Mens Health CE 2

Question 1

BPH mgmt drug classes
3

Answer 1

alpha-adrenergic antagonists
5-alpha-reductase inhibitors
pde-5 inhibitor

Question 2

BPH mgmt - alpha receptors are

Answer 2

abundant in the prostate, base of bladder, prostate capsule and prostatic urethra

Question 3

alpha-adrenergic antagonists MOA

Answer 3

decrease bladder outlet obstruction

Question 4

decrease bladder outlet obstruction

Answer 4

alpha-adrenergic antagonists MOA

Question 5

alpha-adrenergic antagonists - meds

Answer 5

terazosin/Hytrin
tamsulosin/Flomax
doxazosin/Cardura

Question 6

alpha blockers - when to take

Answer 6

can cause hypotension, take at night; terazosin, doxazosin, tamsulosin

Question 7

5 alpha reductase inhibitors MOA

Answer 7

reduce the size of the prostate; 6-12 months of treatment necessary to see benefit

Question 8

reduce the size of the prostate; 6-12 months of treatment necessary to see benefit

Answer 8

5 alpha reductase inhibitors MOA

Question 9

5 alpha reductase inhibitors meds
2

Answer 9

dutasteride/Avodart
finasteride/Proscar

Question 10

PDE5 inhibitor
1

Answer 10

tadalafil/Cialis

Question 11

tadalafil/Cialsis - takes how long to see effects for BPH

Answer 11

about a week

Question 12

prostate cancer - how to screen

Answer 12

PSA

Question 13

PSA - who and how often

Answer 13

those who have expected life of >10 years, q1-2 years if asymptomatic; stop about age 70-75

Question 14

what percent of men dx with prostate cancer have an abnormal PSA

Answer 14

80%

Question 15

PSA stands for

Answer 15

prostate specific antigen

Question 16

PSA is a

Answer 16

protein produced by the prostate gland when it’s active

Question 17

PSA - bedrest

Answer 17

lowers

Question 18

PSA - exercise

Answer 18

no change

Question 19

PSA - DRE

Answer 19

increases but not clinically significant

Question 20

PSA - what can increase level
5

Answer 20

1. ejaculation but resolves in 24 hours
2. DRE but not clinical significant
3. cycling
4. prostate infection
5. massage

Question 21

2nd most common cancer in men

Answer 21

prostate

Question 22

prostate cancer lifetime risk, dying risk

Answer 22

16%, 2.9%

Question 23

risk factor for prostate cancer
4

Answer 23

1. older age
2. African american
3. family history of prostate cancer, especially before age 65
4. known or likely BRCA1 or BRCA2 gene mutations

Question 24

normal PSA level

Answer 24

<4.0

Question 25

prostate cancer assessment findings
4

Answer 25

1. most are asymptomatic when dx
2. asymmetry, induration, nodularity suspicious of prostate cancer even if normal PSA
3. prostate feels hard, and/or nodular
4. new onset ED

Question 26

can UTI cause increase in PSA

Answer 26

not likely

Question 27

how to dx hernia

Answer 27

physical exam, if not then US

Question 28

how if asymptomatic hernia managed

Answer 28

referral

Question 29

painless swelling of one testicle

Answer 29

testicular cancer