Assessment Of The Male Genitourinary System Flashcards

1
Q

(5) functions of the Male GU System

A
  1. Manufacturing and protecting sperm for fertilization
  2. Transportation of sperm
  3. Regulating hormonal production and secretion of male sex hormones
  4. Providing sexual pleasure
  5. Excreting urine
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2
Q

Sac that contains the testes

A

Scrotum

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3
Q

Produces sperm and testosterone

A

Testes

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4
Q

Duct from epididymis to ejaculatory duct

A

Vas deferens

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5
Q

Protective sheath around the vas deferens

A

Spermatic cord

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6
Q

3 tubes that the spermatic cord houses

A
  1. Nerves
  2. Blood vessels
  3. Ductus deferens
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7
Q

Produce 70% semen

A

Seminal vesicles

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8
Q

Decrease acidity after urination

A

Seminal fluid

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9
Q

In male, it secretes alkaline substance to neutralize vaginal secretions

A

Bulbourethral glands

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10
Q
  • produces 20% semen
  • has direct contact with first part of urethra
  • located at the neck of the urinary bladder
A

Prostate

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11
Q

Stores sperm until it is mature

A

Epididymis

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12
Q

Filters blood and removes waste

A

Kidney

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13
Q

Tube connecting kidney to bladder

A

Urethra

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14
Q

Passageway for urine

A

Urethra

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15
Q

Male sex organ and urine elimination

A

Penis

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16
Q

Important for sexual arousal
Like clitoris

A

Glans penis

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17
Q
  • canal for vas deferens from scrotum through the abdominal muscles, inguinal lymph nodes
  • site for hernia
A

Inguinal area

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18
Q

Causes vasodilation of the arterioles in the penis resulting in erection

A

Sexual excitement

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19
Q

Hormones that increase bone density

A

Androgens

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20
Q

Achieved with an intact detrusor muscle, internal sphincter muscle tone, and external sphincter contraction

A

Bladder continence

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21
Q

In the neurological system of male, it happens when their is contraction of the detrusor muscle and relaxation of the sphinter

A

Micturition

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22
Q

3 hormones that triggers testosterone secretion and spermatogenesis

A

Gonadotropin releasing hormone, luteinizing hormone, and follicle stimulating hormone

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23
Q

Undescended testes and few rugae

A

Premature

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24
Q

Scrotal edema or ecchymosis

A

Breech

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25
Q

Ventral urethral opening on the glans

A

Hypospadias

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26
Q

Dorsal opening on the glans

A

Epispadias

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27
Q

Common findings in boys under the age of 2

A

Hydroceles and hernias

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28
Q
  • water in testicles
  • subsides, water will be reabsorbed
  • enlargement due to fluid accumulation
A

Hydroceles

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29
Q

Refers to ventral or dorsal curvature of the penis
- not a disease but an anatomical position

A

Chordee

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30
Q

Flu, inflammation of the abdomen

A

Ascitis

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31
Q
  • infection
  • hernia lymphadenopathy
  • sexual abuse
  • injury during play
  • toilet training
  • problem in urination
A

Children

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32
Q

Inability to control urination

Bed wetting

A

Enuresis

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33
Q

Infertility as a result of orchitis
Inflammation of the parotid gland

A

Mumps (parotitis)

34
Q
  • inflammation of the testis
  • acute pain, swelling, and warm scrotal skin
  • MMR immunization
A

Orchitis

35
Q
  • undescended testicles
  • inguinal hernia
A

Testicular CA Risk

36
Q

Use to track sexual maturation in male during puberty by characterizing pubic hair distribution, penile, and testicular size

A

Tanner Staging

37
Q
  • preadolescent and no sexual hair
A

I

38
Q

Spars, pigmented, long, straight, mainly along the labia and at the base of the penis

A

II

39
Q

Darker, coarser, and curlier

A

III

40
Q

Adult, but decreased distribution

A

IV

41
Q

Adult in quantity and type with spread to medial thighs

A

V

42
Q
  • leads to erectile dysfunction
  • depression (risk factor)
A

Anti Hypertension

43
Q

Where circumcision is recommended for health benefits; high rate

A

US

44
Q

Where circumcision is not necessary

A

Canada, England, Sweden

45
Q

Circumcision as a religious practice

A

Jews and Muslim

46
Q
  • occurs in uncircumcised males
  • foreskin is unable to retract and become swollen
A

Phimosis

47
Q
  • inability to return foreskin over penis because of edema, yeast, or bacterial infection
A

Paraphimosis

48
Q
  • usually has an acute onset and often follows trauma or infection
A

Genital Pain

49
Q

(2) can cause epididymitis

A

STD, UTI

50
Q
  • perineal pain (bacterial or non bacterial in origin)
A

Prostitis

51
Q
  • vesicles, ulcers, warts, or rashers
  • often symptoms of STD, but also maybe caused by a systemic problem or Carcinoma
A

Genital lesions

52
Q
  • edema
  • may result from local trauma or infection, but maybe associated with systemic problem such as CHF
A

Genital Swelling

53
Q

What does swelling in the inguinal area indicate

A

Hernia

54
Q

Normal drainage of penile discharge

A

Seminal fluid and urine

55
Q
  • copious, thick, yellow discharge
A

Gonorrhea

56
Q

Yellow discharge

A

Chlamydia

57
Q

Thin, watery discharge

A

Prostatitis

58
Q

Discharge that indicates trauma, infection, or cancer

A

Bloody discharge

59
Q

Usually accompanies infectious origin

A

Pain

60
Q

Often associated with male reproductive organs

A

Urinary system

61
Q

(5) common complaints of male in urinary problems

A
  1. Dysuria
  2. Burning
  3. Frequency
  4. Changes in urinary pattern
  5. Hematuria
62
Q

Often causes urinary problem

A

Reproductive problems

63
Q

Painful sustained erection without sexual desire

A

Priaprism

64
Q
  • causes painful reddened groups of small vesicles or blisters on the prepuce, shaft, or glans
A

Genital Herpes

65
Q
  • indicates primary syphilis
  • hard, round papule with erythematous halo, surrounding edema, friable base
  • palpated- button like
  • eventually erodes into an ulcer
  • swollen lymph nodes in the inguinal area
A

Chancre

66
Q
  • late syphilis stage that can cause paresis, tremors, personality changes, and psychosis
A

Neurosyphilis

67
Q
  • caused by condyloma acuminatum
  • flesh colored, soft, moist papillary growth that occurs singly or in cauliflower-like clusters
  • barely visible or several inches in diameter
  • caused by HPV
A

Genital Warts

68
Q
  • fungal infection of the groin
  • jock itch
A

Tinea cruris

69
Q
  • swelling and widening of veins along the spermatic cord
  • “bag of worms” and slowly collapse when the scrotum is elevated
  • right sided indicates obstruction in the vena cava
A

Varicocele

70
Q
  • painless ulcerative lesion on the glans or prepuce (foreskin)
  • with or without discharge
A

Penile Cancer

71
Q
  • painless scrotal nodule that can’t be transilluminated
  • benign or cancerous
  • tumor can grow, enlarging the testis
A

Testicular tumor

72
Q
  • smooth, firm, symmetrical enlargement of the prostate gland
  • 50 years old
  • urinary hesitancy, nocturia and frequency, and recurring UTI
  • back pain
A

Prostate Gland Enlargement

73
Q
  • protrusion of an organ through an abdominal opening the muscle wall
  • it may be direct or indirect
  • inguinal or femoral
  • heavy lifting
A

Hernia

74
Q
  • hernia that emerges from behind the external inguinal ring and protrudes through it
  • seldom descends into the scrotum
  • usually affect men older than age 40
A

Direct inguinal hernia

75
Q
  • palpated in the internal inguinal canal with its tip in or beyond the canal
  • descend into the scrotum
  • most common
  • men of all ages
A

Indirect inguinal hernia

76
Q
  • feels like soft tumor below the inguinal ligament in the femoral area
  • uncommon in men
  • difficult to distinguish from a lymph node
A

Femoral hernia

77
Q
  • testes is rubbery
  • another risk for testicular cancer
  • undescended testes
A

Cryptorchidism

78
Q
  • round, firm, nontender cutaneous cyst confined in the scrotal skin
  • may result from decrease in localized circulation and closure of sebaceous glands or ducts
A

Scrotal Cyst

79
Q
  • deprivation of oxygen in the testicles
  • symptom of unconnected diabetes
  • cyanosis of the extremeties
  • necrotic tissue, unable to produce sperm
A

Gangrene of the Testicles

80
Q
  • filariasis is a parasitic disease that is caused by thread-like roundworms belonging to the Filarioidea type.
  • they are spread from by blood-feeding black flies and mosquitos
A

Lymphedema