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What is the correct answer?

4

Complications related to obstructive BPH/LUTS include all of the following, EXCEPT:

A. bladder stones

B. prostate cancer

C. renal insufficiency

D. bladder diverticula

Correct Answer :

B. prostate cancer


prostate cancer is not a complication of obstructive BPH/LUTS.

Related Questions

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4

What is false concerning needle ablation therapy of the prostate (TUNA)?

A. prostate sizes of up to 70 ml can be treated

B. not recommended in patients with metallic artificial hip

C. retreatment rates are lower than for TURP

D. can be performed in an office-based setting

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4

What is false concerning BPH and androgenic hormones?

A. the most potent androgenic hormones in BPH development is DHT

B. type-2 steroid 5 α-reductase, is most commonly found in the prostate

C. castrated individuals before puberty will not develop BPH

D. as a man ages, the number of androgen receptors in the prostate decreases

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4

What is false concerning the diagnosis of BPH?

A. IPSS cannot be used to establish the diagnosis of BPH/LUTS

B. prostate biopsy is essential in diagnosing BPH and excluding cancers

C. PSA and uroflowmetry help diagnose the condition

D. none of the above

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4

A 50% reduction of prostate size is expected after a 6-month therapy with:

A. alfuzosin

B. silodosin

C. finasteride

D. tamsulosin

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4

Open prostatectomy is preferred in treating BPH with:

A. sizable bladder stones

B. Hutch diverticulum

C. a suspicion of cancer

D. a & b

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4

What can NOT be assessed during DRE?

A. sacral cord integrity

B. pelvic hematoma

C. pelvic floor muscle tenderness

D. prostatic median lobe hypertrophy

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4

The most serious drawback of anticholinergic drugs on BPH patients is:

A. renal insufficiency

B. urinary retention

C. dry mouth

D. painless hematuria

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4

What is false concerning bladder and prostate histology in BPH?

A. obstruction results in bladder smooth muscle hypertrophy and myofibroblasts deposition

B. BPH occurs chiefly in the transitional zone and periurethral tissues

C. BPH microscopical changes begin in early thirties

D. histologic findings of chronic prostatitis are common in BPH

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4

What is (are) true concerning IPSS questionnaire?

A. it focuses on last month`s symptoms

B. scores of moderate symptoms suggest surgical treatment if the patient`s quality of life was poor

C. it has been validated and translated to many languages

D. all of the above

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4

What is false regarding BPH symptomatology?

A. the size of the prostate correlates well to the degree of obstruction

B. a decrease of 3 points in IPSS is associated with a subjective perception of improvement

C. median lobe enlargement gives rise to serious obstructive symptoms

D. bladder trabeculation is not specific for an obstructing prostate

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4

What is true regarding the use of α-blockers and the development of Intraoperative Floppy Iris Syndrome (IFIS)?

A. complicates approximately 0.7% of cataract surgery cases

B. manifests as poor preoperative pupil dilation, iris prolapse, and progressive intraoperative miosis

C. it could persist long after the discontinuation of tamsulosin

D. intraoperative lidocaine reduces its incidence in patients taking α- adrenergic inhibitors

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4

a. lesser chance of post-operative urethral stricture

A. milder postoperative hematuria

B. tension-free bladder closure

C. extra-peritoneal approach

D. . When comparing TURP to open prostatectomy for removing prostatic adenoma, the latter has the following advantages, EXCEPT:

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4

a. urethral stricture

A. bladder stones

B. BPH

C. prostatitis syndrome

D. . What is (are) the indication(s) of antimuscarinic agents and PDEIs

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4

Which of the following is NOT classified as a complicated LUTS?

A. LUTS with neurologic disease

B. LUTS with post-void dribble

C. LUTS with suspicious DRE

D. LUTS with hematuria

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4

To achieve better hemostasis in prostate laser surgery, what is the ideal wavelength that is easily absorbed by hemoglobin?

A. 532 nm

B. 694 nm

C. 755 nm

D. 1064 nm

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4

How to manage priapism that occurs during endoscopic surgery?

A. corporal aspiration

B. corpora injection with an α-adrenergic agent

C. corpora injection with an α-adrenergic blocker

D. no treatment required

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4

a. small fibrous glands

A. the presence of prostate cancer

B. previous prostatectomy

C. all of the above

D. . Robot-assisted laparoscopic prostatectomy for prostatic adenoma has the following advantage over TURP:

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4

TURP carries an incidence of retrograde ejaculation of:

A. 62 - 78%

B. 48 - 61%

C. 79 - 93%

D. 34 - 47%

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4

A BPH patient presents with retention of urine. He is Catheterized. Later, he underwent TURP. When would the highest PSA value be?

A. before catheterization

B. after catheterization and before TURP

C. immediately after TURP

D. 2 weeks after TURP

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4

What is (are) the possible complication(s) of prostate stents?

A. hematuria and infections

B. migration and encrustation of the stent

C. irritative urinary symptoms and painful ejaculation

D. all of the above

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4

Transurethral incision of the prostate (TUIP):

A. is only indicated in small prostates

B. complications are related to the amount of lost blood and removed chips

C. is a minimal procedure where no risk of rectal injury or retrograde ejaculation have been reported

D. it entails making 1 or 2 incisions along all prostate lobes except the apical

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4

What is true regarding mirabegron, the β3 agonist, in treating BPH?

A. achieves better results when combined with antimuscarinic

B. enhances detrusor contractility resulting in higher Q-max

C. enhance detrusor relaxation during bladder-filling phase

D. increases voiding pressure that poses risk on renal function

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4

What is (are) the indication(s) of upper urinary tract imaging in men with LUTS?

A. hematuria

B. recurrent urinary tract infection

C. renal insufficiency

D. all of the above

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4

Which statement is false regarding laser enucleation of the Prostate (HoLEP)?

A. provides tissue preservation for pathological examination

B. treats any size of prostatic adenoma

C. follows anatomic planes to remove the prostate in lobes

D. urinary incontinence is a significant drawback after HoLEP

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4

Which statement best describes the natural history of BPH:

A. worsening of LUTS and BPH over time

B. patients die of other reasons before serious complications occur

C. physically, the space of prostatic fossa limits the gland enlargement

D. ultimately, the gland will degenerate and undergo apoptosis

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4

as adjuncts therapy in BPH cases?

A. men with storage symptoms

B. men with ED

C. failed combination of α-adrenergic blocker and 5α-reductase inhibitor

D. a & b

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4

An ED patient on low-dose tadalafil develops BPH. What medication should he avoid?

A. tamsulosin

B. alfuzosin

C. doxazosin

D. silodosin

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4

On treating BPH, which procedure carries the risk of morcellator injury to the bladder?

A. PVP

B. HoLEP

C. HoLRP

D. TUMT

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4

Prostatic nodules palpated on DRE might indicate:

A. tuberculous prostatitis

B. prostatic cancer

C. inspissated prostatic abscess

D. any of the above

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4

IPSS decreases after successful TURP because:

A. PSA decreases

B. the prostate size decreases

C. the complaints resolve

D. the Q.O.L improves