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FNP Review > Men & womens health > Flashcards

Men & womens health Flashcards

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Family Nurse Practitioner (FNP) flashcards
1
Q

A rapidly progressing polymicrobial necrotizing fascitis of th external gentialia and perineum
c/o abrupt pain redness and swelling of skin

A

fourniers gangrene

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2
Q

foreskin cant be returned to original position

A

paraphimosis

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3
Q

prolonged and painful erection

A

priapism

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4
Q

male with new onset lower back pain/ rectal perineal pain with difficulty voiding

A

prostate cancer

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5
Q

most common solid malignancy affecting males age 15-35 years

A

testicular cancer

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6
Q

nodule with heaviness/achiing with a larger testicle and tenderness

A

testicular cancer

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7
Q

abrupt onset of extremely painful annd swollen testicle with lower abdominal pain (EMERGENCY)

A

testicular torsion

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8
Q

abrupt onset of blue colored mass in testicle in school aged boy, cremasteric reflex is present

A

torsion of the appendix testis

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9
Q

testicle draws in with touch at groin of close to testicle/ when is this not present

A

cremasteric reflex…. testiclar torsion

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10
Q

sperm production that begins in late puberty, ideal temp 1-2 degress lower than body temp

A

spermatogenesis

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11
Q

undescended testes

A

cryptochidism

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12
Q

condition that increases risk of testicular cancer

A

cryptochidism

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13
Q

heart shaped gland that grows through entire male life

A

prostate

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14
Q

coiled tubular organ on posterior of testis that stores immature sperm

A

epididymis

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15
Q

structure that transports sperm thats cut in vasectomy

A

vas deferens

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16
Q

direct beam of light behind scrotum & what results mean

A

transillumination: light - hydrocele … no light - varicocele, testicular tumor

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17
Q

feels like a bag of worms

A

varicocele

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18
Q

acute infection of the prostate caused by gram negative organisms

A

acute bacterial prostatitis

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19
Q

sudden onset of fever/chills with suprapubic pain radiating to back /rectum with firm edematous and tener prostate

A

acute bacterial prostatitis

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20
Q

treatment for bacterial prostatis

A

fluoquinolones or sulfa

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21
Q

acute onset of scrotal pain most commonly caused by gram negative e coli or STI

A

acute epididymitis

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22
Q

relief of pain with scrotal elevation

A

positive prehns sign: Positive Prehn’s sign indicates there is pain relief with lifting the affected testicle, which points towards epididymitis. Negative prehns: Negative Prehn’s sign indicates no pain relief with lifting the affected testicle, which points towards testicular torsion which is a surgical emergency and must be relieved within 6 hours

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23
Q

candidal infection of the glans penis

A

balanitis

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24
Q

gradual onset of urinary obstructive symptoms with enlarged prostate

A

benign prostatic hyperplasia

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25
Q

treatment of benign prostatic hyperplasia

A

1st line: aplha 1 adrenergic (flomax)
with ED: PDE5 sildenafil
for progression: proscar (finasteride) blocks androgen receptor

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26
Q

decreases prostate size by 50% (psa must be doubled) and if stopped original prostate size will return

A

proscar

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27
Q

infections of the prostate >6 weeks

A

chronic bacterial prostatitis

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28
Q

testicle does not descend by 4 months old

A

cryptorchidism

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29
Q

conditino that increases risk of testicular cancer and sterility

A

cryptorchidism

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30
Q

medication with highest risk of ED

A

SSRI paroxetine

31
Q

serous fluid collected inside the tunica vaginalis, glow with transillumination

A

hydrocele

32
Q

inflammatory and localized fibrotic plaques on the tunica albuginea causing penile pain during erection

A

peyronies disease

33
Q

nonretractable foreskin

A

phimosis

34
Q

foreskin cant be returned to original placement

A

paraphimosis

35
Q

fluid filled cyst of nonviable sperm, treated only if they cause pain

A

spermatocele

36
Q

new onset “bag of worms” that can signal tumor or mass impediing drainage

A

varicocele

37
Q

treatment for male with ED and BPH

A

alpha blocker (terazosin)

38
Q

finasteride is what class of drug

A

category x: teratogenic….pregan peple handle with gloves

39
Q

genes associated with breaast cancer

A

BRCA 1 BRCA2

40
Q

common location of breast mass

A

tail of spence

41
Q

skin changes seen with breast mass

A

peau d’orange

42
Q

sudden onset of red swollen tender area on breast similar to mastitis presentation

A

inflammaotry breast cancer

43
Q

best screening for ovarian cancer

A

genetic (BRCA 1 BRC2)

44
Q

red colored scaly rash on nipple spreading to areola in older women

A

pagets disease of the breast

45
Q

findings on palpation of postmenopausal womens breasts

A

softer with less volume and pendulous

46
Q

hard irregular mass on palpation of breast that is not mobile

A

breast cancer

47
Q

inital step after finding breast mass

A

refer for biopsy

48
Q

palpable ovary in postmenopausal women

A

rule out ovarian cancer with intravaginal u/s

49
Q

absence of menarche by age 15

A

primary amennorrhea

50
Q

most common cause of primary amenorrhea

A

turner syndrome

51
Q

vaginal dryness with dysparenuia and atrophic changes

A

vulvovaginal atrophy

52
Q

initial treatment for atrophic vaginitis

A

lubricant

53
Q

preferred treatment for moderate to severe atrophic vaginitis

A

topical estrogen

54
Q

reproductive aged woman between 25-35 years old with moderate to severe pelvic pain during menses, heavy cramping and dyspareunia

A

endometriosis

55
Q

cyclic bilateral breast tenderness before periods with breasts feeling lumpy or nodular

A

fibrocystic breast changes

56
Q

chronic inflammaotry disorder of the vulva skin: flat topped and slightly scaly hypopigmented and white and change to look like cigarette paper

A

lichensclerosis

57
Q

bulging of anterior vaginal wall with urinary incontinence

A

cystocele

58
Q

bulging on posterior vaginal wall with feeling of rectal fullness and pressure

A

rectocele

59
Q

hormone abnormality with anovulation or oligoanovulation, infetility, excessive estrogen, high androgen production and insulin resistance

A

PCOS

60
Q

contraindications to MRI

A

any metal in body

61
Q

cause of hot flashes in menopause

A

decreased estrogen and progesterone causing receptors to be unbound

62
Q

bowel sounds with hernias

A

hyper, highpitched or tinklnig or absent /hypo

63
Q

cause of gynecomastia

A

normal in infants, older kids/adults: decrease androgen or increased estrogen affect due to proliferation of the stroma

64
Q

cause of overflow incontinece (frequent dribbling from overfull bladder)

A

BPH

65
Q

medications that cause ED

A

SSRI

66
Q

post vasectomy intercourse recommendations

A

not sterile until 20 ejaculations, recheck at 3 months

67
Q

hyperthyroid effects on menstruation

A

irregular and ligther flow causing infertility problems

68
Q

hypothyroid effect on menstruation

A

oligomennohea, menorrhagis, anovulatory

69
Q

vasectomy complications

A

mild discomfort for a few days…. hematoma (<5%) sperm granuloma

70
Q

other name for non lactation mastitis

A

inflammatory breast cancer

71
Q

breast cancer risk with vaginal estrogen use

A

less likely due to only local and minimal systemic involvement…. oral increases risk

72
Q

common signs of ovarian cancer

A

abdominal bloating, discomfort, pelvic/back paindyspareunia, changes in bowel habits

73
Q

timeline for medical abortions

A

9 weeks gestation in NS, up to 11 weeks

FNP Review (3 decks)

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