Podcast Beta
Questions and Answers
What is the next best step in the treatment of a 26-year-old man with seminoma testicular cancer that has not metastasized and has normal serum tumor markers after resection?
What is the recommended management for an 85-year-old man with urinary hesitancy, straining, and a weak stream due to an enlarged prostate?
What is the recommended treatment for patients with advanced testicular germ cell tumors?
What is the recommended approach for prostate cancer prevention?
Signup and view all the answers
What is the recommended approach for patients with elevated PSA levels?
Signup and view all the answers
What is the recommended approach for patients with an enlarged prostate and a right lobe nodule?
Signup and view all the answers
What is the recommended evaluation for a 42-year-old woman with postcoital bleeding and spotting between menses?
Signup and view all the answers
What is the recommended treatment for an 85-year-old man with urinary hesitancy and a weak stream due to an enlarged prostate?
Signup and view all the answers
What is the next best step in the treatment of a 26-year-old man with seminoma testicular cancer that has not metastasized and has normal serum tumor markers after resection?
Signup and view all the answers
What is the effect of Vitamin E on prostate cancer risk according to clinical trials?
Signup and view all the answers
What is the recommended follow-up for a 54-year-old man with an enlarged prostate and a right lobe nodule?
Signup and view all the answers
What is the recommended approach for treating advanced testicular germ cell tumors?
Signup and view all the answers
What should be measured when following the progress of a tumor?
Signup and view all the answers
What should be evaluated for a 42-year-old woman with postcoital bleeding and spotting between menses?
Signup and view all the answers
Study Notes
Medical Case Questions and Answers
- An 85-year-old man presents with urinary hesitancy, straining, and a weak stream due to an enlarged prostate.
- Tamsulosin is prescribed for the man to improve his symptoms by reducing sympathetic tone.
- Prostate cancer prevention includes the use of 5α-reductase inhibitors and cruciferous vegetables, but there are currently no approved agents for prevention.
- Vitamin E has been shown to reduce the risk of developing prostate cancer in clinical trials.
- Chemotherapy, specifically etoposide, increases the risk of developing acute lymphoid leukemia in patients and long-term survival is unlikely.
- A 26-year-old man presents with a seminoma testicular cancer that has not metastasized and has normal serum tumor markers after resection.
- The next best step in the patient's treatment is surveillance with imaging and serum tumor marker monitoring.
- PSA immunohistochemical staining cannot be used to establish a prostate cancer diagnosis, and serum levels can be increased up to 10-fold after a digital rectal examination.
- Men with elevated PSAs should not be treated with antibiotics unless there are symptoms present.
- A 54-year-old man with an enlarged prostate and a right lobe nodule should have a PSA test and repeat digital rectal examination in 3 months.
- Patients with advanced testicular germ cell tumors can be treated with surveillance alone, immediate retroperitoneal radiation therapy, nerve-sparing retroperitoneal lymph node dissection, or single-dose therapy with cisplatin.
- Serum markers, such as β-human chorionic gonadotropin (β-hCG) and α-fetoprotein (AFP), should be measured when following the progress of a tumor, and pure seminomas produce AFP or β-hCG in more than 90% of cases.
- A 42-year-old woman with postcoital bleeding and spotting between menses should be evaluated for possible causes, such as cervical cancer or sexually transmitted infections.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Description
Test your medical knowledge with these case questions and answers! From prostate cancer prevention to testicular germ cell tumors to postcoital bleeding in women, this quiz covers a range of topics in the field of medicine. Sharpen your skills and learn new information as you work through these cases and test your understanding of diagnosis, treatment, and preventive measures. This quiz is perfect for medical students, residents, and practicing physicians looking to expand their knowledge.
