PrimaryCareExam3
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Questions and Answers

At what age is prostate screening typically recommended to start for men without additional risk factors?

  • 55 years old
  • 45 years old
  • 50 years old (correct)
  • 40 years old
  • Which of the following is a common symptom associated with prostate issues?

  • Urinary difficulty (correct)
  • Nausea and vomiting
  • Breast tenderness
  • Painless lump in the scrotum
  • What risk factor is NOT associated with an increased risk for testicular cancer?

  • Cryptorchidism
  • Excessive alcohol consumption (correct)
  • Family history
  • Genetic predispositions
  • Which of the following is a key component of the referral process for men with elevated PSA levels?

    <p>Referral to a urologist</p> Signup and view all the answers

    What is a likely assessment finding in a patient with cryptorchidism?

    <p>Absence of one or both testes upon palpation</p> Signup and view all the answers

    What action should be taken if a testicle has not descended by 6 months of age?

    <p>Refer for urologic evaluation</p> Signup and view all the answers

    Which of the following findings in testicular cancer warrants immediate referral?

    <p>Painless lump in the scrotum</p> Signup and view all the answers

    What is a common treatment option for testicular cancer?

    <p>Surgery</p> Signup and view all the answers

    What is a common symptom associated with testicular torsion?

    <p>Severe testicular pain</p> Signup and view all the answers

    Which of the following is a significant risk factor for erectile dysfunction?

    <p>Cardiovascular disease</p> Signup and view all the answers

    What is the primary treatment for gonorrhea infection?

    <p>IM Ceftriaxone</p> Signup and view all the answers

    What symptom is typical for a male suffering from gonorrhea?

    <p>Pus-like discharge from the penis</p> Signup and view all the answers

    Which method is primarily used for testing HPV in men?

    <p>Visual examination</p> Signup and view all the answers

    What is the recommended initial treatment for chlamydia?

    <p>Doxycycline 100 mg oral, twice daily for 7 days</p> Signup and view all the answers

    What is a common symptom of a yeast infection in men?

    <p>Burning sensation during urination</p> Signup and view all the answers

    What is the alternative regimen for treating chlamydia if the patient cannot take doxycycline?

    <p>Azithromycin 1 g orally, single dose</p> Signup and view all the answers

    What is the primary treatment for herpes?

    <p>Acyclovir 400mg TID for 7-10 days</p> Signup and view all the answers

    Which of the following is a common sign or symptom of Trichomonas?

    <p>Vaginal discharge that is thin and frothy</p> Signup and view all the answers

    What is required for a diagnosis of Bacterial Vaginosis?

    <p>At least three clinical criteria with specific symptoms</p> Signup and view all the answers

    Which of the following testing methods is the gold standard for diagnosing Trichomonas?

    <p>Affirm test for BV, yeast, and trich</p> Signup and view all the answers

    What time frame is typical for the detection of HIV after exposure using an antigen/antibody test?

    <p>18 to 45 days</p> Signup and view all the answers

    Which of the following is NOT a symptom of chlamydia?

    <p>Dry mouth</p> Signup and view all the answers

    What is the recommended annual screening guideline for chlamydia?

    <p>Females under age 25 and those with risk factors</p> Signup and view all the answers

    What treatment option is appropriate for bacterial vaginosis?

    <p>Metronidazole 500mg orally BID for 7 days</p> Signup and view all the answers

    What occurs during the follicular phase of the menstrual cycle?

    <p>A fully mature egg is released from the ovary.</p> Signup and view all the answers

    What is the primary hormone that triggers ovulation?

    <p>Luteinizing hormone (LH)</p> Signup and view all the answers

    Which statement is true regarding the luteal phase of the menstrual cycle?

    <p>It is relatively stable in length.</p> Signup and view all the answers

    Which combination of symptoms is necessary for the diagnosis of PCOS in adult women?

    <p>Hyperandrogenism, Oligoovulation, and Polycystic ovaries</p> Signup and view all the answers

    What is a common treatment approach for managing PCOS?

    <p>Hormonal contraceptives and lifestyle adjustments</p> Signup and view all the answers

    What is the recommended age for women to start mammogram screenings every two years?

    <p>40 years old</p> Signup and view all the answers

    Which symptom is NOT typically associated with mastitis?

    <p>Nausea</p> Signup and view all the answers

    What is a key focus of breastfeeding support guidelines?

    <p>Latch techniques and troubleshooting</p> Signup and view all the answers

    What is the recommended screening period for gestational diabetes in pregnant patients?

    <p>24-28 weeks</p> Signup and view all the answers

    Which symptom is NOT commonly associated with a urinary tract infection (UTI)?

    <p>Abdominal pain</p> Signup and view all the answers

    In the case of early pregnancy loss, what is the advised action regarding conception?

    <p>Wait until beta HCG levels reach zero</p> Signup and view all the answers

    What should be done for a suspected ectopic pregnancy?

    <p>Perform an emergency referral</p> Signup and view all the answers

    Which of the following statements about RhoGAM is true?

    <p>It prevents alloimmunization in Rh-negative mothers</p> Signup and view all the answers

    What percentage of pregnant patients is likely to experience pregnancy complications?

    <p>10-20%</p> Signup and view all the answers

    At what stage in pregnancy can a gestational sac typically be detected via ultrasound?

    <p>4-5 weeks</p> Signup and view all the answers

    Which of the following is a common recommendation for patients experiencing light bleeding during the first trimester?

    <p>Consult a healthcare professional if bleeding is significant</p> Signup and view all the answers

    What is the primary diagnostic tool used for confirming ectopic pregnancy?

    <p>Ultrasound imaging</p> Signup and view all the answers

    At what gestational age should Group B Strep screening typically take place?

    <p>35-37 weeks</p> Signup and view all the answers

    Which symptom is not considered an emergency sign in ectopic pregnancy?

    <p>Dizziness</p> Signup and view all the answers

    What is the recommended treatment for a non-ruptured ectopic pregnancy in a hemodynamically stable patient?

    <p>Methotrexate intramuscular</p> Signup and view all the answers

    According to Naegele's Rule, how is the due date estimated?

    <p>Add one year, subtract three months, and add seven days to the LMP</p> Signup and view all the answers

    What is a significant concern when managing pregnant patients in primary care?

    <p>Balancing pregnancy-related health needs</p> Signup and view all the answers

    Which statement about genetic screening is correct?

    <p>It involves understanding indications and types.</p> Signup and view all the answers

    Gestational diabetes is primarily diagnosed using which method?

    <p>Glucose tolerance tests</p> Signup and view all the answers

    What is the primary characteristic of Peyronie disease?

    <p>Buildup of hardened fibrous tissue in the corpus cavernosum</p> Signup and view all the answers

    What is a common presenting symptom of Peyronie disease?

    <p>Persistent penile pain</p> Signup and view all the answers

    Which factor is known to contribute to the development of Peyronie disease?

    <p>Repetitive penile injury</p> Signup and view all the answers

    What is the recommended action if undescended testes are still non-palpable at the 4-6 month well-child exam?

    <p>Refer to urology/surgery for evaluation and possible orchidopexy</p> Signup and view all the answers

    What advice is recommended for adolescents regarding testicular health?

    <p>Perform monthly testicular self-examinations</p> Signup and view all the answers

    Complications associated with undescended testes include which of the following?

    <p>Subfertility</p> Signup and view all the answers

    What is the significance of conducting a thorough GU exam for cryptorchidism?

    <p>To attempt to 'milk' inguinally located testes into the scrotum</p> Signup and view all the answers

    What is a misconception about penises that pertains to Peyronie disease?

    <p>Variations in shape and size are normal</p> Signup and view all the answers

    What percentage of male children with bilateral cryptorchidism may experience infertility?

    <p>75%</p> Signup and view all the answers

    Which test is recommended if neither testicle is palpable at birth?

    <p>Ultrasound</p> Signup and view all the answers

    Which phosphodiesterase inhibitor can remain effective for 24 to 36 hours?

    <p>Tadalafil (Cialis)</p> Signup and view all the answers

    What is a common symptom of acute bacterial prostatitis?

    <p>Boggy, warm, tender prostate</p> Signup and view all the answers

    In which age group is chronic prostatitis most commonly observed?

    <p>40-70 years</p> Signup and view all the answers

    What action should be avoided if acute prostatitis is suspected?

    <p>Massaging the prostate</p> Signup and view all the answers

    What is a significant risk factor for acute prostatitis?

    <p>Young age</p> Signup and view all the answers

    What is the contraindication for using phosphodiesterase inhibitors?

    <p>Use of nitrates</p> Signup and view all the answers

    Which of the following is NOT a cause of prostatitis?

    <p>Injury from heavy lifting</p> Signup and view all the answers

    What type of prostatitis is characterized by an enlarged, nontender prostate during examination?

    <p>Chronic prostatitis</p> Signup and view all the answers

    What is a common treatment regimen for epididymitis in patients less than 35 years old with suspected STD etiology?

    <p>Ceftriaxone plus doxycycline</p> Signup and view all the answers

    Which finding is likely to be revealed by urinalysis and culture in a case of epididymitis?

    <p>Pyuria and bacteriuria</p> Signup and view all the answers

    What is a critical characteristic of paraphimosis?

    <p>Entrapment of the foreskin in the retracted position</p> Signup and view all the answers

    What may cause phimosis in adults?

    <p>Scarring post-trauma or infection</p> Signup and view all the answers

    What is the initial management step for paraphimosis following urethral catheterization?

    <p>Firm compression of the glans</p> Signup and view all the answers

    In which population is levofloxacin an alternative treatment for suspected enteric organisms in epididymitis?

    <p>Men aged 35 and older</p> Signup and view all the answers

    What is a key reason for referring sexual partners for evaluation when treating epididymitis?

    <p>To address potential STD exposure</p> Signup and view all the answers

    What is a consequence of unresolved paraphimosis?

    <p>Vascular compromise and necrosis</p> Signup and view all the answers

    What is the most significant vascular cause of erectile dysfunction?

    <p>Atherosclerosis</p> Signup and view all the answers

    Which hormonal condition may lead to erectile dysfunction?

    <p>Hypogonadism</p> Signup and view all the answers

    What psychological assessment might be indicated for erectile dysfunction?

    <p>Psychologic testing</p> Signup and view all the answers

    Which substance is likely to contribute to increased risk factors for erectile dysfunction?

    <p>Alcohol</p> Signup and view all the answers

    Which examination is commonly performed to assess for signs of erectile dysfunction?

    <p>Digital rectal examination</p> Signup and view all the answers

    Which of the following factors is NOT typically associated with erectile dysfunction?

    <p>High physical activity level</p> Signup and view all the answers

    What laboratory test is recommended if hypogonadism is suspected?

    <p>Prolactin levels</p> Signup and view all the answers

    What is one of the primary causes of veno-occlusive dysfunction related to erectile dysfunction?

    <p>Pelvic trauma</p> Signup and view all the answers

    What is considered a normal PSA level?

    <p>&lt; 4</p> Signup and view all the answers

    What condition is most likely indicated by a PSA level greater than 4?

    <p>BPH, prostate cancer, and prostatitis</p> Signup and view all the answers

    Which class of medications helps relieve symptoms by causing urethral relaxation?

    <p>Alpha-blockers</p> Signup and view all the answers

    Which medication is an example of a 5-alpha reductase inhibitor used to treat BPH?

    <p>Finasteride</p> Signup and view all the answers

    What is the purpose of urinalysis in patients suspected of having BPH?

    <p>To rule out other conditions</p> Signup and view all the answers

    What surgical procedure involves removing excess prostate tissue to relieve obstruction in advanced BPH cases?

    <p>Transurethral resection of the prostate (TURP)</p> Signup and view all the answers

    Which of the following is a notable side effect associated with alpha-blockers used for BPH treatment?

    <p>Dizziness and orthostatic hypotension</p> Signup and view all the answers

    What effect do PDE5 inhibitors have when used in men with BPH-related symptoms?

    <p>Relax blood vessels and increase blood flow</p> Signup and view all the answers

    Study Notes

    Men's Health

    • Prostate Screening: Generally involves PSA test and digital rectal exam (DRE). Typically recommended starting at age 50 or earlier if additional risk factors exist. Rarely indicated in young patients without urinary complaints. Older patients with BPH symptoms may require a prostate exam.
    • Risk Factors for Prostate Cancer: Higher risk in men over 50, African American men, and those with family history.
    • Prostate Cancer Diagnostics: PSA levels, DRE and if needed biopsy.
    • Prostate Cancer Referral and Follow-up: Patients with elevated PSA or abnormal DRE results should be referred to a urologist.
    • Common Prostate Cancer Symptoms: Urinary difficulty, pain, or erectile dysfunction.

    Testicular Cancer

    • Screening: Self-exams are essential, especially for men between 15-35.
    • Risk Factors for Testicular Cancer: Cryptorchidism, family history, and genetic predispositions.
    • Assessment of Testicular Cancer: Presence of a painless lump, swelling, or heaviness in the scrotum.
    • Treatment for Testicular Cancer: Surgery, chemotherapy, and/or radiation.
    • Testicular Cancer Referral and Follow-up: Early referral to oncology or urology is crucial for effective treatment.

    Cryptorchidism

    • Risk Factors for Cryptorchidism: Premature birth, low birth weight, family history, hypospadias, prenatal exposure to endocrine disruptors (e.g., pesticides), maternal smoking or diabetes, high maternal alpha-fetoprotein levels, and Kleinefelter syndrome.
    • Assessment Findings for Cryptorchidism: Absence of one or both testes upon palpation of the scrotum, or both testicles in a location other than the scrotum (infant examination: supine, frog-leg or sitting position; older child: supine or sitting upright cross-legged position). Most patients have an inguinal hernia.

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    Description

    This quiz covers essential information regarding prostate and testicular cancer, including screening methods, risk factors, and diagnostic procedures. It is tailored for individuals interested in understanding these important health topics, particularly men aged 15 to 50 and above. Test your knowledge on symptoms and follow-up protocols for prostate health and testicular self-examinations.

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