Chapter 24 Male genitourinary system

Question 1

Testosterone production decreases after

Answer 1

age 30

Question 2

Early onset of puberity may be related to

Answer 2

chemical exposure, diet changes and less physical activity

Question 3

puberty onset and testicular cancer risk correclation

Answer 3

early puberty has no effect on testicular cancer. Later puberty has been shown to be protective, especially a later age for starting shaving and later age for voice change

Question 4

sperm begins to decrease

Answer 4

around 40 years, although it continues into the 80’s and 90’s

Question 5

aging male DC:

Answer 5

decreasing pubic hair, penile size
Slower, less intense sexual response
Erection takes longer to develop.
Ejaculation shorter, less forceful, with rapid detumescence

Question 6

withdrawal from sexual activity may be due to

Answer 6

loss of spouse, depression, preoccupation with work; marital or family conflict; side effects of medication such as antihypertensive, psychotropic, antidepressants, antispasmodics, sedative, tranquilzer or narcotics and estrogens.

Question 7

urge incontience

Answer 7

involuntary urine loss from overactive detrusor muscle in bladder

Question 8

stress incontience

Answer 8

involuntary urine loss with physical strain ,sneezing or coughing caused by weakness of pelvic floor

Question 9

symptoms that suggest bladder outlet obstruction from progressive benign prostate hyperplasia

Answer 9

staining, hesitancy, loss of force and decreased caliber, terminal dribbling, sense of residual urine, recurrent episodes of acute cystitis.

Question 10

early symptoms of enlarging prostate may be tolerate or ignored. Later symptoms are more dramatic and include what 2 things

Answer 10

hematuria, uti

Question 11

nocturia may be caused by

Answer 11

diuretic medication, habit, or fluid ingestion 3 hours before bedtime; coffee and alcohol especially have a diuretic effect.

Question 12

phimosis

Answer 12

narrowed opening of prepuce so cannot retract the foreskin

Question 13

paraphimosis

Answer 13

painful constriction of glans by retracted foreskin

Question 14

hypospadias

Answer 14

ventral location of meatus

Question 15

epispadias

Answer 15

dorsal location of meatus

Question 16

scrotal swelling occurs with

Answer 16

hf, renal failure or loca inflemation

Question 17

how to inspect scrotum

Answer 17

spread rugeaout between your fingers. Lift the sac to inspect the posterior surface. normally no scrotal lesions are present except for the commonly found sebaceous cyst. These are yellowish, 1-cm nodules and are firm non tender and often multiple

Question 18

what warrants an ultra sound imaging if found on the testes or epididymides.

Answer 18

nodules

Question 19

what does TSE stand for

Answer 19

Timing once a month
shower warm water
examine, check for changes and report them immediately.

Question 20

encourage self-care by teaching

Answer 20

every males 13-14 and through adulthood how to examine his own testes.

Question 21

Testicular cancer is rare but occurs most often between

Answer 21

15-35 years and is associated with a history of cryptorchidism

Question 22

Cryptorchidism

Answer 22

is the absence of one or both testes from the scrotum.

Question 23

Scrotal sac in aging adult

Answer 23

is pendulous with less rugae

Question 24

renal calculi

Answer 24

renal stones from the kidney tubules and then migrate and and become urgent when they pass into ureter, become lodged and obstruct urine flow. Can cause abrupt severe flank pain with radiation to the groan or abdomen, n/v and restlessness along with gross or microscopic hematuria.

Question 25

urethritis

Answer 25

infection of urethra causes painful, burning urination or pruritus. Meatus edges are reddened, everted and swollen with purulent discharge. Cause determine by culture. 50% are chlamydia infections

Question 26

acute urinary retention

Answer 26

abrupt inability to pass urine with bladder distention and lower abdominal pain. Much more common in men due to bladder outlet obstruction such as benign prostatic hyperplasia. Must cath to relieve acute discomfort then manage underlying problem

Question 27

urethral stricture

Answer 27

pinpoint, constriction opening at meatus or inside along urethra. Occurs congenitally or secondary to urethral injury. Gradual decrease in force and caliber of urine stream is most common symptoms. Shaft feels indurated along ventral aspect at site of stricture.