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E&P III Final Exam > Prostatitis E&P > Flashcards

Prostatitis E&P Flashcards

1
Q

Often affects young men or any age; older men with catheters; Sx: abrupt onset of urinary urgency, burning and painful micturtition, hematuria, fever, chills, perineal and back pain, lower abdominal fullness, pain; malaise, body ache?

1) Acute Bacterial Prostatitis
2) Chronic Bacterial Prostatitis
3) Chronic Non-Bacterial Prostatitis
4) Chronic Non-Bacterial Non-inflammatory Prostatitis

A

Acute Bacterial Prostatitis

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2
Q

Chronic pelvic pain, perineal distention, pain; obstructive voiding, sexual dysfunction; but no evidence of either bacterial or inflammatory involvement

1) Acute Bacterial Prostatitis
2) Chronic Bacterial Prostatitis
3) Chronic Non-Bacterial Prostatitis
4) Chronic Non-Bacterial Non-inflammatory Prostatitis

A

4) Chronic Non-Bacterial Non-inflammatory Prostatitis

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3
Q

Often asymptomatic; pelvic and perineal distention and pain, bacteria present?

1) Acute Bacterial Prostatitis
2) Chronic Bacterial Prostatitis
3) Chronic Non-Bacterial Prostatitis
4) Chronic Non-Bacterial Non-inflammatory Prostatitis

A

2) Chronic Bacterial Prostatitis

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4
Q

Often asymptomatic; pelvic and perineal distention and pain, with no bacteria?

1) Acute Bacterial Prostatitis
2) Chronic Bacterial Prostatitis
3) Chronic Non-Bacterial Prostatitis
4) Chronic Non-Bacterial Non-inflammatory Prostatitis

A

3) Chronic Non-Bacterial Prostatitis

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5
Q

64% of cases

1) Acute bacterial prostatitis
2) Chronic bacterial prostatitis
3) Non-bacterial prostatitis
4) Prostatodynia, pain absence of infection

A

(3) Non-bacterial prostatitis,

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6
Q

5% of cases

1) Acute bacterial prostatitis
2) Chronic bacterial prostatitis
3) Non-bacterial prostatitis
4) Prostatodynia, pain absence of infection

A

1) Acute bacterial prostatitis

2) Chronic bacterial prostatitis

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7
Q

What happens if BPH is left untreated?

A

Complete urinary obstruction

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8
Q

True or False: These can exacerbate BPH?

  • delayed urination
  • decongestants
  • antidepressants
  • antispasmodic
  • exposure to cold
  • consumption of alcohol
A

True

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9
Q

True or False: 90% of men in their 80’s have BPH?

A

True

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10
Q

True or False: BPH begins in mid 30’s?

A

False: 40’s

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11
Q

True or False: BPH is benign growth of prostrate?

A

True

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12
Q

Chronic urinary difficulty, turbid urine, frequency, urgency and pain, whitish discharge at the end of urination, dull ache in the genitals radiating to the groin
T: Pale with a sticky coating P: Soggy
(versus)
Dysuria, dribbling of urination, frequent pale urination, white urethral discharge, lower backache, weakness of the lower back and knees, cold legs, decreased libido, impotence
T: Pale / P: Weak, deep

A

KIDNEY QI DEF. with DAMPNESS
versus
KIDNEY YANG, LIVER BLOOD DEF.

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13
Q

Turbid white urethral discharge, dysuria dribbling after micturition, lower backache, pain in the hypogastrium, perineum, penis; painful urination, impotence, premature ejaculation, nocturnal emissions, dizziness, tinnitus, decreased memory
T: Pale / P: Weak, Choppy
(versus)
Dysuria, dribbling of urination, frequent pale urination, white urethral discharge, lower backache, weakness of the lower back and knees, cold legs, decreased libido, impotence
T: Pale / P: Weak, deep

A

DAMP HEAT and TURBIDITY in Lower Jiao, Deficiency of KIDNEY ESSENCE
versus
KIDNEY YANG, LIVER BLOOD DEF.

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14
Q

Turbid white urethral discharge, dysuria dribbling after micturition, lower backache, pain in the hypogastrium, perineum, penis; painful urination, impotence, premature ejaculation, nocturnal emissions, dizziness, tinnitus, decreased memory
T: Pale / P: Weak, Choppy
(versus)
Pain in the anus and perineum, hypogastric pain, pain in the penis, white sticky urethral discharge, dysuria, dribbling after urination
T: Purple, sticky yellow coat on root, red spots / P: Wiry, Firm and Choppy

A

DAMP HEAT and TURBIDITY in Lower Jiao, Deficiency of KIDNEY ESSENCE
T: Pale
P: Weak, Choppy

versus

STAGNATION OF Qi, Blood, Essence and Blood Connecting Channels
T: Purple, sticky yell. coat, red spots
P: Wiry, Firm and Choppy

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15
Q

Damp Heat with Toxic Heat:

A) SP 4, PC 6, CV 1, BL 32, BL 34, CV 3, BL 22, ST 28, SP 9, SP 6

B) BL 22, ST 28, CV 3, SP 9, SP 6, CV 1, BL 32, BL 34, LI 11

C) SI 3, BL 62, CV 4, BL 23, KD 7, CV 12, ST 36, BL 20, CV 3, ST 28, SP 9, SP 6, BL 22, CV 1, BL 32, BL 34

A

A) Damp Heat with Toxic Heat:
B) DAMP HEAT IN LOWER BURNER
C) KIDNEY QI DEF. with DAMPNESS

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16
Q

TCM Patterns of Prostatitis?

A

1) DAMP HEAT IN LOWER BURNER
2) DAMP HEAT WITH TOXIC HEAT
3) DAMP HEAT and TURBIDITY in Lower Jiao, Deficiency of KIDNEY ESSENCE
4) KIDNEY QI DEF. with DAMPNESS
5) KIDNEY YANG, LIVER BLOOD DEF.
6) KIDNEY YIN DEFICIENCY
3) STAGNATION OF Qi, Blood, Essence and Blood Connecting Channels
8) HEART and KIDNEY DEFICIENCY

17
Q

Turbid white urethral discharge, dysuria dribbling after micturition, lower backache, pain in the hypogastrium, perineum, penis; painful urination, impotence, premature ejaculation, nocturnal emissions, dizziness, tinnitus, decreased memory
T: Pale / P: Weak, Choppy
versus
Acute pain on urination, frequency, urgency, urinary difficulty, pain in the genitalia radiating to groin, sticky yellow discharge
T: Red with sticky coat on root / P: Slippery, rapid

A

DAMP HEAT and TURBIDITY in Lower Jiao, Deficiency of KIDNEY ESSENCE
versus
DAMP HEAT IN LOWER BURNER

18
Q

Acute pain on urination, frequency, urgency, urinary difficulty, pain in the genitalia radiating to groin, sticky yellow discharge
T: Red with sticky coat on root / P: Slippery, rapid
versus
Dysuria, sticky yellow urethral discharge, dribbling of urine during effort of defecation, dribbling of urine, pain in perineum, penis or hypogastrium, frequency of urination, pain on micturition
T: Red, swollen, sticky, dark, yellow coat on root, red spots / P: Slippery, Rapid

A

DAMP HEAT IN LOWER BURNER
versus
DAMP HEAT WITH TOXIC HEAT

19
Q

Tongue Coating:
KIDNEY QI DEF. with DAMPNESS
versus
KIDNEY YANG, LIVER BLOOD DEF.

A

T: Pale with a sticky coating / P: Soggy
versus
T: Pale / P: Weak, deep

20
Q

Tongue Coating:
DAMP HEAT and TURBIDITY in Lower Jiao, Deficiency of KIDNEY ESSENCE
Versus
Damp Heat in the Lower Jiao

A

T: Pale / P: Weak, Choppy
Versus
T: Red with sticky coat on root / P: Slippery, rapid

21
Q

Tongue Coating:
STAGNATION OF Qi, Blood, Essence and Blood Connecting Channels
Versus
DAMP HEAT and TURBIDITY in Lower Jiao, Deficiency of KIDNEY ESSENCE

A

T: Purple, sticky yellow coat on root, red spots / P: Wiry, Firm and Choppy
versus
T: Pale / P: Weak, Choppy

22
Q 
Tongue and Pulse:
T: Red, swollen, sticky, dark, yellow coat on root, red spots / P: Slippery, Rapid
versus
T:  Red with sticky coat on root
P:  Slippery, rapid
A

DAMP HEAT WITH TOXIC HEAT
Versus
DAMP HEAT IN THE LOWER BURNER

E&P III Final Exam (9 decks)

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