Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Exam 4 Renal NSG 219 > Male Repro > Flashcards

Male Repro Flashcards

1
Q

What can cause BPH?

A

Aging
Hormonal changes
Decreased activity
ETOH/TOB
Diabetes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is DHT?

A

Sex hormone that stimulates prostate growth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What happens as males age?

A

Decreased testosterone
Increase estrogen and DHT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are some complications of BPH?

A

Retention
UTI
Pyelonphritis
Bladder stones
Hydronephoresis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How are bladder stones formed with BPH?

A

Urine becomes alkaline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the PSA normal level?

A

O-6.5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What does a TRUS do?

A

Differentiates between BPH and prostate cancer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is avoided with BPH?

A

Anticholergics and decongestants

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What two class of drugs is used to treat BPH?

A

5a-reductive inhibitors
A-adrenergic receptor blockers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the names of the 5a-reductase inhibitors?

A

Proscar
Avodart

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What do the 5a-reductive inhibitors do for BPH?

A

Reduce size of prostate gland

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

How long can proscar take to work?

A

6 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What does proscar do?

A

Decreases PSA levels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are the names of the a-adrenergic receptor blockers?

A

Flomax
Cardura
Mini press
Hytrin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What do the a-adrengergic receptor blockers do for BPH?

A

Relaxes smooth muscle which increases urinary flow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is Jalyn?

A

Proscar and flomax taken together

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is a common side effect of a-adrenergic receptor blocker?

A

Retrograde ejaculation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What is an erectogenic med and what does it do?

A

Cialis
Symptom relief of BPH and ED

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is a TUMT?

A

Heats prostate to 113
Destroys tissue which relieves obstruction of BPH

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What are the post op procedure do TUMT?

A

Retention is common
Sent home with foley for 2-7 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is a TUNA?

A

Needle directly heats prostate with a laser
More invasive than TUMT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What happens post op TUNA?

A

Hematruia for a week
Necrosis
Catheter

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What does TUNA use that TUMT does not

A

Low wave radio frequency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What happens post op laser prostatectomy?

A

Retrograde ejaculation
Foley for 7 days
CANNOT HAVE KIDS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

How is a TURP performed?

A

Resectoscope inserted into urethra

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

What happens to ejaculatiin after TURP?

A

Can still ejaculate but it decreases semen
ED unlikely

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

What is done post op TURP?

A

Bladder irrigation
CHECK I/O

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

What is done pre op TURP and why?

A

U/A and CBC because UTI must be resolved before surgery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

What do you not do pre op TURp?

A

restrict fluids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

What can develop post op TURP?

A

Retrograde ejaculation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

What are signs of TURP syndrome?

A

Hyponatremia
N/V
Confusion
Bradycardia
HTN

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

What can retrograde ejaculation lead to?

A

Decrease orgasmic sensations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

What are 3 antispasmodics?

A

Ditto pan
Pyriduium
Belladonna

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

When are PSA test given?

A

Every 2 years ages 55-69

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

What is a TUIP?

A

Surgical procedure to relieve pressure of urethra

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

What does a TUIP do?

A

Cuts pieces of the prostate off instead of removing the whole thing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

What treatment is given when kids are wanted?

A

TUIP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

What increases the risk for prostate cancer?

A

Red and processed meats
High fat dairy
Low veg intake
Increased testosterone

39
Q

What is a radical prostatectomy?

A

Entire prostate removed
Seminal vessicals anf neck of bladder removed

40
Q

What are the surgical approaches for a radical prostatectomy?

A

Retropubic-bikini line
Perineal resection- btw scrotum and anus

41
Q

What are the complications of a radical prostatectomy?

A

ED and incontinence

Hemorrhage
Retention
Wound dehiscence
DVT
Pulmonary emboli

42
Q

What do you educate your pt about the complications of radical prostatectomy?

A

ED and inconteince will slowly return
24 months

43
Q

What does androgen deprivation therapy do?

A

Decreases testosterone

44
Q

What can happen from long term androgen deprivation therapy use?

A

Tumor becomes resistant
Increase in PSA levels will tell if resistance has occured

45
Q

What do androgen synthesis inhibitors do?

A

Acts on pituitary to decrease response of LH and testosterone

46
Q

What would the results os a DRE show with prostatitis?

A

Extreme swollen prostate
Tender and boggy

47
Q

What are the complications of prostatitis?

A

Enlarged prostate
Retention
Epididymitis
Cystitis

48
Q

When is a u/a given for prostatitis?

A

Before and after vigorous prostate massage

49
Q

What would the massage cause if the patient had prostatitis?

A

Inflammation
If it didn’t cause inflammation it would be BPH

50
Q

What is hypospadias?

A

Urethral opening is on the back of the penis

51
Q

What is phimosis?

A

Tightness of the foreskin making it hard to retract

52
Q

What is phimosis caused from?

A

Inflammation due to poor hygiene

53
Q

What is the treatment for phimosis?

A

Topical steroid
Circumcision

54
Q

What is paraphimosis?

A

EMERGENCY
Tightness of foreskin, difficulty pulling skin forward

55
Q

What is the treatment for paraphimosis?

A

Push glans through skin using ice and compressions
ATB
Warm soaks

56
Q

What is priapism?

A

EMEREGENCY
Erection lasting longer than 4 hours

57
Q

What are the complications of priapism?

A

Necrosis

58
Q

What is the treatment for priaprism?

A

Blood transfusion
Muscle relaxant (Phenylephrine)

59
Q

What can cause priaprism?

A

Diabetes
Sickle cell
Spine trauma
Drugs
ED meds

60
Q

What infections cause epididymitis?

A

Chlamydia and Gonerreha
BPH and prostatitis

61
Q

What is the treatment for epididymitis?

A

Ice
Analgesics
Elevate scrotum

62
Q

What do you education your pt with epididymitis?

A

Discomfort and swelling last weeks-months
Pain subsides in a week

63
Q

What is orchitis?

A

Inflamed testes

64
Q

What causes orchitis?

A

Viral infections
Mumps
Pneumonia
TB
Syphilis

65
Q

What can orchitis cause?

A

Sterility

66
Q

What is cryptorchisism?

A

Undeserved testes prior to birth

67
Q

What can cryptorchidism cause?

A

Infertility (right teste)

68
Q

What is a hydrocele?

A

Non-tender fluid filled mass in scrotum

69
Q

What is the cause of a hydrocele?

A

Lymph drainage

70
Q

Why is surgery a last resort for a hydrocele?

A

Can cause infertility

71
Q

What is a testicular torsion?

A

EMERGENCY
twisting of the spermatic cord

72
Q

What is done immediately for a testicular torsion and why?

A

Surgery
4-6 hour of no blood flow leads to ischemia and necrosis

73
Q

How do you diagnose testicular torsion?

A

US to see blood flow

74
Q

What is a spermatcele?

A

Firm sperm containing caste of the epididymis

75
Q

What is a varicocele?

A

Dialation of veins that drain the testes

76
Q

What does a varicocele feel like?

A

Worm like scrotum

77
Q

What are the signs of testicular cancer?

A

Painless lump in scrotum
Heaviness and swelling
No tender and firm

78
Q

How do you diagnose testicular cancer?

A

US and blood draw

79
Q

Testicular tumors are more common in males who

A

Have had undecended testes
Family hx

80
Q

What is penile cancer?

A

Squamous cell carcinoma

81
Q

What increases the risk of penile cancer?

A

HPV
Phimosis
Uncircumcised

82
Q

What is a sign of penile cancer?

A

Superficial ulceration
Pimple like nodule

83
Q

What is the treatment of early stages of penile cancer?

A

Laser removal

84
Q

What medicine increase the risk for ED?

A

Tricyclic antidepressants
Antilipidemic
Antihypertensives
Antiandrogens

85
Q

What vascular problems increase the risk for ED?

A

Atherosclerosis
HTN
Peripheral vascular disease

86
Q

What endocrine problems increase the risk for ED?

A

Diabetes
Hypogonadism
Obesity

87
Q

What genitourinary problems increase the risk for ED?

A

Radical prostatectomy
Renal failure

88
Q

What neuro problems increase the risk for ED?

A

CV
Parkinson’s
Trauma
Tumors of spine

89
Q

What is hypogandism?

A

Small testes
Decrease testosterone

90
Q

What are the erectogenic drugs used for ED?

A

Viagra
CIalis
Stendra
Staxyn

91
Q

What cannot be taken with erectogenic drugs?

A

Nitrates

92
Q

If erectogenics are taken with nitrates what will happen?

A

Immediate extreme decrease in BP

93
Q

What are common side effects of erectogenic drugs?

A

HA
Flushing
Congestion
Dyspepsia

94
Q

What is the most common cause of male infertility

A

Varicocele

Exam 4 Renal NSG 219 (2 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions