Male Sensitive Exam

Question 1

is the male rectal exam for prostate cancer a good screening tool

Answer 1

no

Question 2

the male rectal exam is used when

Answer 2

symptomatic patient presents
new back pain
>50 years old

Question 3

how much of the prostate is accessible by palpation

Answer 3

85%

Question 4

majority of prostate cancers are detected with the DRE when

Answer 4

in advanced cancers

Question 5

2-3% of men over 50 have what features of the prostate

Answer 5

induration
marked asymmetry
ndoularity of the prostate

Question 6

DRE screening __ the odds of detecting cancer

DRE screening also has a __ increase in finding non curable cancer

Answer 6

doubled

3-9x

Question 7

what is the DRE sensitivity and specificity of detected prostate cancer

Answer 7

sensitivity - 59%

specificity - 94%

Question 8

what is the preferred position for the make exam

Answer 8

patient standing leaning over the exam table

Question 9

how many gloves do we wear

Answer 9

2 gloves

Question 10

lubricate finger with what

Answer 10

lubricant

Question 11

how big is the prostate

Answer 11

size of walnut

Question 12

what is shape of prostate

Answer 12

median furrow and 2 lateral troughs

Question 13

what is the consistency of the prostate gland

Answer 13

springy

Question 14

discard guaiac test and gloves where

Answer 14

biohazard

Question 15

how do you evaluate the rectum wall

Answer 15

pronate and then supinate to cover entire rectal wall