Prostate Cancer Flashcards

1
Q

A 50-year-old American man has a lifetime risk of __% for latent cancer, __% for developing clinically apparent cancer, and a __% risk of death due to prostatic cancer.

A

40%
16%
2.9%

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2
Q

What is the most common non-cutaneous cancer in American men and second leading cause of cancer related death in men?

A

Prostate Cancer.

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3
Q

MOST prostate cancers are detected due to what?

A

because of elevations in serum PSA (Not DRE)

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4
Q

Prostate specific antigen (PSA) will be elevated (greater than 4.0ng/ml)
(a)_____% of men with intermediate degrees of elevation (4.1-10 ng/mL) will be found to have prostate cancer
(b) ____% of men with elevations greater than 10 ng/mL will be found to have prostate cancer

A

a) 8-30%
b) 50% and 70%

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5
Q

Miscellaneous labs used for what?
BUN and Creatinine
Alkaline phosphatase and calcium
CBC

A

(a) BUN and Creatinine - Assessing for renal impairment with urinary retention
(b) Alkaline phosphatase and calcium - Assessing for bony metastases
(c) CBC - Assessing for anemia

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6
Q

What is the standard method for detection and confirmation of prostate cancer

A

Transrectal ultrasound guided biopsy

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7
Q

All patients with a _______ on DRE or elevated PSA MUST be referred to urology.

A

focal nodule, or induration

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8
Q

Imaging

A

(1) Transrectal ultrasonography
(2) MRI - Evaluating the prostate and regional lymph nodes
(3) Bone scan - Evaluating for bony metastases

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