Men's Health Flashcards

1
Q

What is the positive predictive value for abnormal DRE?

A

18%-28%

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2
Q

What is an abnormal PSA antigen velocity for PSA less than and greater than 4?

A
<4 = .35/year
>4= .75/year
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3
Q

When do you start screening for PSA?

A
  1. > 50 with >10 year life expectancy

2. 40-45 if risk factors

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4
Q

Using the American Urological Symptom Index, when is watchful waiting appropriate for BPH?

A

<= 7

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5
Q

Using the American Urological Symptom Index, when is BPH severe?

A

20 or greater

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6
Q

What medications can aggravate BPH symptoms?

A

Anticholinergics, antihistamines, and decongestants

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7
Q

How soon will finasteride shrink prostate and by how much?

A

50% in 6 months.

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8
Q

How many cases of prostatitis are bacterial?

A

5-10%

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9
Q

What organisms are most likely in men less than 35 and men older than 35?

A
  1. < 35= G and C

2. >35= enteric organisms

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10
Q

What is contraindicated in prostatitis?

A

Vigorous massage of prostate

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11
Q

What medication should be given for prostatitis and why?

A

Fluoroquinolone because of good tissue penetration. Give for 4-6 weeks.

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12
Q

What two medications do you not give ED meds with?

A

Alpha 1 antagonists, and nitrates

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13
Q

What is the most common extratesticular malignancy to affect the testicles?

A

Lymphoma

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14
Q

What labs should you do for testicular mass?

A

Alpha fetal protein
Beta humanchorionic gonadotropin- lydig cells convert testosterone to estrogen
Lactate dehydroginase

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15
Q

Is BPH linked to malignancy?

A

No

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16
Q

Findings for BPH on palpation of prostate?

A

May have loss of sulcus, enlarged, rubbery

17
Q

What is the presentation of a chancroid?

A

painful ulcer

18
Q

What organism is responsible for the chancroid?

A

Haemophilus ducreyi

19
Q

What is unique about the lymph nodes with chancroid infection?

A

They may spontaneously rupture

20
Q

What is the organism for lymphogranuloma venereum?

A

Chlamydiaphila trachomatis

21
Q

What does lymphogranuloma venerum present as?

A

Vescular or ulcerative lesion on external genitalia with inguinal lymphadenitis or buboes

22
Q

What stage of syphilis is it most contagious?

A

secondary stage

23
Q

What strains of HPV cause anorectal carcinoma?

A

16 and 18

24
Q

What strains of HPV are likely to cause condyloma acuminatum?

A

6 and 11

25
Q

What would a virologic and serologic test look like for a newly infected patient with HSV?

A

Positive virologic test but negative serologic test