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Quiz 2 Flashcards

1
Q

The most common sexual problem with men

A

Erectile Dysfunction

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2
Q

What is a common associated with ED?

A

DM

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3
Q

What surrounds Corpus cavernosa

A

tunica albuginea

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4
Q

What surrounds all 3 components

A

Buck’s fascia

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5
Q

Causes smooth muscle relaxation

A

PGE1, PGE2, and vasoactive peptide

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6
Q

1 cause in older men with ED?

A

vascular disease

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7
Q

2 cause in older men with ED?

A

Neurologic disease

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8
Q

1 cause of young adult males with ED?

A

Psychogenic

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9
Q

What antihistamine causes ED?

A

Cimetidine

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10
Q

Two questionnaires to determine ED?

A

International Index of Erectile Function

Sexual Health Inventory for men

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11
Q

Asses between psychological and organic ED?

A

Nocturnal penile tumescence testing (NPT)

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12
Q

What is the stamp test used for?

A

ED

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13
Q

What is the txt for ED?

A

CBT w/ focus exercises

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14
Q

What is 1st txt for ED?

A

Phosphodiesterase- 5 inhibitors (-fil)

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15
Q

What should phosphodiesterase inhibitors not be used with?

A

alpha- adrenergic antagonists

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16
Q

What is used for men with ED and hypogonadism?

A

testosterone

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17
Q

Injection into the penis

A

Alprostadil

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18
Q

1st txt for premature ejaculation

A

SSRI

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19
Q

TXT for retrograde ejaculation

A

reassurance

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20
Q

Complete inability to ejaculate, w/wo orgasms

A

anejaculation

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21
Q

Txt for delayed ejaculation

A

sex therapy (no meds)

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22
Q

Occurs in males only

A

hypospadias

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23
Q

occurs in females and males

A

episadias

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24
Q

Most common birth defect in the world

A

hypospadias

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25
Q

Dx of epispadias

A

prenatal US

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26
Q

What is phimosis?

A

inability to retract foreskin over glans

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27
Q

What age does phimosis retract?

A

3yr

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28
Q

penile trauma (piercing)

A

paraphimosis

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29
Q

Foreskin trapped behind corona?

A

Paraphimosis

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30
Q

What is the strongest risk factor for Female UI?

A

Obesity (3x)

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31
Q

What is the 1st most common cause of female UI?

A

URGE

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32
Q

What is the 2nd most common cause of female UI?

A

Stress

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33
Q

What is the MC cause of incontinence in hospitalized pts?

A

delirium

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34
Q

What is MC cause of transient incontinence?

A

pharmaceuticals

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35
Q

What is suggestive of stress incontinence?

A

positive leakage

36
Q

What is the cornerstone txt for female UI?

A

Bladder training

37
Q

What is best for stress incontinence?

38
Q

Worst pain ever

A

Nephrolithiasis

39
Q

Economic burden w/ cost of txt and missed work days

A

Nephrolithiasis

40
Q

What month does nephrolithiasis occur?

41
Q

Most important inhibitor of calcium stones?

A

urine citrate

42
Q

What 4 beverages lower the risk of nephrolithiasis?

A

coffee, tea, beer and wine

43
Q

Where is nephrolithiasis more prevalent?

A

southeastern US

44
Q

Seen with acidic urine <5.5

A

uric acid stones

45
Q

Seen with alkaline urine >6.5

A

Ca phosphate and struvite stones

46
Q

not influenced by pH?

A

Ca+ oxalate stones

47
Q

What makes up most calcium stones?

A

calcium oxalate

48
Q

What type of imaging is done for nephrolithiasis?

49
Q

radio-lucent imaging?

A

urea and cystine

50
Q

radio-dense or radio-opaque imaging?

A

calcium stone, struvite/staghorn stone

51
Q

What is the gold standard for diagnosing nephrolithiasis?

A

non-contrast helical abd/pelvic CT

52
Q

What is the most common pathogen for struvite or infection stones?

53
Q

What is the most common benign tumor in men?

54
Q

What is the hallmark for BPH?

A

age related proliferation of prostatic glandular and stromal tissue

55
Q

What is BPH dependent on?

A

age and androgen

56
Q

What is the annual cost of BPH?

A

$4 billion

57
Q

Where is prostate cancer more likely to occur?

A

peripheral (posterior zone)

58
Q

What is the gold standard with highest rate of symptom improvement?

A

Transurethral resection of prostate

59
Q

What is the most common risk factor for bladder cancer?

60
Q

Dx of bladder cancer?

A

cystourethroscopy and biospy

61
Q

Most common solid malignant tumor in young men?

A

Testicular cancer

62
Q

Most testicle for testicular cancer?

A

right side

63
Q

What should be avoided in testicular cancer?

A

testicular biopsies

64
Q

Study of choice for TC?

A

Testicular US

65
Q

What is recommended in a young healthy male with ED?

A

penile revascularization

66
Q

Least common male sexual dysfunction?

A

Delayed ejaculation

67
Q

Over ??? is considered delayed?

A

30-45 mins

68
Q

Inability or persistent difficulty achieving orgasm despite normal sexual desire and stimulation

A

delayed ejaculation

69
Q

Established causes of Female UI?

A 
Urge- 1st mc
Stress- 2nd mc
Mixed
Overflow
Functional
70
Q

DIAPPERS

A 
Delirium
Infection
Atrophic vaginitis or urethritis
Pharmaceuticals
Psychological disorders
Endocrine disorders
Restricted mobility
Stool impaction
71
Q

Transient/ Temporary UI?

72
Q

MC kidney stone?

A

Calcium oxalate

73
Q

Males G-spot

74
Q

The most common urologic cancer?

A

bladder cancer

75
Q

The most common type of bladder cancer?

A

urothelial carcinoma (transitional cell)

76
Q

Painless gross hematuria?

A

bladder cancer

77
Q

MC testicular cancer?

A

germ cell tumors

78
Q

MC risk factor for TC?

A

Marijuana (70%)

79
Q

MC tumor in testicular cancer and histologic finding?

A

Seminoma tumor

80
Q

MC presentation of TC?

A

PAINLESS mass or enlargement of the testis

81
Q

What’s elevated in NSGCT tumors?

A

Alpha fetal protein

82
Q

What’s NOT elevated in pure seminomas?

A

Alpha Fetal protein

83
Q

Stage I TC?

A

lesion confined to testes

84
Q

Stage II TC?

A

Testes and lymph node involvement

85
Q

Stage III TC?

A

testes, lymph nodes, and metastasis involvement

86
Q

Should TC be screened?

87
Q

DX for stress incontinence?

A

Bladder stress test

Renal (9 decks)

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