Urology

Question 1

What must the patient not do before a PSA?

Answer 1

Avoid vigorous exercise, cycling, and ejaculation for 48h. Do not perform PR exam, cystoscopy, catheterisation, etc. within a couple of weeks of the PSA.

Question 2

How long do you wait after a UTI to test PSA?

Answer 2

6 weeks

Question 3

How long do you wait after Prostatitis to perform PSA?

Answer 3

4-6 weeks

Question 4

Voiding LUTS symptoms (6)

Answer 4

Weak/intermittent stream, straining, hesitancy, terminal dribble, incomplete emptying

Question 5

Storage LUTS symptoms (4)

Answer 5

Urgency, frequency, urgency incontinence, nocturia

Question 6

What score is used to evaluate prostate symptoms?

Answer 6

International Prostate Severity Score

Question 7

In what zone of the prostate does BPH normally arise?

Answer 7

Central zone

Question 8

In what zone of the prostate does cancer usually arise?

Answer 8

Peripheral zone

Question 9

What medication is used to help pass kidney stones?

Answer 9

Alpha blockers - e.g. Tamsulosin

Question 10

In which patients would you prescribe a 7-day course of abx for a UTI?

Answer 10

Pregnant patients, patients with a catheter, male patients

Question 11

What antibiotic would you prescribe in the first two trimesters of pregnancy in a UTI, and what for the final trimester?

Answer 11

Nitrofurantoin 100mg BD modified release. Trimethoprim 200mg BD.

Question 12

What antibiotic would you give in an upper UTI?

Answer 12

Cefalexin 500mg BD/TDS 7-10d OR ciprofloxacin 500mg BD 7d.

Question 13

When do you refer 2ww for haematuria?

Answer 13

> 45y/o with unexplained visible haematuria, or with persistent/recurring haematuria following a successfully treated UTI.