Which of the following teaching points by an oncologist is most ...

[geodog55]

Which of the following teaching points by an oncologist is most appropriate for a 33-year-old male who will begin treatment shortly for his testicular cancer?
 
  A)
  Thanks to new treatment advances, there's a very good chance that I won't have to remove a testicle.
  B)
  If steroid treatment fails, then we can consider surgery and/or chemotherapy.
  C)
  You should know that there might be adverse effects on your sexual function after treatment is finished.
  D)
  The advantage of performing an orchiectomy over other treatments is that it rules out recurrence.

Question 2

A 24-year-old woman has presented to an inner city free clinic because of the copious, foul vaginal discharge that she has had in recent days.
 
  Microscopy has confirmed the presence of Trichomonas vaginalis. What are the woman's most likely treatment and prognosis?
  A)
  Abstinence will be required until the infection resolves, since treatments do not yet have proven efficacy.
  B)
  Oral antiprotozoals to the patient and sexual partners to help prevent complications.
  C)
  Antifungal medications are effective against the anovulation and risk of HIV that accompany the infection.
  D)
  Vaginal suppositories and topical ointments can provide symptom relief but cannot eradicate the microorganism.

[wergv]

Answer to Question 1

Ans:
C

Feedback:

Orchiectomy is the standard treatment for testicular cancer. Steroidal treatments are not used, and sexual function is commonly affected. Recurrence is possible even after orchiectomy.

Answer to Question 2

Ans:
B

Feedback:

The treatment of choice for Trichomonas vaginalis is oral, metronidazole or tinidazole, medications that are effective against anaerobic protozoans. Antifungals are not a relevant treatment, and eradication of the infection is possible with treatment.