Prostate + Seminal Vesicles Normal Flashcards

1
Q

The prostate gland is mainly composed of what kind of tissue?

A

glandular/fibromuscular

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2
Q

The prostate gland surrounds the neck of?

A

the bladder and urethra

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3
Q

The prostate gland has what relationship to the peritoneum?

A

Retroperitoneal

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4
Q

What is the main function of the prostate gland?

A

produces alkaline fluid to contribute to sperm transport and motility

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5
Q

The prostate is regulated by what hormone?

A

testosterone

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6
Q

What controls the prostate?

A

pituitary gland

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7
Q

What are the 3 zones of the prostate?

A

peripheral, central, transitional

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8
Q

What is the largest zone of the prostate?

A

peripheral (70%)

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9
Q

The peripheral zone is located ______ and ______.

A

posterior and lateral

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10
Q

What separates the TZ from the CZ and PZ?

A

the surgical capsule

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11
Q

Which zone is more prone to malignancy?

A

Peripheral

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12
Q

Which zone borders the seminal vesicles?

A

Central

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13
Q

What is the second largest zone of the prostate?

A

Central (25%)

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14
Q

Where is the central zone located?

A

base of prostate

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15
Q

The central zone narrows at the?

A

verumontanum

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16
Q

What is a potential route of the spread of a tumor to outside space?

A

invaginated extraprostatic space

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17
Q

What is the invaginated extraprostatic space?

A

where seminal vesicles or ejaculatory ducts enter the central zone

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18
Q

What is the verumontanum?

A

the area where the ejaculatory duct meets the urethra

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19
Q

The verumontanum is also called?

A

the seminal colliculus

20
Q

What is the smallest area of the prostate?

A

Transitional zone (5%)

21
Q

What originates in the transitional zone?

A

benign prostatic hyperplasia

22
Q

The central zone contains what percent of malignancy?

23
Q

The transitional zone contains what percent of malignancy?

24
Q

What is the anterior fibromuscular stroma?

A

nonglandular region formed by smooth muscle and connective tissue that forms the anterior portion of the prostate

25
What is the surgical capsule?
a line dividing the PZ and CZ from the TZ
26
The seminal vesicles are located _____ and ______ to the bladder
posterior; superior
27
What is the normal measurement of the prostate?
4x3x2 cm
28
The prostate gland is _______ and _______ to the bladder
inferior; posterior
29
What is the normal sonographic appearance of the prostate?
homogenous with low level echoes
30
True or False: The zones of the prostate can be seen on a normal gland
False
31
What is the sonographic appearance of the peripheral zone?
homogenous with medium level exhoes
32
The central zone appears with ______ echogenicity than the peripheral zone
greater
33
Which zone has an eiffel tower shaped hypoechoic pattern?
transitional
34
How does the surgical capsule appear sonographically?
hypoechoic
35
How does the surgical capsule appear sonographically?
hypoechoic
36
What forms the eiffel tower sign?
corpora amylacea
37
What is the function of the seminal vesicles?
reservoir for seminal fluid; secrete an alkaline viscous fluid that contributes to sperm viability
38
What is the normal size of the seminal vesicles?
length: 3-4 cm; thickness: 1-3 cm
39
When the seminal vesicles are empty they appear how sonographically?
curvilinear, hypoechoic, flat
40
When the seminal vesicles are full how do they appear sonographically?
round, saccular
41
The seminal vesicles join the _______ to form the ejaculatory duct
vas deferens
42
How do the seminal vesicles appear sonographically?
bilateral, hypoechoic structures
43
True or False: Prostate and semen have low acid phosphatase concentration
False; high concentration
44
What is the function of prostate specific antigen (PSA)?
break down coagulated semen
45
When is PSA elevated?
BPH, infection, carcinoma
46
The higher the PSA, the ______ the risk of tumor and spread beyond the prostate
higher
47
What is the best system for early screening for prostate cancer?
PSA —> DRE —> TRUS