Prostate

Question 1

Chronic prostatitis presentation

Answer 1

pelvic or low back pain

Question 2

Tender and boggy prostate

Answer 2

acute prostatitis

Question 3

Cultures in chronic prostatitis

Answer 3

usually negative (!)

Question 4

BPH related to which hormones

Answer 4

DHT

Question 5

BPH occurs where in prostate

Answer 5

periurethral zone

makes perfect sense w/ Sx

Question 6

Possible very bad, not so good complication of BPH

Answer 6

hydronephrosis

when ureter openings are compromised

Question 7

Tx of BPH

Answer 7

alpha1 antagonists: terazosin

5alpha reductase inhibitors: finasteride

Question 8

BPH is sensitive to what hormone

Answer 8

DHT
testosterone —> DHT
via 5-alpha reductase

Question 9

The only way to definitively diagnose prostate adenocarcinoma

Answer 9

Bx

Question 10

Gleason grading system

how does it work

Answer 10

out of 10, scored 1-5 of two separate Bx sites
based on architecture alone
nuclear atypia does not play a role

Question 11

Prostate ca mets

Answer 11

blastic, often to lumbar spine or hip

alkaline phosphatase is often high