prolactin, 
EPO
renin

Question 4

how is renal cell carcinoma Dx?

Answer 4

abdominal CT

Question 5

RF for renal cell carcinomaq

Answer 5

smoking > obestity

Question 6

Bilateral renal cell carcinoma, think

Answer 6

VHL

Question 7

painless hematuria

Answer 7

bladder cancer

Question 8

how to dx bladder cancer?

Answer 8

IV pyleo with cystoscopy w/ bx

Question 9

RF for dev bladder cancer

Answer 9

Pee SAC – 
pain killer abuse, 
smoking (#1), 
aniline dyes,
cyclophosphamide

Question 10

bladder SCC, thinnk

Answer 10

Schistosoma haematobium

Question 11

how to diagnose testicular cancer

Answer 11

tranillumination neg then get US

f/u with aFP(seminoma) and bHCG levels

Question 12

exophytic penile mass in a
noncircumcised dirty old man

etiology?

Answer 12

penile cancer

HPV 16/18 infx

Question 13

severe testicular pain + “high

riding testicle w/ horizontal lie”

Answer 13

testicular torsion

Question 14

Cremasteric reflex + torsion?

Answer 14

stroking of inner thigh causes elevation of

testicle; absent w/ torsion

Question 15

presents like testicular torsion,
but w/ fever, pyuria, and cord is
also tender

dx? tx? etiology

Answer 15

Dx with US to r/o torsion

Tx abx

Etiology: GC or CT in young men,
E. coli in kids and elderly