Men's Health

Question 1

acute prostatitis presents as

Answer 1

• Pain in the perineum, lower abdomen, testicles, or penis; pain with
  ejaculation; voiding difficulty

Question 2

acute prostatitis exam findings

Answer 2

fever, chills,
enlarged, boggy prostate
cloudy urine
frequency urgency
dysuria

Question 3

acute prostatitis diagnostics to order

Answer 3

rectal exam: tender prostate
UA
culture

Question 4

acute prostatitis treatment

Answer 4

TMP-SMX, cipro, levo for 6 weeks
improvement in 2-6 days

Question 5

chronic prostatitis prostate exam usually

Answer 5

normal

Question 6

BPH assessment findings

Answer 6

decreased urinary stream
hesitancy, dribble
incontinence or retention
firm, smooth, symmetrically enlarged prostate

Question 7

bph management

Answer 7

alpha adrenergic antagonist
5 alpha reductase inhibitors
PDE-5 inhibitor

Question 8

alpha adrenergic antagonist example

Answer 8

decrease bladder outlet obstruction
terazosin
tamsulosin
doxazosin

Question 9

5 alpha reductase inhibitors

Answer 9

reduce size of prostate, take 6-12 months of treatment for benefit
dutasteride
finasteride

Question 10

prostate cancer screening recommends

Answer 10

PSA

Question 11

prostate cancer risk factors

Answer 11

older age
black men
family hx (esp before age 65)
BRCA 1 or 2 gene

Question 12

prostate cancer assessment findings typically

Answer 12

asymptomatic when diagnosed

Question 13

epididymitis etiology

Answer 13

noninfectious most common- prolonged sitting
infectious- sti

Question 14

epididymitis assessment findings

Answer 14

gradual development of scrotal pain
tender, enlarged
urethral discharge
dysuria

Question 15

management for noninfectious epididymitis

Answer 15

if no severe pain
rest, oral fluids, scrotal support, ice
nsaids

Question 16

testicular torsion presentation

Answer 16

• Sudden onset of testicular pain: may occur after vigorous exercise
  or testicular trauma
• Nausea, vomiting
• Testicular swelling
• Awakening in the middle of the night (common in children)
• Absent ipsilateral cremasteric reflex!

Question 17

erectile dysfunction risk factors

Answer 17

age
dm, htn, obesity, hlp
smoking
low testosterone
CVD
meds

Question 18

gradual development of erectile dysfunction typically indicates

Answer 18

organic cause

Question 19

PDE5 inhibitors

Answer 19

viagra, cialis
contra if pt taking nitrates

Question 20

if sulfa allergy cannot take

Answer 20

tamulosin

Question 21

alpha adrenergic antagonist instructions

Answer 21

take at night
get up slowly next AM