Male GU repro
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| When prescribing antihypertensive therapy for a man with BPH and hypertension, the NP considers that... | alpha-antagonist should not be used as solo or first line agent
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| When assessing a 78 yo male with suspected BPH the NP considers that... | prostate size does not correlate well w/ the severity of symptoms
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| Which can contribute to acute urinary retention in an older man w/ BPH | **amitriptyline**
loratadine
enalapril
lorazepam
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| 78 yo male presents w/ 3d h/o new-onset fatigue and difficulty emptying bladder. Exam reveals a distended bladder, but otherwise is unremarkable. BUN is 88mg/dL (31.4 mmol/L); creatinine is 2.8mg.dL (347.5umol/L) The most likely dx is: | postrenal azotemia
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| Surgical intervention in BPH should be considered with all of the following EXCEPT | recurrent UTI
bladder stones
persistent obstruction despite medical therapy
**acute tubular necrosis**
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| Finasteride (Proscar, Propecia) and dutasteride (Advodart) are helpful in the treatment of BPH because of their effect on... | prostate size
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| Which of the following is inconsistent with the description of BPH? | obliterated median sulcus
larger than 2.5x3cm
sensation of incomplete emptying
**boggy gland**
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| Tamsulosin (Flomax) is helpful in the treatment of BPH because of its effect on... | activity at select bladder receptor sites
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| Concerning BPH, which of the following statement is true? | DRE is accurate in diagnosis.
**validated patient symptom tool is an important part of diagnosing this condition**
Prostate size directly correlates with symptoms and bladder emptying.
Bladder distention is usually present in early disease.
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| Concerning herbal and nutritional therapies for BPH which is FALSE? | **these therapies are safest and most effective when used with prescription medications**
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| You examine a 32yo male with chancroid and anticipate finding a... | painful ulcer
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| The causative organism of chancroid is | Haemophilus ducreyi
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| Treatment options for chancroid include all of the following EXCEPT: | azithromycin
ciprofloxacin
ceftriaxone
**Amoxicillin**
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| When ordering lab test to confirm chancroid the NP considers that: | concomitant infection with herpes simplex is often found
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| The most common causative organism of lymphogranuloma venereum is... | C. trachomatis (Chlamydia trachomatis) types 1 to 3.
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| Physical examination findings in lymphogranuloma venereum include: | lesions that fuse and create multiple draining sinuses.
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| Treatment options for lymphogranuloma venereum include: | tetracycline
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| The presentation of acute epididymitis includes | positive prehn sign
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| The most likely causative pathogens in a 26yo male with acute epididymitis include... | C. trachomatis
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| Which of the following is part of a reasonable treatment option for a 30yo male with epididymitis? | doxycycline
(Specifically ceftriaxone followed by doxycycline)
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| Gram stain of urethral discharge of a 37yo male with dysuria shows gram negative cocci. This is most likely... | N. gonorrhoeae
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| Treatment options for uncomplicated gonococcal proctitis include: | Ceftriaxone 125mg IM as a single dose
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| Which of the following is recommended by the CDC for as single-dose therapy for uncomplicated urethritis caused by N. gonorrhoeae? | cefixime
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| In gonococcal infection, which of the following statement is true? | **Risk of transmission to an infected female to a male sexual partner is about 20-30% with a single coital act**
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| Incubation period for gonococcal infection is | SHORT: 1-5 days
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| True or False Most men with gonococcal infections are asymptomatic. | TRUE
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| True or False: N. gonorrhoeae frequently produces beta-lactamase | TRUE. Therefore agents with beta-lactamase stability such as a cephalosporin should be used (ceftriaxone or cefixime)
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| When choosing an antimicrobial agent tor the treatment of chronic bacterial prostatitis the NP considers that: | choosing an antibiotic with gram-negative is critical
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| All of the following are likely to be reported by patients with acute bacterial prostatitis EXCEPT: | PENILE PAIN
(actual symptoms include perineal pain, irritative voiding sympoms and fever)
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| During acute bacterial prostatitis the digital rectal exam usually reveals a gland described as | boggy
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| Symptoms in chronic bacterial prostatitis often include | low back pain
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| Most common causative organisms in chronic bacterial prostatitis include: | gram-negative rods
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| which of the following is the best choice of therapy in chronic bacterial prostatitis | ciprofloxacin for 4 weeks
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| The best diagnostic test to identify the offending organism in acute bacterial prostatitis is: | Urine culture
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| You perform a DRE on a 72yo male and find a lesion suspicious for prostate cancer. The findings are best described as.. | an area of prostatic induration
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| Which of the following PSA results are most consistent with cancer? | a doubling of PSA in serial annual tests in the presence of a normal DRE
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| Risk factors for prostate cancer include all of the following EXCEPT: | Hx of genital trauma
(Actual RF are African ancestry, family hx of prostate CA, high fat diet)
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| The average American man ha an approximately ____% lifetime risk of prostate cancer and an approximately ____% likelihood of clinical disease. | 40;10
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| a 19 yo male presents with sudden onset of left sided scrotal pain and unilateral loss of the cremasteric reflex. THis most likely represents... | testicular torsion
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| In assessing the male with testicular torsion the NP is most likely to note: | a tender swollen testicle
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| Anicipated organ survival exceeds 85% with testicular decompression within how many hours of torsion? | 6
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| To prevent reoccurance of testicular torsion which of the following is recommended? | orchiopexy
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| a 42 yo male has a nontender "bag of worms" mass within the left dcrotum that disappears when he is supine. This is consistent with... | varicocele
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| What is a common finding in a man with varicocele? | lower sperm count with increased number of forms
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| How long after contact does the onset of manifestations of syphilis occur? | 2-4 weeks
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| What is not representative of presentation of primary syphilis? | painless ulcer
palpable inguinal nodes
**flu like symptoms**
spontaneous healing lesion
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| What would be representative of the presentation in secondary syphilis | generalized rash
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| What is seen in tertiary syphilis? | gumma
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| Syphilis is the most contagious at what time | during the secondary stage
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| first line tx for primary syphilis is | penicillin
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| sequelae of genital HPV infection in males can include | anorectal carcinoma
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| describe lesion of condyloma acuminatum | verruciform
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| Name a tx option for condyloma acuminatum | imiquimod
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| Which HPV types are most common to cause colorectal CA? | 16 & 18
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| Which HPV types are most common to cause conyloma acuminatum? | 6 & 11
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| Which is NOT a common risk factor for erectile dysfunction? | DM
HTN
cigarette smoking
**testosterone deficiency**
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| Patient education about the use of sildenafil (viagra) needs to include: | with the use of this medication sexual stimulation is also needed to achieve an erection
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| when discussion ED with a 70 yo male, the NP considers: | most cases have an underlying cause
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| Which medication tx for ED has the longest half life? | tedalafil (Cialis)
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Created by:
ldykstra
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