Benign Prostatic Hyperplasia question with complete solution graded A+ 2023/2024

Benign Prostatic Hyperplasia question with complete solution graded A+ 2023A patient has been scheduled for a transurethral needle ablation (TUNA) to address his benign prostatic hyperplasia (BPH). Which statement describes this surgical approach? A. A resectoscope is inserted through the urethra, and the obstructing tissue is excised with an electrocautery wire loop B. A cystoscope is used to pass a yttrium-aluminum-garnet laser fiber through the urethra into the prostate to vaporize obstructing tissue. C. Microwaves are used to heat and destroy excess prostate tissue. D. Low-level radio frequency is used through twin needles to burn away a region of the enlarged prostate. - correct answer D (Transurethral needle ablation (TUNA) utilizes low-level radio frequency through twin needles to burn away a region of the enlarged prostate. Transurethral resection of the prostate (TURP) is performed with the use of a wire loop resectoscope to remove prostate tissue and perform electrocautery through the urethra. In laser surgery (see image below), a cystoscope is passed through the urethra and used to vaporize prostatic tissue with short bursts of energy. Balloon urethroplasty is done by inserting a balloon-tipped catheter into the urethra and inflating it to widen the narrowed portion.) Which surgical option for treating benign prostatic hyperplasia (BPH) utilizes low-level radio frequency through twin needles to burn away a region of the enlarged prostate? A. Balloon urethroplasty B. Transurethral resection of the prostate (TURP) C. Transurethral needle ablation (TUNA) D. Laser surgery - correct answer C (Transurethral needle ablation (TUNA) utilizes low-level radio frequency through twin needles to burn away a region of the enlarged prostate. Transurethral resection of the prostate (TURP) is performed with the use of a wire loop resectoscope to remove prostate tissue and perform electrocautery through the urethra (see image below). In laser surgery, a cystoscope is passed through the urethra and used to vaporize prostatic tissue with short bursts of energy. Balloon urethroplasty is done by inserting a balloon-tipped catheter into the urethra and inflating it to widen the narrowed portion.) The community health nurse discusses preventive care guidelines for benign prostatic hyperplasia (BPH) with a community group. At which age should the nurse recommend assessment for benign prostatic hyperplasia (BPH) to begin? A40 B 50 C 60 D 30 - correct answer A (Men over the age of 40 should be assessed for possible BPH and screened for prostate cancer if risk factors are present. Assessment includes a health history, physical assessment, and diagnostic tests.) A patient diagnosed with benign prostatic hyperplasia (BPH) states to the nurse, "I don't understand why I have this condition. What has caused it?" In the nurse's explanation, which hormone should be presented as the primary mediator of prostatic growth? A. Progesterone B. Dihydrotestosterone C. Testosterone D. Estrogen - correct answer B (The androgen that mediates prostatic growth at all ages is dihydrotestosterone (DHT), which is formed in the prostate from testosterone. Estrogen, which is produced in small amounts in men, seems to sensitize the prostate to DHT. Increasing estrogen levels associated with aging or a relative increase in estrogen related to testosterone levels contributes to prostatic hyperplasia. Testosterone and progesterone do not mediate growth of the prostate gland.) The nurse is preparing teaching for a patient-posttransurethral resection for benign prostatic hyperplasia (BPH).