Summary AANP Exam 3 Study Guide 2023 Complete

Men’s Health Priapism - Correct Answer painful erection for 204 hours, ischemi form is medical/surgical emergency Testicular cancer - Correct Answer hard fixed, nodule, heaviness or aching, one testicle larger than other, hydrocele from tumor, painless asymptomatic until Metz, DX gold standard testicular biopsy, US of testes, refer to urology, for surgical removal (orchiectomy) Prostate Cancer - Correct Answer most common cancer in men, new onset of low back pain, rectal perianal area, obstructive voiding symptoms, weak stream, nocturia, risk factor obese and family history, >50 years old, DX routine screening not recommended Torsion of the appendix testes - Correct Answer blue dot sign, blue colored round mass located on testicular surface, polyp like structure attached to testicular surface, infarction and necrosis of the appendix due to torsion, refer to ER Testicular torsion - Correct Answer abrupt onset extremely painful and swollen red scrotum, n/v, affected testes higher and closer to body, the cremasteric reflex is missing, > not corrected in <6 hours permanent damage, if not corrected in 24 hours becomes gangrene, common in males with bell clapper deformity, TX call 911, US doppler preferred test, manual reduction or surgery, elevated PSA, biopsy of prostate tissue, PSA level with DRE TX refer to urologist, individualize screen per risk factors Varicocele - Correct Answer enlargement of the veins within the scrotum, bag of worms, testicular tumor can cause infertility, DX US of scotum, TX surgical removal or varicosities Hydrocele - Correct Answer fluid filed sac around testicle, swelling of scrotum, asymptomatic, DX will glow with transillumination, US of scrotum, TX refer to urologist Direct inguinal hernias - Correct Answer are found in the Hesselbachs triangle indirect inguinal hernia - Correct Answer are common on the right side internal ring Cryptorchidism - Correct Answer a testicle that has not moved into the bag of skin below the penis before birth, maybe one or two, increases risk of testicular cancer BPH - Correct Answer gradual development of urinary obstruction, weak urinary stream, postvoid dribbling, occasional urinary retention, DX PSA is elevated, prostate enlarged, TX alpha adrenergic antagonist-terazosin/Hytrin-first for patients with HTN, Flomax, or Proscar shrinks prostate by 50%