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disease of the Urinary System Chapter 10 & 11

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Acute glomerulonephritis(cell nephron) is an   inflammation of the kidneys primarily affecting children & young adults  
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Acute glomerulonephritis usually occurs   1-4 weeks after a streptococcal infection(throat or skin)  
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signs & symptoms of acute glomerulonephritis include   chills & pyrexia/fever*anorexia/no appetite *general weakness*generalized edema/swelling in the face & ankles/pedal*Albuminuria(blood protein in urine)*hematuria(blood in urine)*Casts/molds(outer covering/skins of the nephron/kidney cell) in the urine  
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The Px/prognosis for acute glomerulonephritis is generally good if   a chronic degeneration of nephrons(kidney cells) does not occur  
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Chronic glomerulonephritis is an   inflammation of the kidneys that may persist for years with remissions(subsides) & relapses(reccurs)  
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Chronic glomerulonephritis is usually accompanied by   HTN(hypertension/high blood pressure)  
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A sign of chronic glomerulonephritis is   low specific gravity(spec.grav.) of the urine  
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The end result of chronic glomerulonephritis can be   renal atrophy(no development/kidneys shrink in size) and RF(renal failure)  
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The RF(renal failure) causes   uremia(azotemia)(a blood condition of excessive nitrogenous(N) waste)  
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Uremia(azotemia) means   a blood condition of excessive nitrogenous(N) waste  
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Renal Failure(RF) prevents the kidneys from eliminating   nitrogenous(N) wastes  
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Blood tests commonly used to detect Renal Failure(RF) include   1.BUN(Blood Urea Nitrogen) 2.Cc(Creatinine Clearance) 3.Cys C(CYStatin C) 4.GFR(Glomerular Filtration Rate)  
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Causes of ARF(Acute Renal Failure) include   Hypovolemic shock * Blood type or Rh incompatibility * Kidney disease * Trauma * Poisoning  
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Signs & symptoms of ARF (Acute Renal Failure) include   Oliguria(scanty/deficient urine)(less than<500 cc/day) * Anuria(No urine production) * Uremia(azotemia) * Ammonia breath * Hyperkalemia(blood condition of excessive potassium) * muscle weakness that can lead to cardiac arrest  
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Tx for ARF(Acute Renal Failure) includes   1-Remedy the cause 2-HD(HemoDialysis) until the kidneys begin to function properly  
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Another type of dialysis is called   CAPD(Continuous Ambilitory Peritoneal Dialysis)  
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Chronic Renal Failure (CRF) is usually caused by long standing kidney disease such as   1) Chronic glomerulonephritis 2) Chronic HTN (hypertension/high blood pressure) 3) DN (Diabetes Nephropathy)  
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Tx for CRF (Chronic Renal Failure) includes   1) HD(HemoDialysis) 2) Kidney transplantation  
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CRF(Chronic Renal Failure) can also be caused by   ATN(Acute Tubular Necrosis)  
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Causes of ATN(Acute Tubular Necrosis) include nephrotoxic agents such as   1) Certain antibiotics (Gentamicin) 2) Dyes used in diagnostic procedures.  
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Pyelonephritis is a   suppurative(pus forming) inflammation of a renal pelvis  
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Pyelonephritis is usually caused by pyogenic (pus creation) organisms such as   1) E.coli(Escherichia coli/found in large bowel) 2) Strep(streptococci) 3) Staph(staphylococci)  
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These microorganisms(e.coli, strep, & staph) can cause   abcesses (collection of pus) to form  
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Signs & symptoms of pyelonephritis include   1)Chills & pyrexia(fever) 2)back & abdominal pain 3)dysuria(painful urination) 4)Pyuria(pus in urine) 5)Bacteriuria(bacteria in urine) 6)Hematuria(blood in urine)  
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Tx for pyelonephritis includes the use   antibiotics(Bactrim)  
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The Px (prognosis) for pyelonephritis is   good  
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Renal carcinoma occurs more frequently in   50 to 60 year old men  
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The incidence of renal carcinoma doubles for   smokers  
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The Px(prognosis) for renal carcinoma is poor because   metastases(spread) to the lungs, liver, bone & brain usually occur before signs & symptoms appear  
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The chief sign of renal carcinoma is   painless hematuria(blood in the urine)  
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A WT(Wilm's Tumor) is a   malignant fast growing renal tumor in very young children  
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The chief sign of a Wilm's tumor(WT) is   painless hematuria(blood in the urine)  
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The Px(prognosis) for a WT(Wilm's Tumor) is   good if metastasis(spread) has not occurred  
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The medical terms for kidney stones are   nephrolithiasis & urinary(renal) calculi/stones (calculus-singular)  
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Urinary calculi occur more frequently in 20 to 40 year old   men(4 to 1)  
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Signs & symptoms of nephrolithiasis occur when a calculus obstructs a   ureter  
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Signs & symptoms of nephrolithiasis include   1) Sharp severe retroperitoneal(flank) pain radiating to the inguinal(groin) region 2) Hematuria(blood in the urine)  
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Causes of nephrolithiasis include   1) Dietary Ca(Calcium) excess (80%) 2) Dietary protein & Na(sodium/salt) excess 3) Hyperparathyroidism  
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A calculus that fills the renal pelvis completely is called a   staghorn calculus  
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Tests commonly used to detect a renal calculus include   1.KUB(Kidneys, Ureters & Bladder x-rays) 2.Renal ultrasound 3.CT(Computerized Tomography) 4.IVP(IntraVenous Pyelogram)  
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Tx for a calculus that impedes the flow of urine is a   ESWL(Extracorporeal Shock Wave Lithotripsy)  
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Hydronephrosis occurs when   a kidney becomes extremely dilated with urine  
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Causes of hydronephrosis include   1. Renal calculus(stone) 2. Tumor 3. BPH(Benign Prostate Hypertrophy)  
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Tx for hydronephrosis involves   removal of the obstruction before permanent damage to a kidney(s) occurs  
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The leading risk factors for CKD(Chronic Kidney Disease) include   1.DM(Diabetes mellitus) 2.Chronic HTN(HyperTension) 3.WT(WeighT) gain 4.Smoking  
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Women who drink two or more cans of regular soda per day are   twice as likely to develop CKD(Chronic Kidney Disease)  
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Cystitis is an   inflammation of the urinary bladder AKA "Bladder infection  
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Cystitis is more common in women because   the female urethra is shorter than in males  
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The chief causative agent of cystitis is   E.Coli(Escherichia Coli/found in large bowel)  
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Signs & symptoms if cystitis include   1. Urinary frequency(frequent urge to urinate) 2. Urgency(sudden urge to void/mictation/urinate) 3.Dysuria(painful/burning micturition) 4.Bacteriuria(bacteria in urine) 5.Pyuria(pus in urine)  
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Tx for cystitis includes   1. forcing fluids 2. antibiotics  
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The Px for cystitis is   good  
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Methods to decrease the incidence of cystitis include   Wiping front to back after a BM(Bowel Movement)*Take showers for hygiene not baths*Don't douche unless directed by a Dr.*Refrain from wearing tight fitting pants*Wear cotton panties*Urinate after sex*Increase fluid intake everyday w/cranberry juice*Vitm C  
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Urethritis is   inflammation of the urethra  
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Urethritis in males may be caused by   GC(GonoCocci)  
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Signs & symptoms of urethritis include   1.Dysuria(painful urination 2.Balanorrhea(purulent/pus discharge from the glans penis) 3.Testicular edema(swelling)  
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Urethritis in females commonly accompanies   cystitis  
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Tx for urethritis includes   antibiotics(amoxicillin)  
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PID stands for   Pelvic Inflammatory Disease  
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PID refers to an   inflammation of the female pelvic reproductive organs  
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Common causes of PID(Pelvic Inflammatory Disease) include the STDs(Sexually Transmitted Diseases)   GC(Gonorrhea/gonococci) and chlamydia  
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Signs & symptoms of PID(Pelvic Inflammatory Disease) include   Lower abdominal pain*Pyrexia(fever)*Dysuria(painful urination)*Pungent leukorrhea(aromatic vaginal discharge)*Dyspareunia(painful copulation/sex/coitus)  
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A complication of untreated PID(Pelvic Inflammatory Disease) is   infertility (inability to reproduce)  
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Tx for PID (Pelvic Inflammatory Disease) includes   antibiotics, ASA (aspirin), bed rest, & fluids  
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Vaginitis is an inflammation of the vagina commonly caused by   1. Candida albicans(candidiasis) 2. Trichomonas(trichomoniasis/parasit)  
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Candidiasis is AKA   yeast infection  
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Candida proliferation(growth) can occur with the over use of   antibiotics or douches  
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Candida proliferation(growth) can destroy the normal vaginal flora(beneficial microbes) allowing   opportunistic yeast infections to occur  
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Signs & symptoms of vaginitis include   1.Pungent leukorrhea(aromatic vaginal discharge) 2.Vaginal pruritus(itching) 3.Vaginal burning & soreness  
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A common Tx for candidiasis is   Monistat (miconazole)  
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A common Tx for trichomoniasis is   Flagyl(metronidazole/antibiotic)  
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The incidence of yeast infections can be reduced by drinking 2 or more glasses of   milk daily  
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Atrophic vaginitis is caused by   atrophy(no development) of the vaginal septa(wall)  
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Atrophic vaginitis is commonly caused by a decrease in   estrogen associated with menopause  
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A common complaint of atrophic vaginitis is   dyspareunia(painful coitus/sex/copulation/intercourse)  
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Tx for atrophic vaginitis includes   1.ERT(Estrogen Replacement Therapy) AKA HRT (Hormone Replacement Theraphy) 2.Antibiotic creams 3.Steroid creams 4.Water soluble lubricants(K-Y jelly)  
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Puerperal sepsis is an infection of the endometrium(inner lining of the uterus) occuring after   parturition(childbirth) or abortion(termination of a pregnancy)  
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The most common cause of puerperal sepsis is   poor aseptic technique(didn't wash hands or not sterile equipment) during parturition(child birth) or abortion(termination of a pregnancy)  
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The poor aseptic technique allows pathogens such as   staphylococci(staph), streptococci(strep) or E. coli(Escherichia) to enter the uterine wall  
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These pathogens (Staph, Strep or E.coli) will cause   necrosis(death) of the endometrium(inner lining of the uterus)  
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A complication of puerperal sepsis is   septic shock  
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Signs & symptoms of puerperal sepsis include   1. Pyrexia(fever) and chills 2. Profuse(large amount) and/or pungent lochia(aromatic vaginal discharge after birth)  
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Tx for puerperal sepsis is   antibiotic therapy  
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Cervical cancer refers to a   malignancy of the Cx(CerviX)  
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Cervical cancer has a good   Px if detected before metastasis(spread)  
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The most common test to detect cervical malignancy is the   PAP test(smear) every two years  
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After age 30 and after 3 consecutive negative PAP tests should be   every 3 years  
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No PAP required after a   hysterectomy(excision of the uterus)  
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Pap tests should begin within   3 years of becoming sexually active or by age 21  
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A Cervical lesion detected before metastasis(spread) is called   CIS (Carcinoma In Situ)  
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Tx for carcinoma in situ (CIS) includes:   1.Conization(excision of the affected section of the cervix 2.Cryosurgery(freezing affected tissue) 3.Cauterization(burning affected tissue) 4.Hysterectomy(excision of the uterus)  
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Risk factors for cervical malignancy include   1.Poor hygiene 2.HPV(Human Papilloma Virus) 3.Multiple sexual partners 4.Intercorse at an early age 5.Smoking  
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Cervical cancer is the   2nd most common cancer in women after breast cancer  
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Fibroid Tumors are   benign tumors of the myometrium(muscle layer of the uterus)  
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Fibroid Tumors are also called   leiomyomas  
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Fibroid tumors are more common in   African American and obese women  
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The risk of developing leiomyomas(fibroid tumors) is   1 in 5 women under the age of 50  
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Signs & symptoms of fibroid tumors include   1.Pelvic pain 2.Menorrhagia(excessive or prolonged menses) 3.Metrorrhagia(bleeding between menstruation) 4.Dyspareunia(painful coitus/copulation/ intercourse/sex)  
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Tx options for leiomyomas(fibroid tumors) include   1.Myomectomy(excision of the fibroid myoma(s) 2.Myolysis(coagulation of the artery feeding the tumor) 3.Hysterectomy(excision of the uterus)  
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The most common ovarian neoplasm is an   ovarian cyst  
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An ovarian cyst is usually a   benign(non-malignant) fluid filled sac  
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An ovarian cyst will usually resolve with time but a large cyst that interferes with blood flow can be   removed surgically  
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PCOS(PolyCystic Ovary Syndrome) is characterized by   androgen(testosterone) and insulin imbalance  
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Signs & symptoms of PCOS(PolyCystic Ovary Syndrome) include   WT(weight) gain & HTN(Hypertension)**Increased facial & body hair**Alopecia(hair loss)**Irregular menses**MDD(Major Depressive Disorder)**Infertility(Inability to reproduce)  
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PCOS(PolyCystic Ovary Syndrome) can increase the risk for   cardiovascular disease and DM(Diabetes mellitus)  
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Tx for PCOS(PolyCystic Ovary Syndrome) includes   1.Healthy diet 2.Regular exercise 3.BCPs(birth control pills) 4.Stop smoking  
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An ovarian malignancy is the   5th leading cause of cancer death in women  
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Signs & symptoms of an ovarian malignancy include   1.Prolonged abdominal bloating & pelvic pain 2.Chronic fatique 3.Anorexia(loss of appetite) 4.WT(weight) loss 5.Prolonged urinary frequency  
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Risk factors for an ovarian malignancy include   1.High fat diet 2.Nulliparity(No live births) 3.Family history of ovarian, breast, or colorectal cancer 4.Childbearing after age 30 5.Delayed menopause  
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Ovarian malignangcies occur more frequently   perimenopausal(around menopause) & Postmenopausal(after menopause)  
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Tx for an ovarian malignancy includes   1.Oophorectomy(excision of an ovary) & hysterectomy(excision of the uterus) 2.Chemotherapy(antineoplastics) 3.Radiation therapy  
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A chemical in the blood that CAN elevate with the presence of an ovarian malignancy is   CA-125  
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The risk of ovarian neoplasms decreases with the use of   BCPs(Birth Control Pills)  
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The most common breast malignancy is an   adenocarcinoma  
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Adenocarcinomas(breast malignancy) occur more often in   1.Nulliparity(no live births) 2.Women with a family hx(history) of breast Ca(Cancer)  
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Adenocarcinomas frequently occur around the time of   menopause  
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Common signs of a breast malignancy include   1.A hard fixed lump in the upper outer quadrant of a breast 2.Axillary lymphadenopathy(armpit swollen lymph nodes) 3.Papillary(nipple) retraction 4.The skin can pucker and/or dimple 5.Papillary(nipple) discharge  
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ASC(American Cancer Society) mammogram recommendations include   1.Annually for 40-49 year olds if personal or family history exists 2.Ages 50-74, every 2 years  
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BSE(Breast Self Examination) should be performed   every month starting at age 20  
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A woman's lifetime risk of developing a breast malignancy is   1 in 8 (2nd leading cause of cancer death in US women)  
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Confirmation of the suspected tumor can be made with a   stereotactic needle biopsy(Bx)  
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Malignant breast tumors can metastasize to the   lungs, liver, brain, and bone via the lymphatic system  
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Tx for a breast malignancy includes   1.Lumpectomy(excision of a lump) 2.Mastectomy(excision of a breast) 3.Radiation therapy 4.Chemotherapy(antineoplastics)  
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Factors that increase the incidence of a breast malignancy include   ETOH(Alcohol) *Smoking *Sedentary lifestyle(little/no regular exercise) *Consuming sugary sweets 3 or more times per week 5.ERT(Estrogen replacement therapy) 6.BCPs(Birth Control Pills) 7.Nulliparity(no live births) 8.Folate(folic acid)deficiency  
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Foods rich in folate(folic acid) include   leafy green vegetables, fortified cereals, legumes, citrus, bananas,melons, & blackberries  
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Breast malignancy risk can be significantly reduced by   moderate exercise, healthy weight, and breastfeeding  
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Breast malignancies are more common in women over the age of   45  
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The younger a person is with a breast malignancy   the more agressive the disease  
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NBC states   1 alcoholic drink/day increases breast malignancy risk by 10% >3 or more alcoholic drinks/day increases breast malignancy risk by 30%  
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The most common benign tumor of a breastt is called a   fibroadenoma  
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Fibroadenomas are usually solid,   round, rubbery, painless & move freely  
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A second type of benign tumor of a breast a called   FCC (Fibro Cystic Changes) AKA "lumpy breasts"  
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FCC (Fibro Cystic Changes) usually occur in both breasts and increase in size & tenderness just prior to   menses(menstruation)  
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A third type of benign breast tumor is a fluid filled   cyst  
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Breast cysts are round, moveable, and may increase in size & become tender just prior to   menses(menstruation)  
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TSS (Toxic Shock Syndrome) is commonly caused by   proliferation(growth) of staph(staphlococci)  
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TSS Toxic Shock Syndrome) is associated with   tampon use  
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Signs of TSS (Toxic Shock Syndrome) include   Hyperthermia (pyrexia--higher then>104o) >Rash >Peeling skin >GI distress(diarrhea & vomiting) >Hypotension(low blood pressure)  
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Tx for TSS (Toxic Shock Syndrome) includes   1. Fluid replacement 2. Antibiotic therapy  
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Women who use tampons are encouraged to   change them frequently & avoid super-absorbent (every 1-2 hours)  
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PMS (PreMenstrual Syndrome) is a group of symptoms that start 1 to 2 weeks   before menstruation(menses) and usually cease(end) with the onset of menses(menstruation)  
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Signs & symptoms of PMS (PreMenstrual Syndrome) include   lower adbominal bloating& pain>breast swelling & tenderness>Cephalalgia(headache)>WT/weight GAIN>Acne>Insomnia>Mood swings>Anxiety>MDD/major depressive disorder>Irritabbility>Hostility>Crying spells>food cravings/sweet&salty>Clumsiness>fatigue  
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Tx for PMS(PreMenstrual Syndrome) includes   1.Increase water intake 2.Regular exercise 3.Support groups 4.Stress management techniques 5.The avoidance of salt, sugar, caffeine, & alchohol 6.OTC(Over The Counter) analgesics(Pain relievers)  
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PMDD(PreMenstrual Dysphoric Disorder) is a severe form of   PMS (PreMenstrual Syndrome)  
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The signs & symptoms of PMDD(PreMentrual Dysphoric Disorder) are severe enough to   interfere with work, social activities, & relationships  
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Tx for PMDD (PreMentstrual Dysphoric Disorder) includes   sedatives & antidepressants  
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Endometriosis is a condition caused by   ectopic(out of place) endometrium(inner lining of uterus)  
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The ectompic endometrium responds to the cyclic hormonal stiumulation and can cause   1.Pelvic Pain & bloating 2.Menorrhagia(excessive or prolonged menses) 3.Metrorrhaga(bleeding between periods) 4.Fatigue 5.Sterility(inability to reproduce)  
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Tx for endometriosis include   1.Laparoscopic(visualization of the abdominal pelvic cavity) 2.OCPs(Oral Contraceptive Pills) causing amenorrhea(no menses)  
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An EP (Ectopic Pregnancy) occurs when a fertilized ovum implants in tissue other than the   uterus  
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The most common site for an EP(Ectopic Pregnancy) is a   fallopian tube(oviduct, uterine tube) AKA "Tubal Pregnancy"  
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Causes of EP(Ectopic Pregnancy) include   1.Salpingitis(inflammation of a fallopine tube) associated with STDs(Sexually Transmitted Diseases) causing fallopian adhesions (tissue sticking together) 2.Endometriosis(ectopic/out of place endometrium)  
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Signs & symptoms of an EP(Ectopic Pregnancy) usually appear within 2 months and include   1.Unilateral(one side) abdominal &/or pelvic pain 2.Vaginal bleeding 3.Vertigo(dizziness) 4.Weakness & syncope(fainting) 5.N & V(Nausea & vomiting)  
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Tx for an EP (Ectopic Pregnancy) includes   1.Termination of pregnancy with methotrexate(drug to terminate pregnancy) or laparoscopic salpingostomy(incision of the fallopean tube to remove fetus)  
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A Spontaneous abortion is AKA   miscarriage  
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A spontaneous abortion during the first trimester is often caused by a   fetal genetic abnormality(anomaly)  
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A spontaneous abortion usually occurs between the   7th & 12th weeks of gestation(pregnancy)  
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Causes of miscarriage include   1. Infection 2. Drugs, ETOH(alcohol), smoking & caffeine 3. Poor nutrition 4. Toxins(Poisons) 5.Radiation  
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The surgical procedure performed to scrape the endometrium if placental tissue remains after a miscarriage is called a   D&C (Dilation & Curettage)  
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Toxemia is AKA   preeclampsia  
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Preeclampsia(toxemia) only occurs during   pregnancy/gestation (usually after 20 weeks)  
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The princicpal sign of preclampsia include   1.PID (Pregnancy Induced Hypertension) 2.Albuminuria(blood protein in the urine) 3.Edema(swelling, face, arms & legs) 4.Unusualy WT/weight GAIN  
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If seizures develop with preclampsia, the condition is called   eclampsia  
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Prevention techniques include   1. Prenatal Care 2. Proper nutrition  
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Prostatitis is an inflammation of the prostate commonly caused by   E.coli(Eschirechia coli) or GC (gonococci/gonorrhea)  
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Signs & symptoms of prostatitis include   1.Urgency(sudden need to void) 2.Frequency(frequent urination/mictorate) 3.Dysuria(painful/burning urination) 4.Pyuria(pus in urine) 5.Hematuria(blood in urine) 6.Painful ejaculation  
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Prostatitis usually responds well to   antibiotic therapy  
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BPH (Benign Prostatic Hypertrophy) is a   non-malignant enlargement of the prostate  
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Benign Prostatic Hypertrophy (BPH) is more common after the age of   50  
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The enlarged prostate can frequently be palpated(felt) by   DRE (Digital Rectal Exam)  
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The enlarged prostate squeezes the urethra and the patient will complain of   dysuria(painfull/burning urination) and urinary retention(inability to start the flow of urine)  
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Untreated urinary retention(inability to start the flow of urine) can cause   hydronephrosis(excessive urine in the kidneys)  
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Tx for BPH (Benign prostatic hypertrophy-excessive development) includes   1.Avodart or Flomax 2.Cystoscopy(viewing the urinary bladder) and TURP (TransUrethral Resection(scrapping the urethra) of the Prostate)  
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A prostatic carcinoma may be small and initially   asymptomatic(no symptoms)  
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Signs & symptoms of a prostatic carcinoma include   1.Dysuria(painful urination) 2.Hematuria(blood in urine) 3.Anorexia(no appetite) & WT(weight) loss 4.Nocturia(chronic night urination) 5.Urinary incontinence(inability to control urination) AKA enuresis  
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The blood test to detect a predisposition(increased risk) for prostatic carcinoma is   PSA (Prostatic Specific Antigen)  
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A PSA(Prostatic Specific Antigen) should be performed annually for men over the age of   50 (45 for African Americans)  
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Prostatic carcinoma can metastasize(spread) to the   rectum, lymph and bone  
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A good Px(prognosis) for prostatic carcinoma depends on   early detection  
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Tx for prostatic carcinoma includes   1.Chemotherapy(estrogen) 2.Cilateral orchiectomy(surgical removal of the testes) 3.Radiation therapy 4.Prostatectomy(surgical removal of the prostate)  
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Cryptorchidism refers to an   undescended testicle(testis)  
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Cryptorchidism can eventually cause   sterility(infertility)  
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Tx for cryptorchidism includes   orchiopexy(surgical fixation of a testis) or orchiectomy(excision of a testicle)  
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Impotence is the inability to   achieve or maintain an erection AKA ED (Erectile Dysfunction)  
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Causes of ED (Erectile Dysfunction) include   Poorly controlled stress *Arteriosclerosis(harden of arteries) *DM(Diabetes Mellitus) *Complications of prostatectomy(excision the prostate) *Trauma *Side effects from meds(antihypertensives, sedative,antihistamines,etc) *drug &/or alcohol abuse  
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Tx for ED(Erectile Dysfunction) includes   1.Viagra, Levitra & Cialis 2.Penile implants  
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STDs are also know as   STI(Sexually Transmitted Infection)  
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Methonds to reduce incidence of STIs (Sexually Transmitted Infection) include   1.Abstinence(no sexual contact w/another) 2.Monogamy(mutally exclusive one sex partner) 3.Barriers(condoms)  
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Chlamydia is the MOST common STD(sexually transmitted disease) and the number one cause of   PID(Pelvic Inflammatory Disease)  
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Untreated chlamydia can cause   sterility (Infertility) in women  
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Chlamydia infections are often   asymptomatic (no symptoms)  
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Signs & symptoms of chlamydia for women may include   Dysuria(painful urination) *Pungent(aromatic) vaginal discharge *Dyspareunia(painful coitus) *Dysmenorrhea(painful menses) *Abdominal Pain *Vaginal pruritus(itching)  
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Signs & Symptoms of chlamydia for men may include   1.Dysuria(painful micturition) 2.Balanorrhea(penile discharge) 3.Testicular edema(swelling)  
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Chlamydia can be cured with   antibiotics  
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Gonorrhea is caused by   GC(Gonococci) and is the second most common STDs(sexually transmitted diseases)  
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Untreated gonorrhea can cause   sterility(infertility) in men and women  
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Gonorrhea transmitted to a fetus during delivery can cause   blindness & possible death  
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Signs & symptoms of gonorrhea usually appear   2-10 days after exposure  
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Gonorrhea can be   asymptomatic(no symptoms)  
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Signs & symptoms of gonorrhea for women may include   1.Greenish-yellow vaginal discharge 2.Lower abdominal and pelvic pain 3.Pharyngitis(inflammation of the pharynx/ throat) 4.Dysuria(painful urination)  
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Signs & symptoms of gonorrhea for men may include   1.Greenish-yellow balanorrhea(penile discharge) 2.Dysuria(painful urination) 3.Pharyngitis(inflammation of the pharynx/throat) 4.Testicular edema(swelling) 4  
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Gonorrhea can be cured with   antibiotics  
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The primary state of syphilis is characterized by one or more painless ulcers that appear on the penis, labia, lips, tongue, or anus called   chancres (shankers)  
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A chancre will develop within a   10 to 90 days after sexual contact(highly contagious)  
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A chancre will heal and disappear in   3-6 weeks  
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This primary stage of syphilis is treatable with   PCN(PeniCilliN)  
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If primary syphilis is left untreated the secondary stage begins within   6 weeks to 6 months after exposure & usually lasts 1 to 3 months  
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The secondary stage of syphilis is characterized by   a non-pruritic rash(highly contagious) typically on the palms & soles and is treatable with PCN (PeniCilliN)  
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The tertiary(third) stage of syphilis can occur   1.Years after the primary infection 2. in approximately 30% of people infected with syphilis  
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Complications of the tertiary(third) stage of syphilis include   heart disease, blindness, mental illness, and death  
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Blood tests for syphilis include   1. VDRL 2. RPR 3. EIA  
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Genital herpes is an extremely painful chronic viral disease caused by the   HSV II(Herpes Simplex Virus) and affects 1 in 4 women & 1 in 5 men  
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Symptoms of HSV II(herpes simplex virus) generally occur within   3 weeks of exposure  
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Signs & symptoms of HSV II(Herpes Simplex Virus) include   1.Multiple painful(burning) pruritic(itching) vesicles(blisters) that appear on the genitalia, buttocks, & thighs 2.Dysuria(painful urination) 3.Vaginal discharge  
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The active lesions appear when the   immune system is compromised  
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Genital Herpes HSV II(Herpes Simplex Virus), is MORE EASILY transmitted when the lesions are   active  
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Outbreaks of genital herpes can be treated with   antiviral drugs(Valtrex) THERE IS NO CURE  
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There are approximately 30 different types of the   HPV(Human Papilloma Virus)  
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75-80% of all males and females will be   infected with HPV(Human Papilloma Virus) during their lifetime  
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For most, the immune system will   defeat HPV(Human Papilloma Virus)  
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90% of HPV(Human Papilloma Virus) lesions(WARTS) are caused by   2 types of the HPV(Human Papilloma Virus)  
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HPV(Human Papilloma Virus) lesions(warts) may appear within   weeks or several months of the sexual exposure  
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HPV(Human Papilloma Virus) lesions(warts) commonly appear on the   penis and scrotum in men and on the perineum in women  
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The primary symptoms of HPV(Human Papilloma Virus) are   pruritus(itching) and pain  
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About 75% of all cervical malignancies are caused by   2 other types of HPV(Human Papilloma Virus)  
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Uncircumcised men are   three times more likely to be infected with the HPV(Human Papilloma Virus)  
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A vaccine is available for 4 types (2-wart types and 2-cervical malignancies) of the HPV (Human Papilloma Virus) called   Gardasil (3 doses over 6 months)  
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Gardasil is approved for males & females ages   9-26 years of age  
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Best results occur if vaccine(Gardasil) is administered before   exposure(sexually active)  
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Tx for HPV(Human Papilloma Virus)includes   1.antiviral medications(adlara) 2.Electrocautery(burning lesions) 3.Cryosurgery(freezing lesions)  
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