2.1.1 Taking a Male Sexual History and Male Urogenital Exam

Question 1

What this be?

Answer 1

Bilateral hydrocele

Question 2

When during the medical interview is the male sexual history?

Answer 2

Towards the end

Question 4

What are some of the key elements to a male sexual history?

Answer 4

Sexually active?

Specific patient concerns or problems?

Physiological function

Question 5

What are some of the secondary sexual characteristics?

Answer 5

General appearance, hair pattern, gential development, Tanner stages

Question 6

What this be?

Answer 6

Paraphimosis

Question 7

What this be?

Answer 7

Scabies of scrotum - super itchy

Question 8

What this be?

Answer 8

Phimosis

Question 9

What this be?

Answer 9

Penoscrotal hypospadias and unilateral cryptorchidism

Question 10

What is used to diagnose testis cancer?

Answer 10

US

Question 11

What this be?

Answer 11

Epididymitis (in children, US must be done to distinguish b/t testicular torsion)

Question 12

What has ED been associated with?

Answer 12

CVD and diabetes

Question 13

What this be?

Answer 13

Peyronie’s Dz - bending towards the lesion (Nike Dick)

Question 14

What are some of the behavioral patterns in a male sexual history?

Answer 14

Libido, frequency, partner(s), specific activities, cultural beliefs, sexual orientation

Question 15

What is important about addressing sexual orientation?

Answer 15

MAKE NO ASSUMPTIONS

Question 16

Which skills are important in taking a male sexual history?

Answer 16

Clinical rapport, empathy, confidentiality, non-judgmental approach, level of comfort

Question 17

What this be?

Answer 17

hypospadias

Question 18

What this be?

Answer 18

Tinea Cruris in female

Question 19

Name this condition

Answer 19

Varicocele

Question 20

What this be?

Answer 20

Penile Warts

Question 21

What are the two important aspects of lesions?

Answer 21

Pigmented vs. non-pigmented

Raised or not raised

Question 22

What this be?

Answer 22

Varicocele

Question 23

What this be?

Answer 23

Chancre in primary syphilis

Question 24

What are some of the components of physiological function?

Answer 24

Erectile quality and duration

Orgasm and ejaculation

Urinary function (leaking?)

Question 25

An abnormality of what structure will put men at risk for torsion?

Answer 25

Gubernacle remnant - scrotal ligament

Question 26

What specific type of medication is known to cause ED?

Answer 26

Ca++ Channel blockers

Question 27

Failure of the testis to descend into scrotum

Answer 27

Cryptorchidism

Question 28

Most common rash on scrotum?

Answer 28

Tinea cruris - fungal infection of skin (Jock Itch)

Question 29

What % of adults identify as gay/lesbian/bisexual?

Answer 29

~ 10%