LUTS and BPH

Question 1

nonspecific term for symptoms which may be attributable to lower urinary tract dysfunction

Answer 1

luts (used to be known as prostatism)

Question 2

Name the 2 main groups of LUTS and the previous used terminology for both

Answer 2

– Storage LUTS (previously called irritative symptoms)

– Voiding LUTS (previously called obstructive symptoms)

Question 3

a delay between the voluntary attempt to void and the actual initiation of urination

Answer 3

hesitnacy

Question 4

poor urinary flow ,common symptom of BPH

Answer 4

weak stream

Question 5

linked to weak urinary stream and frequently

accompanied by straining of abdominal muscles upon urination

Answer 5

prolonged voiding

Question 6

involuntary disruption of the urinary stream during voiding

Answer 6

intermittency

Question 7

may be accompanied by the continued desire to void or by pain or discomfort in the bladder area

Answer 7

incomplete emptying

Question 8

inability to effectively terminate voiding

Answer 8

terminal dribbling

Question 9

FIRST ACT IN VOIDING

Answer 9

relaxation of sphincter, which u can’t do when I’m being my literal self in the bathroom stalls

Question 10

associated with bladder irritation that presents as a need to void repeatedly during the day,more than 7 times

Answer 10

urinary frequency

Question 11

What might be a cause of urinary freq?

Answer 11

infection

Question 12

the need to void during sleeping hours more than once

Answer 12

nocturia

Question 13

the need to urinate immediately

Answer 13

urgency

Question 14

involuntary loss of urine preceded by strong desire to urinate

Answer 14

urge incontinence

Question 15

Name the 4 storage LUTS symtoms

Answer 15

urinary frequency, urge, urge incontinence, nocturia

Question 16

Name the 6 symptoms of voiding LUTS

Answer 16

Hesitancy, weak urinary stream, prolonged voiding, intermittency, incomplete emptying, terminal dribbling

Question 17

What are stirctly female causes of LUTS

Answer 17

Uterine prolaspe, cytocele, local extension of cancer of the cervix

Question 18

BPH, LUTS, BOO, put these in order

Answer 18

BPH –> BOO –> LUTS

Question 19

Where (specific location) is BPH often seenin the postate

Answer 19

transitional zone

Question 20

almost 80% of BPH have no problems at all, T of F

Answer 20

TRUE

Question 21

First BPH symptom is

Answer 21

hesitancy- progressive

Question 22

risk in men 51-60

Answer 22

50%

Question 23

risk in men older than 80

Answer 23

90%

Question 24

At which age do 50% of men compain of clinical BPH

Answer 24

75

Question 25

Compensatoryhypertrophied,trabeculatedbladderwall, detrusor muscle instability leads to

Answer 25

storage LUTS

Question 26

Static and dynamic compentn lead to

Answer 26

voiding LUTS

Question 27

direct bladder outlet obstruction from the enlarged gland

Answer 27

static

Question 28

increased smooth muscle tone and resistance within the enlarged gland

Answer 28

dynamic

Question 29

Whats the most important aspect of Dx

Answer 29

HISTORY BITCH

Question 30

Name drugs that cause urinary retention

Answer 30

anticholinergic/ sympathomimetic drugs

Question 31

renal failure without symptoms

Answer 31

azotemia

Question 32

renal failure with symptoms

Answer 32

uremia

Question 33

In surgical treamtment, which symptoms improve faster

Answer 33

voiding > storage

Question 34

What are the indications for surgical treatment of BPH?

Answer 34

Refractory/Recuurent whatever, bladder stones, renal insufficiency, increaing post-void residul volume (duh)

Question 35

Whats the gold standard for obstructive BPH

Answer 35

TURP

Question 36

what type of anesthesia is needed for TURP?

Answer 36

spinal/general

Question 37

Whats the highest to lowest risks of TURP

Answer 37

retrograde ejaculation (75%) > impotence (10%) > incontinence

Question 38

name the minimal invasive procedures

Answer 38

anything with transurethral other than TURP & photoselctive vaporization

Question 39

``` Hyperplastic growth that characterises benign prostatic hyperplasia occurs in which of the following anatomical zones of the prostate? A) Central B) Peripheral C) Transitional D) Posterior ```

Answer 39

C

Question 40

``` Which of the following receptors are present in high concentration in the prostate? A) Cholinergic receptors B) α adrenoceptor C) β adrenoceptor D) All the above ```

Answer 40

B

Question 41

What is the relationship between prostate cancer and the condition of an enlarged prostate, also known as BPH A) BPH causes prostatic cancer B) BPH is a symptom of prostatic cancer C) BPH and prostatic cancer are unrelated

Answer 41

C

Question 42

``` The nurse is administering a psychotropic drug to an elderly client who has history of benign prostatic hypertrophy. It is most important for the nurse to teach this client to: A) Report incomplete bladder emptying B) Exercise more C) Take it on bedtime D) Eat more fibers ```

Answer 42

A

Question 43

A client is admitted to the hospital with benign prostatic hyperplasia, the nurse most relevant assessment would be: A) Perineal edema B)Urethral discharge C) Distention of the lower abdomen D)Flank pain radiating in the groin

Answer 43

C