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Benign Prostatic Hyperplasia (BPH)

Total questions: 15

Worksheet time: 17mins

Name
Class
Date
1.

True or False: Higher testosterone is believed to be the cause of BPH.

a)

True

b)

False

2.

True or False: Dihydrotestosterone is believed to be another cause of BPH.

a)

True

b)

False

3.

Which patient is most at risk for developing BPH?

a)

An Asian female patient who is 85 years old

b)

A Caucasian male patient who is 82 years old

c)

An Asian male who is 45 years old

d)

An African male who is 60 years old

4.

How does BHP cause bladder muscles to hypertrophy and not contract effectively?

4 lines
5.

What symptoms can occur from BPH? (Select all that apply)

a)

Urinary frequency & urgency

b)

Trouble starting stream & weak/interrupted streams

c)

Dribbling at end of urination

d)

Nocturia

e)

Painful ejaculation

6.

True or False: Patients with BPH can have acute urinary retention can occur after taking OTC or allergy medication that have decongestants.

a)

True

b)

False

7.

After reaching age 50, how frequent should a man get a digital rectal exam as part of their physical assessment?

a)

Monthly

b)

Yearly

c)

Every 2 years

d)

Every 5 years

8.

Which Prostate Specific Antigen (PSA) reading is cause for concern?

a)

PSA of 1.2

b)

PSA of 3.5

c)

PSA of 4

d)

PSA of 6

9.

Which of the following diagnostic tests are part of urodynamic tests? (Select all that apply)

a)

TRUS (Transrectal ultrasound)

b)

Uroflowmetry

c)

Post void bladder scan

d)

Cystoscopy

e)

PSA

10.

Which medicines relax smooth muscle of prostate & bladder neck to relieve obstruction & increase urine flow? (Select all that apply)

a)

Doxazosin (Cardura)

b)

Prazosin (Minipress)

c)

Dutasteride (Avodart)

d)

Finasteride (Proscar)

e)

Terazosin (Hytrin)

11.

What is the first does phenomenon of alpha blockers?

4 lines
12.

5 Alpha Reductase Inhibitors inhibit conversion of testosterone to DHT, which reduces size of prostate. Why is this medication not often prescribed by doctors? (Hint: Time for therapeutic effect and/or SE)

4 lines
13.

Are you able to describe TURP, the most common surgery for BPH (gold standard surgery)?

a)

Yes

b)

No

14.

What are post-op complications for BPH? (select all that apply)

a)

Bleeding, spasms, & pain

b)

Sexual Dysfunction

c)

Incontinence

d)

DVT

e)

Peyronie's Disease

15.

The patient was given 1200 ccs of irrigant. The patient's total out put was 2000ccs. How much urine output did the patient have?

(a)