19-3

Question 1

History of Present Illness for Male Genitalia

Answer 1

1. Difficulty achieving or maintaining an erection
2. Difficulty w/ ejaculation
3. Discharge or lesions on the penis
4. Infertility
5. Enlargement in inguinal area
6. Testicular pain or mass

Question 2

the male genitalia consist of the:

Answer 2

1. penis
2. testicles
3. epididymides
4. scrotum
5. prostate gland
6. seminal vesicles

Question 3

function of the penis:

Answer 3

1. excrete urine
2. introduce semen into the vagina

Question 4

The corpus spongiosum expands at its distal end to form the…

Answer 4

glans penis

Question 5

a slitlike opening about 2 mm ventral to the tip of glans.

Answer 5

urethral orifice

Question 6

darkly pigmented and contains two pendulous sacs each containing a testis, epididymis, spermatic cord, and muscle layer

Answer 6

scrotum

Question 7

Spermatogenesis requires temperatures lower than

Answer 7

37 Degrees Celsius

Question 8

The testicles produce

Answer 8

spermatozoa and testosterone

Question 9

what provides for the storage, maturation, and transmission of the sperm?

Answer 9

epididymis

Question 10

(spanning from the tail of the epididymis to the seminal vesicle) forms the ejaculatory duct.

Answer 10

Vas deferens

Question 11

what produces the major volume of ejaculatory fluid?

Answer 11

prostate

Question 12

what extends from the prostate to the posterior surface of the bladder?

Answer 12

seminal vesicles

Question 13

Erection of the penis occurs when the two corpora cavernosa become engorged with how much blood?

Answer 13

20 - 50 mL

Question 14

External genitalia are the same for males and females at what week of gestation?

Differentiation occurs by what week of gestation?

Answer 14

• 8 weeks
• 12 weeks

Question 15

when do the testes descend into the scrotum?

Answer 15

during 3rd trimester

Question 16

Separation of the prepuce from the glans is usually incomplete at birth and may remain so until _________ in uncircumcised males

Answer 16

3 to 4 years of age

Question 17

Examination of the genitalia involves

Answer 17

• inspection
• palpation
• transillumination of any mass found

Question 18

If the foreskin is tight and can’t be retracted what is it called?

Answer 18

phimosis

Question 19

The dorsal vein should be apparent.

T/F

Answer 19

True

Question 20

Beaded or lumpy vas deferens suggests…?

Answer 20

• diabetes
• tuberculosis
• inflammatory changes

Question 21

Testicle of newborn is usually how many cm in diameter?

Answer 21

1 cm

Question 22

Newborn nonerect penis is how many cm in length?

Answer 22

2 to 3 cm

Question 23

Separation of prepuce from glans occurs between ages

Answer 23

3 - 4 y/o

Question 24

Foreskin of noncircumcised males is fully retractable by what age?

Answer 24

3 to 6 y/o

Question 25

A mass that does not transilluminate may indicate…?

Answer 25

incarcerated hernia

Question 26

A hard, enlarged painless testicle may indicate

Answer 26

a tumor

Question 27

The protrusion of a peritoneal-lined sac through some defects in the abdominal wall.

Answer 27

Hernia

Question 28

is the inability to replace the foreskin to its usual position after it has been retracted behind the glans.

Answer 28

Paraphimosis

Question 29

is a congenital defect in which the urethral meatus is located on the ventral surface of the glans, penile shaft, or the perineal area.

Answer 29

Hypospadias

Question 30

Most commonly located on the glans. Painless lesion has indurated borders with a clear base, occurs 2 weeks after exposure.

Answer 30

Syphilitic chancre lesion

Question 31

is a viral infection that appears as superficial vesicles. Lesions may be located on the glans, penile shaft or base. Painful and associated with inguinal lymphadenopathy.

Answer 31

Herpes

Question 32

is a soft, reddish lesion that arises because of infection with a papovavirus. The lesions are commonly present on the prepuce, glans penis. The lesions may undergo malignant degeneration to squamous cell carcinoma.

Answer 32

Condyloma acuminatum

Question 33

is an STI caused by a chlamydial organism. The lesions appear on the genitalia. The initial lesion is a painless erosion at or near the coronal sulcus.

Answer 33

Lymphogranuloma venereum

Question 34

is an STI caused by a poxvirus. The lesions are pearly gray, often umbilicated, smooth, dome shaped, with discrete margins.

Answer 34

Molluscum contagiosum

Question 35

is characterized by a fibrous band in the corpus cavernosum that results in deviation of the penis during erection.

Answer 35

Peyronie disease

Question 36

is cancer of the penis. Generally squamous and tend to occur in uncircumcised men, who practice poor hygiene. Often appears as a painless ulceration.

Answer 36

Penile carcinoma

Question 37

is a nontender, smooth, firm mass that results from fluid accumulation in the tunica vaginalis. The mass will transilluminate.

Answer 37

Hydrocele

Question 38

is a cystic swelling occurring on the epididymis.

Answer 38

Spermatocele

Question 39

is an abnormal tortuosity and dilation of veins of the pampiniform plexus within the spermatic cord.

Answer 39

Varicocele

Question 40

an acute inflammation of the testis, orchitis is uncommon except as a complication of mumps in the adolescent or adult.

Answer 40

Orchitis

Question 41

is inflammation of the epididymis is often seen in association with a urinary tract infection. The epididymis is exquisitely tender and overlying scrotum may be marked erythematous.

Answer 41

Epididymitis

Question 42

is a surgical emergency occurring most commonly in adolescents. It has acute onset and is often accompanied by nausea and vomiting.

Answer 42

Testicular torsion

Question 43

is a neoplasm arising from the testicle appears as an irregular, nontender mass fixed on the testis. It does not transilluminate and is the most common in males.

Answer 43

Testicular tumor