PROSTATE CONDITIONS INCLUDING MEDICATIONS Flashcards

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1
Q
A
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2
Q

describe the hypothalamic pituitary testicular axis

A

hypothalamus releases GNRH
ant pit releases FSH AND LH
FSH BINDS TO SERTOLI CELLS (SUSTENTACULAR CELLS) TO NURTURE CELLS
LH BINDS TO LEYDIG CELLS RESPONSIBLE FOR PRODUCTION OF sperm CELLS

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3
Q

WHAT IS THE ROLE OF SPERMATOGENIC CELLS

A

MAKE SPERM CELLS

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4
Q

WHAT IS THE ROLE OF SUSTENTACULAR (SERTOLI CELLS)

A

NOURISH DEVELOPING SPERM

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5
Q

WHAT IS THE ROLE OF INTERSITITIAL ENDOCHRINE CELLS (LEYDIG CELLS)

A

PRODUCE ANDROGENS > TESTOSTERONE

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6
Q

WHAT IS THE ROLE OF MYOID CELLS

A

CONTRACT RHYTHMICALLY TO SQUEEZE SPERM AND FLUIDS OUT ON THE SEMINEFEROUS TUBES

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7
Q

WHAT IS THE LOCATION OF THE PROSTATE

A

ENCIRCLES THE PROSTATIC URETHRA

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8
Q

THE PROSTATE IS MADE UP OF WHAT GLANDS

A

TUBULOALVEOLAR

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9
Q

WHAT ARE THE TUBULOALVEOLAR CELLS EMBEDDED IN

A

STROMA

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10
Q

THE SUPPORTS OF THE STROMA OF THE PROSTATE GLAND ARE

A

FIBROUS CT
SMOOTH MM FIBRES
PROSTATIC INTERSTIIAL CELLS

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11
Q

THE SMOOTH MUSCLE FIBRES OF THE STOMA OF TEH PROSTATE GLAND POSESS WHAT RECEPTORS

A

ALPHA 1 ANDRENERGIS RECEPTORS

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12
Q

WHAT DO ALPHA 1 ANDRONERGIC RECEPTORS RESPOND TO AND WHAT DOES IT CAUSE

A

SYMPATHETIC NS (NOREADRENALINE AND ADRENALINE)

CAUSING PROSTATIC CONTRACTION

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13
Q

TAMSULOSIN IS WHAT KIND OF MEDICATION

A

ANDRONERGIC ANTAGONIST

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14
Q

what region of the sprostate is most commonly affected by benign prostatic hyperplaysia

A

transition zone

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15
Q

what causes benign prostatic hyperplaysia

A

DHT dihydrotestosterone

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16
Q

what region of the prostate is most commonly affected by prostate cancer

A

peripheral zone

17
Q

what enzyme converts testosterone to DHT

A

5a reductatse

18
Q

where does DHT bond and what does it do

A

androgen receptors in the prostate which stimulates production of growth factors

19
Q

what are the two types of clinical features of benign prostatic hyperplaysia

A

obstructuve issues - obstruction to urinary flow
irritative issues - retention of urine

20
Q

where are 5a reductase receptors located

A

prostate and hair follicles

21
Q

what drug unhibits 5 alpha reductase

A

finasteride

22
Q

how does finasteride work

A

inhibits the 5 alpha reducatse receptors and in turn decreased the amount of Dihydrotestosterone in the prostate, causing less growth of the prostate.

can also take to prevent male pattern baldness

23
Q

what is the most common cancer of the prostate

A

adenocarcinoma

24
Q

what is the aetiology of prostate cancer

A

unknown, but seems to be a complex interplay between age genetics, hormones, and environmental influences

25
Q

if a prostate tumour arises in the periphery of the gland what is there a risk for

A

metastisis to the spine spread through blood and lymphatics