Dr. Robinson Anorectal Lesions & Prostate

Front 1

The External Sphicter is under _____control & is ______ muscle

Back 1

Voluntary; striated

Front 2

Internal sphincter is under _________ control and is ________ muscle

Back 2

involuntary; smooth muscle

Front 3

The rectum is above the anus and is ___cm long

Back 3

12 cm

Front 4

Prostate enlarges in men over the age of ____

Back 4

50 yrs old

Front 5

The prostate is divided into R/L lobes by a ________

Back 5

sulcus

Front 6

Prostate provides the fluid for _________ and nourishes _________.

Back 6

fluid for ejaculation & nourishes sperm

Front 7

BPH affects ____% of 50-60 y/o and ____% of 80 y/o

Back 7

50% of 50-60 y/o & 90% of 80 y/o

Front 8

Hypertrophy is when …

Back 8

the cells get bigger causing growth in an organ (most common)

Front 9

Hyperplasia is when….

Back 9

cell numbers increase causing increase in organ size (tumors; prostate enlargement)

Front 10

BPH has increased cell numbers or size?

Back 10

increase cell #'s - is a hyperplastic process

Front 11

BPH believed to be caused by combo of?

Back 11

DHT & aging

Front 12

In BPH symptomatic men will take medication to…

Back 12

block the conversion of testosteron to DHT

Front 13

Dr. Robi said he feels herbal products are equal, less than or better than western drugs for prostate conditions?

Back 13

equal or better

Front 14

Who is most at risk for Prostatitis?

Back 14

Older men with severe BPH

Front 15

Treatment for Prostatitis?

Back 15

hopitalization 2-3 days with IV antibiotics

Front 16

What is the most common cancer in American Men?

Back 16

Prostate- 2nd leading cause of cancer death in men

Front 17

What is the Gleason Grading System?

Back 17

Score given to prostate cancer pt based on microscopic appearance. Higher the score the more aggressive.

Front 18

Gleason rating is from lowest ____ to highest_____

Back 18

2 to 10: higher the score the worse it is

Front 19

TNM Staging: T=? N=? M=?

Back 19

T: extent of primary tumor; N: is there nodal invasion; M: is there metastatis

Front 20

Radiation treatment options for prostate therapy? (name 2)

Back 20

Standard external beam approach: trans-rectal implantation of radon seeds: 5 year survival rates are equal to surgery.

Front 21

The difference betw M/F rectal relationship to pelvis?

Back 21

In females the anterior rectal wall is in contact w/ vagina

Front 22

Correct positions for anal exam in infant, children & women:

Back 22

Lithotomy position (supine, legs apart, knees flexed.

Front 23

Correct position for anal exam in adult men?

Back 23

bent over w/chest on exam table

Front 24

Internal hemorrhoids location:

Back 24

above the dentate covered w/colon mucosa

Front 25

External hemmorhoids location:

Back 25

below dentate line covered w/ squamous epithelium of anal canal

Front 26

Internal hemorrhoids problem shows:

Back 26

bright red bleeding onto stool or into toilet: usually not painful but may protrude

Front 27

External hemmorhoids may require:

Back 27

surgical drainage, straining can cause blood clot, extrememly painful, occurs in pregnany women.

Front 28

What is proctitis?

Back 28

inflammation of rectum, painful constipation & discharge caused by STD

Front 29

Anal abscesses & fistulas are foud where?

Back 29

in dentate line & are infected then burrow upward into soft tissue to form larger secondary abscess. (can be caused by poor hygeine, common in Crohns)

Front 30

For Pruritis Ani what should and shouldn't be used?

Back 30

1% hydrocotisone ointment NOT cream (will make it worse!)

Front 31

Rectovaginal fistula:

Back 31

—causes vaginitis and the passage of stool out of the vagina

Front 32

Rectovesical fistula:

Back 32

—rectum to bladder: causes a continuous urinary tract infection until corrected.

Front 33

Rectal fistula:

Back 33

—an abnormal connection between the rectum and the bladder or vagina

Front 34

Stoma:

Back 34

bringing the colon or ileum to the outside of the body, with intestinal discharge collected in a bag

Front 35

Sigmoid colostomy:

Back 35

very common, to bypass the rectum, temporarily or permanently-

Front 36

Ileostomy:

Back 36

—after removal of the colon for cancer or ulcerative colitis; small intestine is brought to the outside of body

Front 37

Possible drawback from anal implantation of radiation seeds?

Back 37

There is no ability to "turn off" the process should complications arise which you can do with the beam.