BY MARK SCHOLZ, MD
While at Pete’s
Coffee to write my bi-monthly blog I ran into another regular who occasionally
hangs out at Pete’s. Vandana is a professor at Loyola University. She is an expert in the psychology of
learning. While we were talking I
started to bemoan my struggles to educate people about prostate cancer. One of
the biggest bugaboos I face is how people overestimate their grasp of the
prostate cancer situation. Once I verbalized my complaint, Vandana immediately
proposed I create a basic test of prostate cancer knowledge so men could
self-assess their level of knowledge. Thanks
Vandana!
1.
Which
of the following is NOT a Prostate Cancer Staging System?
a.
D’Amico
b.
AJCC
c.
Whitmore-Jewett
d.
Gleason
2.
Seed
implant radiation compared to surgery causes:
a.
More
erectile dysfunction
b.
More
incontinence
c.
More
urinary symptoms
d.
Lower
cure rates
3.
Men
with Gleason Score:
a.
Less
than 7 never metastasize
b.
Over
7 always metastasize
c.
Of 4 or less have undergone surgery
d.
Both
a and c are correct
4.
Which
of the following is true about robotic surgery compared to standard surgery?
a.
Gives
higher cure rates and lower rates of incontinence
b.
Results
in quicker recovery after surgery
c.
Improves
the chances for preserving erectile function
d.
Causes
less shrinkage of the penis
5.
Hormonal
therapy with Lupron improves survival when combined with:
a.
Radiation
b.
Surgery
c.
Alkaline
water
d.
All
of the above
6.
Which
of the following is not true about PSA levels?
a.
Measures
cancer cells in the blood
b.
Is
affected by testosterone
c.
Rises
after sex
d.
Rises
with infections in the prostate
7.
Incontinence
occurs in more than 5% of men who have:
a.
Surgery
b.
Radiation
c.
Hormone
therapy
d.
All
the above
8.
What is climacturia
after surgery?
a.
The urge to urinate after climbing
b.
The
ejaculation of urine
c.
Goes
away with time
d.
Only
occurs with unskilled surgeons
9.
Which
of the specialty doctors listed are
Board Certified in Internal Medicine?
a.
Radiation
therapists
b.
Urologists
c.
Medical
oncologists
d.
Radiologists
10.
Which
of the specialty doctors listed are least-likely to see patients with early-stage
prostate cancer?
a.
Radiation
therapists
b.
Urologists
c.
Medical
oncologists
d.
None
of the above
11.
The
risk of dying within 30 days of having prostate surgery is:
a.
1
in 20
b.
1
in 200
c.
1
in 2000
d.
1
in 20,000
12.
What does Medicare pay $28,000 for?
a.
Radical
prostatectomy
b.
Intensity
modulated radiation (IMRT)
c.
Proton
therapy
d.
Seed
implant radiation
13.
Patients
referred to radiation therapy doctors most frequently come from:
a.
Other
patients
b.
Advertisements
c.
Urologists
d.
Medical
oncologists
14.
Biopsy
misses high-grade disease in what percentage of men diagnosed with low grade
disease?
a.
0%
b.
5%
c.
15%
d.
30%
15.
Hormone
therapy with Lupron does not cause:
a.
Baldness
b.
Weight
gain
c.
Osteoporosis
d.
Dry Skin
Answers:
1.
d. Gleason is a grading system not a staging system
2.
c. More urinary
symptoms
3.
d.
Gleason less than 6 on needle biopsy indicates an error in interpretation
4.
b. Robotic surgery is
accomplished with smaller incisions resulting in quicker recovery
5.
a. Radiation is the
only correct answer
6.
a. PSA is a protein
from cancer cells that rises proportionate to the number cancer cells
7.
a. Surgery is the only
type of treatment associated with such a high risk of incontinence
8.
b. Ejaculation of urine
occurs in 20% of men undergoing surgery at a center of excellence
9.
c. Medical oncologist
are the only cancer doctors with basic internal medicine training
10. c. Fewer than 1% of medical oncologists in US consult on
men with early-stage PC
11. b. Mortality risk of prostate surgery in the US is one in
200
12. b. IMRT is $28,000, Medicare pays far less for either
surgery or seed implants
13. c. Urologists refer most of the prostate patients to
radiation docs. That’s why radiation
docs never say a bad word about surgery
14. c. 15% of men with low grade disease have higher grade
disease that the biopsy missed
15.
a. Men with baldness
treated with hormone therapy often
notice a return of their scalp hair
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