Prostate/Test CA

Question 1

BPH develops only if?

Answer 1

have fxning testicle

Question 2

Prostate CA originates where?

Answer 2

peripheral zone

Question 3

BPH originates where?

Answer 3

periuretheral and transition zones

Question 4

BPH presentation?

Answer 4

Obstructive and/or irritative voiding sxs

Question 5

Obstructive sxs?

Answer 5

↓ force, intermittent, hesitant stream

Question 6

Irritative sxs?

Answer 6

frequency, urgency, nocturia

Question 7

Digital rectal findings in BPH?

Answer 7

uniform or focal enlargement

Focal = (P) CA

Question 8

BPH tx dictated by?

Answer 8

sxs, not size of prostate

Question 9

BPH labs?

Answer 9

BUN/Cr: assess kidney fxn
UA: r/o infect, hemato
PSA (prostate specific antigen): CA

Question 10

BPH other tests?

Answer 10

Post-Void Residual Urine: guides tx and response,
Uroflow,
Imaging not necc unless blood/up UTI

Question 11

BPH tx?

Answer 11

No caffeine, cold/allergy meds
⍺-block (flomax) for chronic, not acute
Transurethral Resection/Ablation

Question 12

Prostatitis sxs?

Answer 12

UTI sxs
Suprapub/scrotal/test pain
ED
Fever, chills

Question 13

Acute Bacterial Prostatitis is?

Answer 13

prostate infect by typical UTI bugs

STD or blood spread

Question 14

Acute Bacterial Prostatitis risks factors?

Answer 14

Phimosis (tight foreskin)
Anal
UTI
Epididy
Catheter
Transurethral surgery

Question 15

Acute Bacterial Prostatitis tx?

Answer 15

If STD: ceftriaxone + doxy
Otherwise: Cipro x 4-6 wks
(P) ⍺-block

Question 16

Chronic Bacterial Prostatitis sxs?

Answer 16

U asympt

Question 17

Chronic Prostatitis w/o infection txs?

Answer 17

Warm tub
No acid/spice
Stand
Time voiding
NSAIDS
Frequent ejaculation

Question 18

Prostate CA signs/sxs?

Answer 18

U asympt
Focal nodules/induration (hardening)
PSA elevation

Question 19

Prostate Ca screening guidelines?

Answer 19

50 yo, every 2 yrs (40yo if at risk)
If PSA 2.5+, yearly
Don’t bother if expected life < 10 yrs
PSA > 4 = biopsy

Question 20

Urinary Incontinence is?

Answer 20

involuntary urine leakage

Question 21

Urinary Incontinence classifications?

Answer 21

1) Urge (loss preceded by strong urge)
2) Total (lose all, always)
3) Stress (loss w/ inc abd pressure)
4) Overflow (chronically distended bladder spills add’l urine)

Question 22

Urinary Incontinence evaluation?

Answer 22

HISTORY

Physical exam to exclude neuro, rectal

Question 23

Urinary Incontinence tests?

Answer 23

UA/Cx: r/o UTI

Cystoscopy: bladder anatomy

Question 24

Urinary Incontinence tx: Urge?

Answer 24

antimuscarinics (Vesicare)

S/E dry mouth, constipation

Question 25

Bladder CA epidemiology?

Answer 25

M&raquo_space; W

Risk factors: smoking, dye/solvent exposure

Question 26

Bladder CA presentation?

Answer 26

HEMATURIA

(P) hepatomagaly, LAD

Question 27

Bladder CA labs?

Answer 27

UA = hematuria
Hgb/Hct = (P) anemia (blood loss or bone marrow mets)
Urine Cytology

Question 28

Bladder CA imaging?

Answer 28

CT urogram (detection)
Cystoscopy/TransU resection (diag/staging)

Question 29

Bladder CA tx?

Answer 29

Intravesical chemo
Surgery
Radio

Question 30

Testicular CA highest in pts w/ what?

Answer 30

hx of cryptorchism

25-35 yo

Question 31

95% of testicular tumors are?

Answer 31

germ cells

Question 32

Testicular CA presentation?

Answer 32

Painless enlargement of testis

Question 33

Testicular CA labs?

Answer 33

HCG
alpha-fetoprotein
LDH

Question 34

Testicular CA imaging?

Answer 34

IMMEDIATE scrotal US (isolation)

XR/pelvic CT (staging)

Question 35

Testicular CA tx?

Answer 35

IMMEDIATE uro referral
orchiectomy
chemo