FNP Men's Health Review | 100% Correct Answers | Verified | Latest 2024 Version

FNP Men's Health Review | 100% Correct Answers | Verified | Latest 2024 Version what are s/sx of testicular cancer? - - c/o nodule in one testicle - sensation of heaviness or aching - one larger testicle - tenderness in one testicle - can present as new onset hydrocele what are classic s/sx of prostate cancer? - - new onset low back pain - rectal area/perineal pain or discomfort accompanied by obstructive riding symptoms such as weaker stream and nocturne - may be asymptomatic what is the blue dot sign? - - abrupt onset of blue-colored round mass located on the testicular surface - mass resembles a blue dot - the blue dot is caused by infarction and necrosis of the appendix testis due to torsion - THIS IS NOT TESTICULAR TORSION, BUT STILL EMERGENCY what condition increases the risk of testicular cancer? - cryptorchidism - undescended testes When obtaining a PSA, when should the NP refer a patient to a urologist? - when the PSA is >4 what are the classic s/sx of benign prostatic hyperplasia? - - gradual development of urinary obstructive symptoms - weak urinary stream - postvoid dribbling - feelings of incomplete emptying - occasional urinary retention - Nocturia is very common what are objective findings of BPH? - - elevated PSA - prostate is symmetrical in texture and size is enlarged what types of meds act directly on prostate gland to shrink it? - 5 alpha reductase inhibitors - if patient stops taking it, the prostate returns back to normal size what side effect is common with 5 alpha reductase inhibitors? - - orthostatic hypotension - instruct patient to take med at bedtime when a patient is taking a 5 alpha reductase inhibitor, what is important to implement when monitoring the PSA? - the result of the PSA must be doubled while the patient is on this med if patient has BPH and hypertension, what should the NP prescribe? - - alpha-blocker (Hytrin) - it will relax smooth muscles on prostate gland and bladder neck what is the treatment of choice for chronic bacterial prostatitis? - Bactrim for 4-6 weeks what is the likely cause of acute bacterial prostatitis in males younger than 35 years old? - STI - chlamydia what is the treatment of choice for males with acute bacterial prostatitis who are younger than 35 years old? - Ceftriaxone (IM Rocephin) and Doxycycline