Contraception and Erectile Dysfunction

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Questions and Answers

What is the normal result for an RPR test used to screen for syphilis?

  • Reactive with low titer
  • Negative reaction (correct)
  • Positive reaction
  • Indeterminate reaction

Which of the following treatments is appropriate for bacterial infections such as chlamydia?

  • Acyclovir
  • Azithromycin (correct)
  • Metronidazole
  • Permethrin

What is the normal sperm count value identified in a semen analysis?

  • ≥20 million/mL
  • 1 million/mL
  • ≥15 million/mL (correct)
  • ≥10 million/mL

In evaluating female fertility, which test is used to assess uterine and fallopian tube patency?

<p>Hysterosalpingography (HSG) (A)</p> Signup and view all the answers

What is the normal endometrial thickness range detected via transvaginal ultrasound?

<p>7-14 mm (C)</p> Signup and view all the answers

Which of the following contraception methods is considered permanent?

<p>Tubal ligation (A)</p> Signup and view all the answers

What is a common side effect associated with hormonal contraceptive methods?

<p>Thromboembolism (A)</p> Signup and view all the answers

Which of the following conditions is NOT a vascular cause of erectile dysfunction (ED)?

<p>Diabetes (B)</p> Signup and view all the answers

What is the role of PDE5 inhibitors in the management of erectile dysfunction?

<p>Enhance blood flow to the penis (D)</p> Signup and view all the answers

Which of the following STIs is caused by a virus?

<p>Herpes Simplex Virus (HSV) (B)</p> Signup and view all the answers

Which diagnostic test is commonly used to detect Chlamydia and Gonorrhea?

<p>PCR tests (C)</p> Signup and view all the answers

What is a non-pharmacologic treatment option for erectile dysfunction?

<p>Counseling (C)</p> Signup and view all the answers

Which of the following is a fungal infection that may not always be sexually transmitted?

<p>Candidiasis (D)</p> Signup and view all the answers

A patient is instructed to perform a self-breast exam. Which action indicates correct positioning for the exam?

<p>Lying down with arms raised above the head. (A)</p> Signup and view all the answers

A 50-year-old woman with a life expectancy of 15 years is scheduled for her annual breast cancer screening. Which imaging modality is most appropriate?

<p>Annual mammography (A)</p> Signup and view all the answers

Which of the following is considered the only definitive way to diagnose breast cancer?

<p>Biopsy (A)</p> Signup and view all the answers

A patient diagnosed with uterine fibroids reports heavy menstrual bleeding and painful intercourse. Which of the following fibroid types would be most likely to cause these symptoms?

<p>Submucosal fibroids. (C)</p> Signup and view all the answers

A patient reports using 6-7 soaked pads per day during menstruation. This is an important assessment finding when further evaluating what condition?

<p>Uterine fibroids (C)</p> Signup and view all the answers

A patient presents with vaginal bleeding, and a transvaginal ultrasound. Which additional lab test would be most essential in assessing the patient's condition?

<p>Hemoglobin and Hematocrit (H&amp;H) (C)</p> Signup and view all the answers

A patient is diagnosed with Stage III endometrial cancer. Considering the staging classifications, which of the following best describes disease progression?

<p>The cancer has spread to the vagina or lymph nodes. (B)</p> Signup and view all the answers

A patient who underwent a mastectomy is being educated on post-op care. Which of the following would be the most important for the nurse to emphasize?

<p>Lymphedema management techniques. (C)</p> Signup and view all the answers

A patient diagnosed with Benign Prostatic Hyperplasia (BPH) is prescribed terazosin. What is the mechanism of action of this medication?

<p>Relaxes smooth muscle in the prostate and bladder neck, improving urine flow. (C)</p> Signup and view all the answers

A patient with Endometrial Cancer is scheduled for brachytherapy. Which nursing intervention is crucial during this treatment?

<p>Ensure the patient remains immobile with the implant in place. (A)</p> Signup and view all the answers

A patient presents with lower abdominal pain, fever, and vaginal discharge. Which diagnostic test is MOST likely to confirm a diagnosis of Pelvic Inflammatory Disease (PID)?

<p>Culture and sensitivity of vaginal discharge (B)</p> Signup and view all the answers

A patient undergoing treatment for Cervical Cancer asks about the purpose of a colposcopy. What is the BEST explanation for this procedure?

<p>To visualize the cervix and take biopsies for microscopic examination. (D)</p> Signup and view all the answers

A patient with a history of BPH is prescribed finasteride. Which of the following is a potential side effect of this medication?

<p>Lowered libido and erectile dysfunction. (B)</p> Signup and view all the answers

Which of the following is a common symptom of both Endometrial Cancer and Cervical Cancer?

<p>Painless vaginal bleeding (A)</p> Signup and view all the answers

A patient with Prostate Cancer is screened using a prostate-specific antigen (PSA) test. What is the rationale for drawing a blood sample BEFORE and AFTER a digital rectal examination (DRE)?

<p>To identify potential inflammation of the prostate (prostatitis) that can elevate PSA levels. (A)</p> Signup and view all the answers

What is the MOST common procedure to cure prostate cancer?

<p>Prostatectomy (A)</p> Signup and view all the answers

A patient with Testicular Cancer is considering sperm banking. What is the rationale for this procedure?

<p>To preserve fertility after cancer treatment. (B)</p> Signup and view all the answers

A patient with Erectile Dysfunction is prescribed sildenafil (Viagra). What is the MOST IMPORTANT patient teaching point regarding this medication?

<p>Sildenafil should be taken 15 to 60 minutes before sexual activity. (D)</p> Signup and view all the answers

A patient who has undergone TURP (Transurethral Resection of the Prostate) has pinkish drainage from the catheter. How should the nurse respond?

<p>Document the finding as normal; pinkish drainage is expected after TURP. (C)</p> Signup and view all the answers

Which of the following is LEAST likely to be a risk factor for developing Prostate Cancer?

<p>High intake of calcium-rich foods. (D)</p> Signup and view all the answers

Which of the following is the MOST common symptom of Benign Prostatic Hyperplasia (BPH)?

<p>Frequent urination at night (nocturia) (C)</p> Signup and view all the answers

A patient with Toxic Shock Syndrome (TSS) is being admitted to the hospital. Which of the following is the PRIORITY nursing intervention?

<p>Remove the source of infection, such as tampons or diaphragms. (B)</p> Signup and view all the answers

A patient with Pelvic Inflammatory Disease (PID) is in significant pain. Which nursing intervention is MOST helpful to manage this symptom?

<p>Encourage the patient to remain in a semi-Fowler's position. (C)</p> Signup and view all the answers

A patient with Cervical Cancer is undergoing treatment with a LEEP procedure. What is the rationale for this treatment?

<p>To remove abnormal cells from the cervix and prevent further progression. (B)</p> Signup and view all the answers

Following brachytherapy treatment, which of these findings should the client be instructed to report immediately to their physician?

<p>Abdominal pain, visible blood in the urine, or heavy vaginal bleeding (A)</p> Signup and view all the answers

A client is being educated about proper care for vulvovaginitis. Which of the following practices should the nurse emphasize as being incorrect?

<p>Taking long, hot baths to relieve itching (C)</p> Signup and view all the answers

A client who underwent cryotherapy is given discharge instructions. Which activity should the nurse emphasize the client needs to avoid?

<p>Using tampons and douching (A)</p> Signup and view all the answers

A 50 year old African American male is being screened for prostate cancer. What is the most important factor in recommending this screening?

<p>His race (B)</p> Signup and view all the answers

A client is being treated with a PDE-5 inhibitor for erectile dysfunction. What is an important precaution regarding positioning that the nurse should teach the client?

<p>To sit or stand carefully due to possible orthostatic hypotension (A)</p> Signup and view all the answers

Which position should a client be encouraged to rest in to help manage infection and pain related to PID?

<p>Semi-Fowler's position (B)</p> Signup and view all the answers

What is a significant screening recommendation for women with new partners?

<p>They should be screened for chlamydia regardless of age (A)</p> Signup and view all the answers

What immediate action should be taken if stool is noted coming from the vagina after a vaginoplasty?

<p>Seek emergency room evaluation (A)</p> Signup and view all the answers

What is a common supplement used for Benign Prostatic Hyperplasia (BPH)?

<p>Saw palmetto (D)</p> Signup and view all the answers

What should be taught to a client regarding testosterone therapy?

<p>Cessation of menstruation is anticipated (A)</p> Signup and view all the answers

How often should a transdermal estrogen patch be applied?

<p>Daily (D)</p> Signup and view all the answers

What is the primary purpose of referring a client to a sperm bank facility before surgery for testicular cancer?

<p>To preserve fertility (D)</p> Signup and view all the answers

What should be assessed in a client who has undergone a total hysterectomy and presents with two saturated perineal pads in two hours?

<p>Risk of excessive bleeding (B)</p> Signup and view all the answers

What should clients be educated about regarding HPV testing?

<p>It is important to include with a Pap smear (B)</p> Signup and view all the answers

What is one recommended method of STI prevention?

<p>Mutual monogamy (B)</p> Signup and view all the answers

What should be prioritized in assessment following a post-hysteroscopic surgery if a client exhibits tachycardia and crackles in lung bases?

<p>Call the rapid response team (A)</p> Signup and view all the answers

What is a significant consideration when addressing psychosocial needs for a client with STIs?

<p>Promoting open expression of fears and anxieties (A)</p> Signup and view all the answers

What is crucial to educate a client regarding the potential risks associated with obtaining hormones online?

<p>It may lead to unmonitored health risks (C)</p> Signup and view all the answers

What indicates a new infection of herpes simplex virus type 2 (HSV-2)?

<p>Presence of IgM antibodies (B)</p> Signup and view all the answers

What is a common symptom associated with gonorrhea in females?

<p>Dysuria (B)</p> Signup and view all the answers

Which stage of syphilis is characterized by a chancre sore?

<p>Primary stage (A)</p> Signup and view all the answers

What is the recommended interval for follow-up after benzathine penicillin G injection for treating syphilis?

<p>6, 12, and 24 months (B)</p> Signup and view all the answers

Which treatment is effective for Condyloma Acuminata (genital warts)?

<p>Cryotherapy (A)</p> Signup and view all the answers

What is a primary cause of Pelvic Inflammatory Disease (PID)?

<p>Chlamydia infection (D)</p> Signup and view all the answers

What should an individual with acute kidney injury prioritize in their treatment?

<p>Hydration (C)</p> Signup and view all the answers

Which factor is associated with an increased risk of infection leading to urinary tract infections (UTIs)?

<p>Catheters (B)</p> Signup and view all the answers

Which symptom is NOT typically associated with nephrolithiasis (kidney stones)?

<p>Fluid overload (C)</p> Signup and view all the answers

What is the most common treatment approach for renal cell carcinoma?

<p>Nephrectomy (A)</p> Signup and view all the answers

What long-term symptom might someone with chronic glomerulonephritis experience?

<p>Mild proteinuria (C)</p> Signup and view all the answers

Which of the following is a characteristic feature of urge incontinence?

<p>Uncontrollable urge to urinate (A)</p> Signup and view all the answers

What is a recommended nursing intervention for managing polycystic kidney disease (PKD)?

<p>Pain management (C)</p> Signup and view all the answers

What does an elevated ESR (erythrocyte sedimentation rate) indicate?

<p>Inflammation in the body (B)</p> Signup and view all the answers

A client undergoing brachytherapy should be instructed to report which of the following to their physician?

<p>Abdominal pain, visible blood in the urine, and heavy vaginal bleeding. (A)</p> Signup and view all the answers

What is an incorrect practice that should be avoided by a client with vulvovaginitis, according to the provided information?

<p>Taking long, hot baths to relieve itching. (B)</p> Signup and view all the answers

Following cryotherapy, a client should be instructed to avoid which of the following?

<p>Using tampons, douching, or having sexual activity. (A)</p> Signup and view all the answers

What is a critical symptom of testicular cancer that requires prompt medical evaluation?

<p>Painless testicular lump. (A)</p> Signup and view all the answers

Which exercises are beneficial for clients with Benign Prostatic Hyperplasia (BPH)?

<p>Kegel exercises. (A)</p> Signup and view all the answers

Which of the following is the most important action to take when caring for a client with tachycardia, tachypnea, and crackles in the lung bases after a hysteroscopic surgery?

<p>Assess immediately and call the rapid response team. (D)</p> Signup and view all the answers

For a 50-year-old African-American male, what type of screening should be recommended?

<p>Prostate cancer screening. (D)</p> Signup and view all the answers

What is the correct way to refer to a client who identifies as transgender?

<p>Refer to them as a transgender individual and ask how they would like to be addressed. (B)</p> Signup and view all the answers

What is an important teaching point regarding estrogen therapy?

<p>Transdermal patches are applied daily and changed every 3 days. (C)</p> Signup and view all the answers

A transmasculine client asks a nurse about typical effects of testosterone therapy. Which of the following is a correct response?

<p>Increased muscle mass, deepening voice, changes in fat distribution, and cessation of menstruation. (A)</p> Signup and view all the answers

A client is being educated about a vaginoplasty. What qualification must they meet?

<p>Must live continually in their desired gender identity for 12 months. (D)</p> Signup and view all the answers

Which of the following is an appropriate intervention for a client experiencing burgundy-colored urine while undergoing continuous bladder irrigation after a TURP?

<p>Administer antispasmodic drugs and monitor for anemia. (A)</p> Signup and view all the answers

After a total hysterectomy, a nurse assesses a client who has two fully saturated perineal pads within two hours. What is the priority nursing action?

<p>Prioritize assessment of the client due to potential excessive bleeding. (D)</p> Signup and view all the answers

A client who is transitioning from female to male asks about surgical options. Which of the following procedures, are options for that client?

<p>Vaginectomy, metoidioplasty, and scrotoplasty. (B)</p> Signup and view all the answers

What information should be included in client education about external beam radiation therapy (EBRT)?

<p>Skin care, sun exposure precautions, and potential radiation-induced damage to the perineal area. (D)</p> Signup and view all the answers

A client with a history of hypertension and a BMI of 32 is considering estrogen therapy. What is the nurse's priority action in this situation?

<p>Identify risk factors in the client's history related to estrogen therapy. (B)</p> Signup and view all the answers

A client who has undergone a total hysterectomy is reporting vaginal bleeding. Two perineal pads have become saturated within 2 hours. What requires immediate action?

<p>Prioritize assessment of the client to rule out excessive bleeding. (C)</p> Signup and view all the answers

A client with a painless testicular lump seeks medical attention. What is the nurse's primary action?

<p>Prioritize care for the client as this symptom warrants prompt medical evaluation. (B)</p> Signup and view all the answers

A client with a new diagnosis of uterine leiomyomas is experiencing significant discomfort. What is the most appropriate action?

<p>Teach non-pharmacologic comfort measures and assess for iron deficiency anemia. (C)</p> Signup and view all the answers

A client undergoing brachytherapy for cervical cancer is concerned about the potential for radioactivity. What is the most helpful response?

<p>Explain the procedure and reassure the client that they won't be radioactive after treatment. (C)</p> Signup and view all the answers

A client is seeking breast augmentation surgery. Which statement indicates a need for further education?

<p>I understand that fat injections can replace breast implants for augmentation. (B)</p> Signup and view all the answers

A client reports visible blood in the urine after brachytherapy. What is the nurse's most appropriate action?

<p>Prioritize care for the client as this symptom warrants prompt medical evaluation. (A)</p> Signup and view all the answers

A client diagnosed with ovarian cancer is concerned about her potential for future pregnancies. What is an appropriate response?

<p>Educate that ovarian cancer is not primarily a disease affecting young women. (D)</p> Signup and view all the answers

A nurse is caring for a client who has undergone TURP. Which action should the nurse prioritize?

<p>Administer antispasmodic medications and assist with early mobilization. (D)</p> Signup and view all the answers

A client with vulvovaginitis is experiencing intense itching. Which incorrect practice requires intervention?

<p>Taking long, hot baths to relieve itching. (C)</p> Signup and view all the answers

A client with a history of smoking and multiple births is seeking cervical cancer screening. Which action is most appropriate?

<p>Assess the client's risk factors for cervical cancer, such as smoking and multiple births. (D)</p> Signup and view all the answers

A client is considering testosterone therapy. What information should the nurse provide during education?

<p>Teach the client about anticipated physical changes, such as increased muscle mass. (A)</p> Signup and view all the answers

A client is scheduled for a vaginoplasty. What is the most important eligibility criterion?

<p>The client must be living continuously in their desired gender identity for 12 months. (C)</p> Signup and view all the answers

A client diagnosed with erectile dysfunction is prescribed a PDE-5 inhibitor. What is the nurse's priority instruction?

<p>Ensure the client understands precautions associated with PDE-5 inhibitors. (D)</p> Signup and view all the answers

A client with a history of gender dysphoria is concerned about confidentiality. What is the nurse's best response?

<p>Reassure the client about confidentiality and respect their preferred name and pronouns. (B)</p> Signup and view all the answers

Flashcards

Contraception

The use of methods to prevent pregnancy.

Hormonal Contraception

Hormonal methods of contraception include oral contraceptives (pills), patches, vaginal rings, injections, and implants. They work by regulating hormones to prevent ovulation.

Barrier Contraception

Barrier methods of contraception, like condoms, diaphragms, and cervical caps, physically block sperm from reaching the egg.

Intrauterine Device (IUD)

Intrauterine Devices (IUDs) are small devices placed in the uterus. They can release hormones or be made of copper, which prevents pregnancy.

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Permanent Contraception

Permanent methods of contraception like tubal ligation (women) and vasectomy (men) permanently prevent pregnancy.

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Erectile Dysfunction (ED)

Erectile dysfunction (ED) is the recurring inability to achieve or maintain an erection sufficient for sexual activity.

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Causes of Erectile Dysfunction

ED can have various causes, including vascular (blood flow), neurological (nerve), psychological (mental), or medication-related factors.

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Sexually Transmitted Infections (STIs)

Sexually Transmitted Infections (STIs) are infections passed through sexual contact. These can be caused by bacteria, viruses, parasites, or fungi.

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What is an RPR test?

A blood test that screens for syphilis. A non-reactive result is considered normal.

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What is an ELISA test for?

A blood test that detects the presence of antibodies or antigens for HIV. A negative result is considered normal.

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What is a wet mount used for?

A microscopic examination of a vaginal sample to identify Trichomonas vaginalis, a parasite causing trichomoniasis. No trichomonads observed is considered normal.

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What is a semen analysis?

A collection of male reproductive fluids that is analyzed for volume, sperm count, motility, and morphology to assess male fertility.

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What is a hysterosalpingography (HSG)?

A diagnostic technique using X-ray imaging to assess the patency of the fallopian tubes and uterine cavity. Patent tubes and normal uterine cavity are considered normal.

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What is a self-breast exam?

A self-examination of the breasts performed monthly after menstruation to detect any changes or abnormalities.

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What is an ultrasound?

A type of imaging used to visualize breast tissue structure, often used to detect breast cancer.

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What is a mammogram?

An X-ray imaging procedure specifically designed to detect breast cancer. Annual mammograms are recommended for women starting at age 45.

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What is a breast MRI?

A type of imaging used to visualize breast tissue structure, often used for women with dense breast tissue.

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What are uterine fibroids?

Noncancerous growths in the uterus.

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What is an Intramural fibroid?

A type of uterine fibroid located within the uterine wall.

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What is a Submucosal fibroid?

A type of uterine fibroid that protrudes into the uterine cavity.

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What is a Subserosal fibroid?

A type of uterine fibroid located on the outer surface of the uterine wall.

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What is the most common symptom of endometrial cancer?

Abnormal uterine bleeding, especially in postmenopausal women, is the most common symptom.

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What is a total hysterectomy?

It involves removing the entire uterus and sometimes the cervix to treat endometrial cancer.

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What are CBC, CA-125, AFP, and hCG tests used for in endometrial cancer diagnosis?

These tests are conducted to look for specific cancer markers and assess the overall health of the patient.

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What is an endometrial biopsy?

This is a minimally invasive procedure where a small sample of the uterine lining is taken for microscopic examination to diagnose endometrial cancer.

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What is a transvaginal ultrasound used for in endometrial cancer diagnosis?

This imaging technique allows visualization of the uterus and surrounding structures to help diagnose endometrial cancer.

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What is brachytherapy?

This type of radiation therapy involves placing a radioactive source near the tumor for short sessions, typically lasting 10-20 minutes.

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What is a cone biopsy?

It involves removing a portion of the cervix to remove cancerous cells or diagnose pre-cancerous changes.

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What is a LEEP (Loop Electrosurgical Excision Procedure)?

This is a minimally invasive surgical procedure used to remove abnormal cells from the cervix.

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What kind of radiation therapy is used for cervical cancer?

This is a specific type of radiation treatment focused on targeting cancerous cells in the cervix.

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What are some common symptoms of PID?

Painful urination, vaginal discharge, and lower abdominal pain are common symptoms of pelvic inflammatory disease (PID).

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What is Pelvic Inflammatory Disease (PID)?

It's a serious infection of the uterus, fallopian tubes, and ovaries, often caused by bacteria migrating up the reproductive tract.

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How is PID managed?

Antibiotics are the primary treatment for PID, usually administered for 14 days. Hospitalization may be necessary depending on the severity of the infection.

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What is Toxic Shock Syndrome (TSS)?

It can be caused by leaving a tampon, diaphragm, or sponge in the vagina for too long, leading to a bacterial infection.

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How is TSS managed?

Removing the infection source, such as a tampon, and restoring fluid and electrolytes are crucial steps. Drug therapy and surgery may be necessary in some cases.

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What is Benign Prostatic Hyperplasia (BPH)?

This condition involves noncancerous enlargement of the prostate, affecting urination and causing symptoms like frequent urination, weak stream, and difficulty starting urination.

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What is a vacuum erection device?

A device that assists in achieving an erection by creating a vacuum around the penis, drawing blood into the erectile tissue.

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What is Genital Herpes?

An infection caused by the Herpes Simplex Virus Type 2 (HSV-2). It primarily affects the genital area and can cause painful sores and blisters.

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What does an IgG test for syphilis indicate?

A type of blood test that identifies the presence of antibodies against syphilis, indicating past infection.

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What does an IgM test for syphilis indicate?

A type of blood test that detects the presence of antibodies against syphilis, indicating a recent infection.

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What is a Urinary Tract Infection (UTI)?

A bacterial infection that affects the urinary tract, primarily the bladder, urethra, and kidneys. It is often caused by E. coli.

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What is Pyelonephritis?

A common complication of UTIs, especially in women, where the infection travels from the bladder to the kidneys.

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What is Glomerulonephritis?

A condition characterized by inflammation of the glomeruli, which are tiny filters in the kidneys. It can be acute or chronic.

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What is Nephrotic Syndrome?

A condition characterized by excessive leakage of protein from the blood into the urine, often due to damage to the glomeruli.

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What is Polycystic Kidney Disease (PKD)?

A genetic disorder characterized by multiple cysts forming in the kidneys, eventually leading to kidney failure.

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What is Diabetic Neuropathy?

A common complication of diabetes that affects the nerves, leading to numbness, tingling, pain, and weakness, particularly in the feet.

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What is Renal Cell Carcinoma?

A type of kidney cancer that originates in the lining of the tubules in the kidneys.

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What is Acute Kidney Injury (AKI)?

A sudden decrease in kidney function, which can be caused by various factors such as dehydration, sepsis, or prolonged mechanical ventilation.

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What is Chronic Kidney Disease (CKD)?

A progressive decline in kidney function over time, leading to kidney failure if not treated.

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What is Stress Incontinence?

A type of urinary incontinence that occurs due to increased abdominal pressure, which can happen during coughing, sneezing, or laughing.

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What is Urge Incontinence?

A type of urinary incontinence characterized by a sudden, uncontrollable urge to urinate, followed by involuntary leakage.

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What is erectile dysfunction (ED)?

A condition where the client experiences recurring inability to achieve or maintain an erection sufficient for sexual activity.

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What are PDE-5 inhibitors?

PDE-5 inhibitors are medications used to treat erectile dysfunction. They work by relaxing smooth muscles in the penis, improving blood flow and allowing for erections.

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What are the precautions for PDE-5 inhibitors?

Clients using PDE-5 inhibitors should be cautious when sitting or standing up, as these medications can cause low blood pressure and dizziness, leading to potential falls.

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What is a Transurethral Resection of the Prostate (TURP)?

A surgical procedure to remove prostate tissue, often performed for benign prostatic hyperplasia (BPH).

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What is burgundy-colored urine in a TURP client?

After TURP surgery clients might experience burgundy-colored urine with continuous bladder irrigation. This is expected and managed by antispasmodic medications and monitoring for anemia.

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What is Saw Palmetto for?

Saw palmetto is a natural supplement often used for the symptomatic treatment of BPH. It might help reduce prostate size and improve urinary flow.

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What are Kegel exercises?

Kegel exercises are a series of exercises that strengthen the pelvic floor muscles, improving urinary control and potentially reducing incontinence, common with BPH.

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Who needs prostate cancer screening?

Regular screening for prostate cancer is recommended for men aged 50 and older, particularly those with a family history of prostate cancer or African Americans.

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What is a testicular self-exam (TSE)?

A self-examination of the testicles to check for any lumps or changes in size, shape, or consistency. It is recommended for all men to perform regularly.

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What is a painless testicular lump?

A painless lump in the testicle is a serious concern and requires immediate medical attention as it could be a sign of testicular cancer.

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What is a uterine anteversion?

A condition where the uterus is tilted forward in relation to the vagina, which can lead to symptoms like pelvic pain and difficulty with urination.

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What is a uterine retroversion?

A condition where the uterus is tilted backward in relation to the vagina, potentially causing discomfort during intercourse or pain during menstruation.

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Brachytherapy

A medical procedure involving the insertion of radioactive seeds or implants directly into or near a tumor to deliver targeted radiation therapy.

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Vulvovaginitis

A common condition affecting the vulva and vagina, characterized by itching, burning, and discharge, often caused by infections, irritation, or hormonal changes.

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Cryotherapy

A treatment for certain conditions, often involving the application of extremely cold temperatures to destroy abnormal cells or tissues. The term is derived from the Greek word "kryos," meaning "frost."

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Painless Testicular Lump

A painless lump in the testicle can be a sign of testicular cancer, making it a critical symptom requiring prompt evaluation.

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Benign Prostatic Hyperplasia (BPH)

A non-cancerous enlargement of the prostate gland, causing urinary symptoms like frequent urination and weak stream. Kegel exercises can help improve muscle control and relieve some symptoms.

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Kegel Exercises for BPH

Kegel exercises strengthen the pelvic floor muscles, which can help improve bladder control and reduce symptoms of Benign Prostatic Hyperplasia (BPH).

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Prostate Cancer Screening for African-American Men

African-American men have an increased risk of prostate cancer, making screening recommendations earlier, at age 50, than the general population.

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Post-Testicular Cancer Surgery Care

Encourage deep breathing and coughing exercises after testicular cancer surgery to help prevent complications like pneumonia and improve lung function.

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Precautions with PDE-5 Inhibitors

PDE-5 inhibitors are medications used to treat erectile dysfunction, and certain precautions like careful positioning are necessary to avoid potential side effects.

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Medications to Avoid with BPH

Certain medications, such as those used for erectile dysfunction, can interact with medications for BPH and should be avoided.

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TURP Post-Operative Care

Antispasmodic medications help to relieve bladder spasms that can occur after TURP surgery. Early mobilization is encouraged to prevent complications like blood clots.

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TURP: Burgundy-Colored Urine

After TURP, burgundy-colored urine with continuous bladder irrigation is expected. Antispasmodic drugs are often prescribed, and monitoring for anemia is crucial.

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Vaginoplasty: Stool from Vagina

If stool is noted coming from the vagina after vaginoplasty, immediate emergency room evaluation is necessary, as it could indicate a vaginal-rectal fistula.

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Estrogen Therapy (HRT): Patch Application

Transdermal estrogen patches are typically applied daily and should remain in place for three days.

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Addressing Transgender Individuals

It is crucial to respect a transgender individual's chosen name and pronouns. Using the correct name and pronouns shows respect and sensitivity.

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Hormonal Therapy: Safe Sources

Obtain hormonal therapy from reputable sources and avoid obtaining it online, as online sources may not be safe or regulated.

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Brachytherapy: Radiation Exposure?

The client will not become radioactive after treatment with this type of therapy.

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Brachytherapy: Warning Signs

If a client with brachytherapy experiences abdominal pain, visible blood in the urine, or heavy vaginal bleeding they should contact their physician immediately.

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Vulvovaginitis: Don't Do This!

Taking long, hot baths or using antibacterial soap can worsen vulvovaginitis. Proper hygiene and completing the entire antibiotic course are crucial for recovery.

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Cryotherapy: Post-Treatment Restrictions

Cryotherapy involves freezing abnormal cells. Clients must avoid tampons, douching, sexual activity, and hot tubs to prevent infection and promote healing.

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Testicular Cancer: Urgent Assessment

A painless testicular lump is a critical symptom of testicular cancer and requires prompt medical evaluation.

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BPH: Kegel Exercises

Kegel exercises strengthen pelvic floor muscles, which can improve bladder control and help manage symptoms of Benign Prostatic Hyperplasia (BPH).

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Prostate Cancer Screening: High-Risk Group

A 50-year-old African-American male is at increased risk for prostate cancer and should be screened regularly with PSA testing.

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Testicular Cancer Surgery: Post-Operative Care

Deep breathing and coughing exercises are encouraged after testicular cancer surgery to prevent complications such as pneumonia.

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Erectile Dysfunction: Medication Precautions

PDE-5 inhibitors are medications used to treat erectile dysfunction. Clients should be cautious with their positioning, especially when sitting or standing, to avoid dizziness or fainting.

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BPH: Medication Interactions

Clients with BPH should avoid medications used to treat erectile dysfunction, as they can worsen urinary symptoms.

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TURP: Post-Operative Interventions

Antispasmodic medications and early mobilization are crucial interventions after TURP surgery to prevent complications like urinary retention and bladder spasms.

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TURP: Expected Findings

Burgundy-colored urine with continuous bladder irrigation after TURP is expected. Antispasmodic drugs and monitoring for anemia are necessary interventions.

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Vaginoplasty: Urgent Evaluation

If a client who has undergone vaginoplasty experiences stool leaking from the vagina, immediate emergency room evaluation is essential due to the potential for a vaginal-rectal fistula.

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Estrogen Therapy: Patch Application

Clients using estrogen therapy (HRT) should apply the transdermal patch daily for 3 days to maintain effective hormone levels.

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Transgender: Respectful Communication

It's crucial to always refer to transgender individuals with the pronouns and names they prefer. Ask for their preferred name and pronoun during patient intake.

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Transgender Client: Emotional Support

Acknowledge and address the feelings of a transgender client. Refer them to a counselor for appropriate support to ensure their well-being.

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Feride: Common Side Effects

Feride, a type of hormone therapy, can cause side effects such as dizziness, cold sweats, and chills. These effects are typically temporary.

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Transitioning: Preserving Fertility

Encourage the client to consider oocyte freezing (eggs) before hormone therapy or gender reassignment surgery, if they desire to retain the option of having biological children.

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Study Notes

Contraception

  • Educate on various methods, including hormonal (oral, patches, vaginal rings, injections, implants), barrier (condoms, diaphragms, cervical caps, sponges), intrauterine devices (both hormonal and non-hormonal), and permanent methods (tubal ligation, vasectomy).
  • Discuss emergency contraception options (Plan B, Ella).
  • Emphasize pregnancy testing prior to starting contraceptives.
  • Highlight the importance of ongoing compliance with oral contraceptives and dual protection (condoms) for STI prevention.
  • Monitor for potential side effects like thromboembolism (hormonal methods).

Erectile Dysfunction (ED) and Medications

  • Understand the different causes of ED, including vascular (atherosclerosis, hypertension, peripheral artery disease), neurological (diabetes, spinal injuries, multiple sclerosis), psychological (stress, anxiety, depression), and medication side effects.
  • Diagnostic testing includes testosterone levels, Doppler ultrasound, nocturnal penile tumescence testing, and psychological assessment.
  • Treatments include pharmacologic options (PDE5 inhibitors like sildenafil, tadalafil, vardenafil), non-pharmacologic approaches (counseling, lifestyle changes), and surgical interventions (penile implants, vascular reconstruction).
  • Recognize symptoms like persistent inability to maintain an erection and reduced libido.

Sexually Transmitted Infections (STIs)

  • Bacterial STIs: Chlamydia, gonorrhea, syphilis.
  • Viral STIs: HPV, HSV, HIV, hepatitis B/C.
  • Parasitic STIs: Trichomoniasis, pubic lice.
  • Fungal STIs: Candidiasis (not always sexually transmitted).

Infertility Causes and Care

  • Understand female infertility causes, including ovulatory dysfunction (e.g., PCOS), tubal factors, uterine abnormalities, and endometriosis.
  • Understand male infertility causes, including low sperm count, motility issues, testicular abnormalities, and varicocele.
  • Diagnostic testing for male infertility includes semen analysis (volume, count, motility, morphology), ovulation tracking, hysterosalpingography (HSG), transvaginal ultrasound.
  • Normal values for various tests are provided.

Breast Cancer

  • Differentiate invasive and non-invasive breast cancers (DCIS, LCIS, IDC, ILC, inflammatory breast cancer, triple-negative breast cancer, HER2-positive, hormone receptor-positive).
  • Discuss diagnostic methods like mammography, ultrasound, MRI, biopsy, tumor markers (e.g., HER2, ER/PR status), and genomic tests (e.g., Oncotype DX).
  • Outline treatment options, such as surgery (lumpectomy, mastectomy), radiation therapy, chemotherapy, hormone therapy, and targeted therapy.
  • Describe potential signs and symptoms, such as painless lumps, nipple discharge, skin dimpling, nipple inversion, and peau d'orange appearance.

Prostate Cancer

  • Adenocarcinoma is the most common type of prostate cancer, arising from glandular cells.
  • Discuss rare types of prostate cancer, such as small cell and transitional cell carcinoma.
  • Diagnostic testing focuses on prostate-specific antigen (PSA) levels, with different levels having different interpretations.
  • Describe the use of DRE, MRI, and biopsy.
  • Explain Gleason scoring to assess the aggressiveness of prostate cancer.
  • Discuss different treatment options based on disease stage.

Benign Prostatic Hyperplasia (BPH)

  • Understand different types of symptoms associated with BPH (storage symptoms, voiding symptoms).
  • Discuss diagnostic tests, including uroflowmetry, post-void residual volume, and PSA (to rule out cancer).
  • Outline treatment options for BPH, including medications (alpha-blockers, 5-alpha-reductase inhibitors), minimally invasive therapies (TUMT, TUNA), and surgical interventions (TURP, laser therapy).

Urinary Tract Infections (UTIs)

  • Differentiate uncomplicated and complicated UTIs, including recurrent UTIs.
  • Discuss diagnostic testing, including urinalysis (pyuria, nitrites), urine culture, imaging studies.
  • Describe treatment options, including short-course antibiotics.

Renal and Urinary Conditions

  • Understand Pyelonephritis (bacterial infection of the kidneys), its symptoms (fever, flank pain, dysuria) and diagnostic and treatment methods.
  • Understand Glomerulonephritis (inflammation of the glomeruli), its symptoms (hematuria, proteinuria, hypertension) and diagnostic and treatment methods.
  • Understand Urolithiasis (formation of stones), its causes (calcium, struvite, uric acid, cystine), and diagnostic approaches.

Acute Tubular Necrosis (ATN)

  • ATN is a common cause of acute kidney injury (AKI).
  • Summarizes the causes of ATN, including ischemia (reduced blood flow to the kidneys) and nephrotoxins (direct injury to renal tubules).
  • Presents symptoms and diagnostic indicators for ATN — oliguria (reduced urine output), fluid overload, uremic symptoms, elevated serum creatinine, and blood urea nitrogen (BUN), and muddy-brown granular casts.
  • Outlines the phases of ATN (initiation, maintenance, recovery) and corresponding management approaches.

Other Renal Conditions

  • Understand nephrotic syndrome (proteinuria, hypoalbuminemia, edema) and nephritic syndrome (hematuria, mild proteinuria, hypertension).
  • Understand Polycystic Kidney Disease (PKD), its symptoms (hypertension, flank pain, hematuria), and diagnostic and treatment methodologies.
  • Explain the importance of urinalysis and renal lab tests, including the normal range values for protein, nitrites, casts, specific gravity.

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