Chapter 20: Male Genitalia

Question 1

1. . While examining an 18-year-old man, you note that his penis and testicles are more darkly pigmented than the body skin. You should consider this finding to be
   a. within normal limits.
   b. suggestive of a skin fungus.
   c. suggestive of psoriasis.
   d. caused by excessive progesterone.

Answer 1

a. within normal limits.

Question 2

2. In an uncircumcised male, retraction of the foreskin may reveal a cheesy white substance. This is usually
   a. evidence of a fungal infection.
   b. a collection of sebaceous material.
   c. indicative of penile carcinoma.
   d. suggestive of diabetes.

Answer 2

b. a collection of sebaceous material.

Question 3

3. Inspection of the scrotum should reveal
   a. lightly pigmented skin.
   b. two testes per sac.
   c. smooth scrotal sacs.
   d. the left scrotal sac lower than the right.

Answer 3

d. the left scrotal sac lower than the right.

Question 4

4. Expected genitalia changes that occur as men age include that
   a. the ejaculatory volume decreases with age.
   b. erections develop more quickly.
   c. the viability of sperm increases.
   d. the scrotum becomes more pendulous.

Answer 4

d. the scrotum becomes more pendulous.

Question 5

5. Inspection of the male urethral orifice requires the examiner to
   a. ask the patient to bear down.
   b. insert a small urethral speculum.
   c. press the glans between the thumb and forefinger.
   d. transilluminate the penile shaft.

Answer 5

c. press the glans between the thumb and forefinger.

Question 6

6. You are inspecting the genitalia of an uncircumcised adult male. The foreskin is tight and cannot be easily retracted. You should
   a. chart the finding as paraphimosis.
   b. inquire about previous penile infections.
   c. retract the foreskin firmly.
   d. transilluminate the glans.

Answer 6

b. inquire about previous penile infections.

Question 7

7. Which type of hernia lies within the inguinal canal?
   a. Umbilical
   b. Direct
   c. Indirect
   d. Femoral

Answer 7

c. Indirect

Question 8

Which condition is of minor consequence in an adult male?
a. Adhesions of the foreskin
b. Continuous penile erection
c. Lumps in the scrotal skin
d. Venous dilation in the spermatic cord

Answer 8

c. Lumps in the scrotal skin

Question 9

9. Mr. L has an unusually thick scrotum, with edema and pitting. He has a history of cardiac problems. The appearance of his scrotum is most likely a(n)
   a. congenital defect that has worsened.
   b. indication of general fluid retention.
   c. normal consequence of aging.
   d. complication of the development of mumps

Answer 9

b. indication of general fluid retention.

Question 10

10. A characteristic related to syphilis or diabetic neuropathy is testicular
    a. dropping, with asymmetry.
    b. enlargement.
    c. insensitivity to painful stimulation.
    d. recession into the abdomen.

Answer 10

c. insensitivity to painful stimulation.

Question 11

11. On palpation, a normal vas deferens should feel
    a. beaded.
    b. smooth.
    c. ridged.
    d. spongy.

Answer 11

b. smooth.

Question 12

12. A premature infant’s scrotum will appear a. bifid.
    b. loose.
    c. ridged.
    d. smooth.

Answer 12

d. smooth.

Question 13

13. An enlarged painless testicle in an adolescent or adult male may indicate a. epididymitis.
    b. testicular torsion.
    c. a tumor.
    d. an undescended testicle.

Answer 13

c. a tumor.

Question 14

14. You palpate a soft, slightly tender mass in the right scrotum of an adult male. You attempt to reduce the size of the mass, and there is no change in the mass size. Your next assessment maneuver is to
    a. use two fingers to attempt to reduce the mass.
    b. palpate the left scrotum simultaneously.
    c. lift the right testicle and then compare pain level.
    d. transilluminate the mass.

Answer 14

d. transilluminate the mass.

Question 15

15. The most common cancer in young men ages 15 to 30 years is
    a. testicular.
    b. penile.
    c. prostate.
    d. anal.

Answer 15

a. Testicular

Question 16

16. The most emergent cause of testicular pain in a young male is
    a. testicular torsion.
    b. epididymitis.
    c. tumor.
    d. hydrocele.

Answer 16

a. testicular torsion.

Question 17

17. An adolescent male is being seen for acute onset of left testicular pain. The pain started 3 hours ago. He complains of nausea and denies dysuria or fever. Your priority action should be to
    a. obtain urine and DNA probe urethral samples.
    b. lift the left scrotum to confirm epididymitis.
    c. establish absent cremasteric reflex.
    d. transilluminate the left and right scrotum.

Answer 17

c. establish absent cremasteric reflex.

Question 18

18. The most common type of hernia occurring in young males is
    a. hiatal.
    b. incarcerated femoral.
    c. indirect inguinal.
    d. umbilical.

Answer 18

c. indirect inguinal.

Question 19

19. Difficulty replacing the retracted foreskin of the penis to its normal position is called
    a. paraphimosis.
    b. Peyronie disease.
    c. phimosis.
    d. priapism.

Answer 19

a. paraphimosis.

Question 20

20. Which genital virus infection is known to have a latent phase followed by the production of viral DNA capsids and particles?
    a. Condyloma acuminatum
    b. Molluscum contagiosum
    c. Herpetic lesions
    d. Lymphogranuloma venereum

Answer 20

a. Condyloma acuminatum

Question 21

21. Pearly gray, smooth, dome-shaped, often umbilicated lesions of the glans penis are probably
    a. herpetic lesions.
    b. condylomata.
    c. molluscum contagiosum.
    d. chancres.

Answer 21

c. molluscum contagiosum.

Question 22

22. A 12-year-old boy relates that his left scrotum has a soft swollen mass. The scrotum is not painful on palpation. The left inguinal canal is without masses. The mass transilluminates with a penlight. This collection of symptoms is consistent with
    a. orchitis.
    b. a hydrocele.
    c. a rectocele.
    d. a scrotal hernia.

Answer 22

b. a hydrocele.

Question 23

23. Which condition is a complication of mumps in the adolescent or adult? a. Cystitis
    b. Epididymitis
    c. Orchitis
    d. Paraphimosis

Answer 23

c. Orchitis

Question 24

24. Parents of a 6-year-old boy should be asked if he has
    a. erections.
    b. nocturnal emissions.
    c. rapid detumescence.
    d. scrotal swelling.

Answer 24

d. scrotal swelling.

Question 25

25. The male with Peyronie disease will usually complain of
    a. painful, inflamed testicles.
    b. deviation of the penis during erection.
    c. lack of sexual interest.
    d. painful lesions of the penis.

Answer 25

b. deviation of the penis during erection.

Question 26

26. A cremasteric reflex should result in
    a. testicular and scrotal rise on the stroked side.
    b. penile deviation to the left side.
    c. bilateral elevation of the scrotum.
    d. immediate erection of the penis

Answer 26

a. testicular and scrotal rise on the stroked side.