Answer to Question 1
ANS: A
Urinary tract infection is uncommon in males and when UTI is diagnosed in the male the etiology should be determined. Benign prostatic hyperplasia presents as an enlarged, firm, non-tender prostate on DRE. An enlarged prostate is commonly diagnosed when a male presents with a lower urinary tract infection. The enlarged prostate causes urine retention in the bladder, and stagnant urine in the bladder is a medium for bacterial growth causing lower UTI.
Answer to Question 2
ANS: A
Prostatitis is an acute or chronic infection of the prostate gland. Acute bacterial prostatitis is usually the result of infection by aerobic gram-negative rods (coliform bacteria or Pseudomonas). Enterococcus faecalis, an aerobic gram-positive bacteria, can also cause prostatitis. Routes of infection are ascent from the urethra, reflux of infected urine into the prostatic ducts, direct extension of bacteria, and migration via the lymphatic and vascular system. Acute symptoms commonly include fever, low back and perineal pain, possible penis pain, urinary urgency and frequency, nocturia, dysuria, and muscle and joint aches. Transrectal palpation of the prostate reveals a very tender, boggy, swollen prostate.
Computerized Patient Record (CPR)
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Inadequate Airway, Breathing and Circulation in the Trauma Patient (Part 3)
Illustration of the anatomy of a normal subject (A) and a patient with sleep apnea (B)