Ch. 25: Male GU System Flashcards
The examiner is going to inspect and palpate for a hernia. During this examination, the man is instructed to:
a. Hold his breath during palpation
b. Cough after the examiner has gently inserted the examination finger into the rectum
c. Bear down when the examiner’s finger is at the inguinal canal
d. Relax in a supine position while the examination finger is inserted into the canal
c. Bear down when the examiner’s finger is at the inguinal canal
During examination of the scrotum, a normal finding would be that:
a. The left testicle is firmer to palpation than the right
b. The left testicle is larger than the right
c. The left testicle hangs lower than the right
d. The left testicle is more tender to palpation than the right
c. The left testicle hangs lower than the right
H.T. has come to the clinic for a follow-up visit. Six months ago, he was started on a new medication that may cause erectile dysfunction as a side effect; therefore medication classes explored by the nurse are:
a. Antipyretics
b. Bronchodilators
c. Corticosteroids
d. Antihypertensives
d. Antihypertensives
Prostatic hypertrophy occurs frequently in older men. The symptoms that may indicate this problem are:
a. Polyuria and urgency
b. Dysuria and oliguria
c. Straining, loss of force, and sense of residual urine
d. Foul-smelling urine and dysuria
c. Straining, loss of force, and sense of residual urine
A 74-year-old man has come for a health examination. A normal age-related change in the scrotum would be:
a. Testicular atrophy
b. Testicular hypertrophy
c. Pendulous scrotum
d. Increase in scrotal rugae
c. Pendulous scrotum
During palpation of the testes, the normal finding would be:
a. Firm to hard and rough
b. Nodular
c. 2 to 3 cm long × 2 cm wide and firm
d. Firm, rubbery, and smooth
d. Firm, rubbery, and smooth
A 20-year-old man has indicated that he does not perform a testicular self-examination. One of the facts that should be shared with him is that testicular cancer, although rare, does occur in men:
a. Younger than 15 years
b. 15 to 34 years of age
c. 35 to 55 years of age
d. 55 years and older
b. 15 to 34 years of age
During the examination of a full-term male newborn, a finding requiring investigation would be:
a. An absent testes
b. A meatus centered at the tip of the penis
c. A wrinkled scrotum
d. A penis 2 to 3 cm in length
a. An absent testes
During transillumination of a scrotum, you note a nontender mass that transilluminates with a red glow. This finding is suggestive of:
a. Scrotal hernia
b. Scrotal edema
c. Orchitis
d. Hydrocele
d. Hydrocele
Which of the following would be a normal sensitivity to pressure for the testes?
a. Somewhat
b. Not at all
c. Left more sensitive than right
d. Only when inflammation is present
a. Somewhat
The congenital displacement of the urethral meatus to the inferior surface of the penis is:
a. Hypospadias
b. Epispadias
c. Hypoesthesia
d. Hypophysis
a. Hypospadias
An adhesion of the prepuce to the head of the penis, making it impossible to retract, is:
a. Paraphimosis
b. Phimosis
c. Smegma
d. Dyschezia
b. Phimosis
You are assessing an adolescent boy. The first physical sign of puberty is:
a. Height spurt
b. Penis lengthening
c. Sperm production
d. Pubic hair development
e. Testes enlargement
e. Testes enlargement
An older man asks if he is able to father children. In the aging male, when does infertility occur?
a. At age 60, with the sudden decline in sperm production
b. At approximately age 55 to 60, when testosterone levels are lower
c. When the male is no longer able to achieve an erection
d. There is no specific age; men may be fertile into their 80s and 90s
d. There is no specific age; men may be fertile into their 80s and 90s
A patient has soft, moist, fleshy, painless papules around the anus. The examiner suspects this condition is:
a. HSV-2
b. HPV
c. Gonorrhea
d. Peyronie disease
b. HPV
