AH2 Exam 2: Benign Prostatic Hyperplasia (BPH)
Questions With Complete Solutions
a surgical procedure for the partial or complete removal of the
prostate. It may be performed to treat prostate cancer or benign
prostatic hyperplasia Correct Answer prostatectomy
a surgical procedure that involves cutting away a section of the
prostate
- superior but more costly results
- pts will usually come back with continuous bladder irrigation
(CBI) (30 mL balloon)
- low risk but must watch for TURP syndrome Correct Answer
transurethral resection (TURP)
ACS recommends screening should be discussed with men if:
Correct Answer - age 50 if at average risk and expected to live
at least 10 more years
- age 45 if at high risk
- age 40 when more than one first degree relative has had
prostate cancer at an early age
associated with an increased risk of breast cancer and prostate
cancer
- associated with mutations in BRCA genes
- men that have this have an increased risk of breast and prostate
cancer Correct Answer hereditary breast and ovarian cancer
syndrome (HBOC)
Biggest preventative of prostate cancer? Correct Answer early
diagnosis!!
, blocks enzyme necessary for conversion of testosterone to DHT
- decreases the size of prostate gland
- more effective for larger prostates with bothersome symptoms
- PROSCAR: AVOID IF PREGNANT OR PLAN TO BE (can
affect male fetus)
- may lower risk of prostate cancer but not used in prevention
Correct Answer 5a-reductase inhibitors
Challenges of androgen deprivation therapy? Correct Answer
- ALL tumors will become resistent to therapy within a couple
of years
- cardiac complications (increased triglycerides, increased
cholesterol, increased risk of cardiovascular disease)
- increased risk of osteoporosis/bone fractures
Clinical manifestations of BPH? Correct Answer Obstructive:
- weak urinary stream
- prolonged voiding
- abdominal straining
- hesitancy
- intermittency
- incomplete bladder emptying
- dribble
Irritative:
- frequent urination
- nocturia
- urgency
- incontinence
- bladder pain
- dysuria
Questions With Complete Solutions
a surgical procedure for the partial or complete removal of the
prostate. It may be performed to treat prostate cancer or benign
prostatic hyperplasia Correct Answer prostatectomy
a surgical procedure that involves cutting away a section of the
prostate
- superior but more costly results
- pts will usually come back with continuous bladder irrigation
(CBI) (30 mL balloon)
- low risk but must watch for TURP syndrome Correct Answer
transurethral resection (TURP)
ACS recommends screening should be discussed with men if:
Correct Answer - age 50 if at average risk and expected to live
at least 10 more years
- age 45 if at high risk
- age 40 when more than one first degree relative has had
prostate cancer at an early age
associated with an increased risk of breast cancer and prostate
cancer
- associated with mutations in BRCA genes
- men that have this have an increased risk of breast and prostate
cancer Correct Answer hereditary breast and ovarian cancer
syndrome (HBOC)
Biggest preventative of prostate cancer? Correct Answer early
diagnosis!!
, blocks enzyme necessary for conversion of testosterone to DHT
- decreases the size of prostate gland
- more effective for larger prostates with bothersome symptoms
- PROSCAR: AVOID IF PREGNANT OR PLAN TO BE (can
affect male fetus)
- may lower risk of prostate cancer but not used in prevention
Correct Answer 5a-reductase inhibitors
Challenges of androgen deprivation therapy? Correct Answer
- ALL tumors will become resistent to therapy within a couple
of years
- cardiac complications (increased triglycerides, increased
cholesterol, increased risk of cardiovascular disease)
- increased risk of osteoporosis/bone fractures
Clinical manifestations of BPH? Correct Answer Obstructive:
- weak urinary stream
- prolonged voiding
- abdominal straining
- hesitancy
- intermittency
- incomplete bladder emptying
- dribble
Irritative:
- frequent urination
- nocturia
- urgency
- incontinence
- bladder pain
- dysuria
