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Answers | Latest Update
Know that in a 47-year-old man ED is usually ___________ rather than
testosterone - 🧠 ANSWER ✔✔psychologic
Erectile dysfunction may be from psychogenic causes, especially if - 🧠
ANSWER ✔✔early morning erection is preserved.
it may also reflect decreased testosterone, decreased blood flow in the
hypogastric arterial system, impaired neural innervation, and diabetes
,When performing a breast exam, know what abnormal masses should do
when the arm - 🧠 ANSWER ✔✔may be fixed to skin or underlying tissues
(may cause dimpling of skin or retraction when arms are lifted over head or
hands are pressed against hips)
Fibroadenoma and cysts mobility - 🧠 ANSWER ✔✔very mobile/mobile
Know that a high proportion of breast masses are noted during ________ -
🧠 ANSWER ✔✔BSE
Breast stage 1 - 🧠 ANSWER ✔✔preadolescent- elevation of nipple only
Breast stage 2 - 🧠 ANSWER ✔✔breast bud stage- elevation of breast and
nipple as a small mound; enlargement of areolar diameter
breast stage 3 - 🧠 ANSWER ✔✔further enlargement of elevation of breast
and areola, with no separation of their contours
breast stage 4 - 🧠 ANSWER ✔✔projection of areola and nipple to form a
secondary mound above the level of breast
breast stage 5 - 🧠 ANSWER ✔✔mature stage- projection of nipple only;
areola has receded to general contour of the breast (although in some
individuals the areola continues to form a secondary mound)
, Know where pain is located with pancreatitis: acute - 🧠 ANSWER
✔✔epigastric, may radiation straight to the back of other areas of the
abdomen; 20% with severe sequelae of organ failure
Know where pain is located with pancreatitis: chronic - 🧠 ANSWER
✔✔epigastric, radiating to back
Know how hepatitis A is transmitted - 🧠 ANSWER ✔✔Transmitted through
fecal-oral route. Fecal shedding followed by poor handwashing
contaminates water and foods leading to infection of household and sexual
contacts
Stress incontinence - 🧠 ANSWER ✔✔the urethral sphincter is weakened so
that transient increases in intra-abdominal pressure raise the bladder
pressure to levels that exceed urethral resistance. Causes include
childbirth and surgery, postmenopausal atrophy of the mucosa, and
urethral infection. May follow prostate surgery in men.
urge incontinence - 🧠 ANSWER ✔✔detrusor contractions are stronger than
normal and overcome the normal urethral resistance. The bladder is
typically small. Mechanisms: Decreased cortical inhibition of detrusor
contractions from stroke, brain tumor, dementia, and lesions of the spinal
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