Ch 34- Alterations in Male Reproductive Systems

Question 1

What is the common caused of urethritis?

Answer 1

STI

Question 2

What is urethritis?

Answer 2

inflammation of urethra

Question 3

What are the two types of urethritis? Explain.

Answer 3

1. Gonococcal urethritis – caused by Neisseria gonorrheoeae
2. Non-infectious urethritis – associated with ingestion of wood alcohol or turpentine

Question 4

What is caused by gonococcal urethritis?

Answer 4

Neisseria gonorrhoeae

Question 5

What are symptoms of urethritis?

Answer 5

urethral tingling, itching, burning sensation; urinary frequency and urgency

clear mucous- like discharge

Question 6

What is the diagnosis for urethritis

Answer 6

urine nucleic acid detection amplification test

Question 7

What does nucleic acid detection amplification test do?

Answer 7

allows detection of N. gonorrhoeae and Chlamydia trachomatis

Question 8

What is the difference between phimosis & paraphimosis?

Answer 8

phimosis – foreskin can’t be retracted

paraphimosis - foreskin is retracted but can’t be moved forward to over the gland.

Question 9

How to possibly eliminate paraphimosis and phimosis?

Answer 9

circumcision

Question 10

T or F: Priapism is not a urological emergency.

Answer 10

FALSE; Its a urological emergency

Question 11

What is the tx for priapism?

Answer 11

needle aspiration of blood from dorsal glans (artery on top of penis surface)

Question 12

What disorder of penis is associated with uncommon prolonged penile erection usually painful & not associated with sexual arousal?

Answer 12

priapism

Question 13

What disorder of scrotum is associated with ab dilation of testicular veins – described as bag of worms?

Answer 13

varicocele

Question 14

How often does varicocele occurs?

Answer 14

10-15% of men

Question 15

Varicocele 90% occur on ___ (1) side due to structure of venous drainage.

Answer 15

left

Question 16

Which disorder of scrotum is associated with benign cysts and collection of fluid in epididymis?

Answer 16

spermatoceles

Question 17

T or F: Spermatoceles can cause significant pain.

Answer 17

TRUE

Question 18

Men with spermatoceles invovled cysts filled with ____ (1) fluid due to involvement of ____ (2)

Answer 18

milky (1) & sperm (2)

Question 19

Which disorder of scrotum is associated with excessive fluid between layers of tunica vaginalis?

Answer 19

hydrocele

Question 20

T or F: Varicocele is congenital.

Answer 20

FALSE; Hydrocele.

Question 21

Men with hydrocele often resolve spontaneously in ___ (1) year of life. Tend to be ___ (2) serious if last past first year.

Answer 21

1. first
2. more

Question 22

What is cryptorchidism?

Answer 22

ab where testes do not descend completely

Question 23

Where does testes remain in men with crpytorchidism?

Answer 23

abdomen or inguinal canal

Question 24

What is the cause of cryptorchidism?

Answer 24

short spermatic cord, adhesions and narrow inguinal canal

Question 25

What are the tx for cryptorchidism?

Answer 25

GnRH & surgery to relocate testis

Question 26

What are the manifestations for cryptorchidism?

Answer 26

testicular cancer –5ox

Question 27

What is the acute inflammtion of testes?

Answer 27

orchitis

Question 28

What is the most common infectious cause for orchitis?

Answer 28

mumps

Question 29

What is the infection path for orchitis?

Answer 29

urethra, vas deferens, epididymis & testes

Question 30

What is the inflammation of epididymis?

Answer 30

epididymitis

Question 31

Who are at risk for epididymitis?

Answer 31

young male who are sexually active

Question 32

What is the cause of epididymitis?

Answer 32

due to STIs: N. gonorrhoeae & C. trachomatis

Question 33

What is chemical epididymitis?

Answer 33

caused by reflux of sterile urine into ejaculatory ducts