Chapter 34 - Alterations In Male Reproductive Systems

Question 1

Urethritis

Answer 1

Inflammation of urethra commonly caused by STI

Question 2

Gonoccoal Urethritis is caused by

Answer 2

Neisseria gonorrhoeae

Question 3

Non infectious Urethritis

Answer 3

Associated with ingestion of wood alcohol or turpentine

Question 4

Symptoms of Urethritis

Answer 4

Urethral tingling, itching, burning sensation, frequent urinanation and urgency
-clear mucus like discharge

Question 5

Diagnosis of Urethritis

Answer 5

Urine neucleic acid detection amplification test allows detection of gonorrhea nad chlamydia

Question 6

Phimosis

Answer 6

Foreskin cannot be retracted

Question 7

Paraphimosis

Answer 7

Foreskin is retracted but can’t be moved forward to cover gland

Question 8

What would eliminate possibility of Phimosis and paraphimosis

Answer 8

Circumcision

Question 9

Priapism

Answer 9

Uncommon prolonged penile erection that is usually painful
-not associated with sexual arousal or viagra

Question 10

Priapism TX

Answer 10

Usually within hours to prevent erectilce dysfunction
-needle aspiration of blood from dorsal glands is effective
-medical emergency

Question 11

Varicocele

Answer 11

Abnormal dilation of testicular veins within scrotum (described as a bag of worms)
-90% on left side due to structure of venous drainage

Question 12

Hydrocele

Answer 12

Excessive fluid between layers of tunica vaginalis
-often resolves spontaneously in first year of life, more serious if lasts past first year

Question 13

Spermatoceles

Answer 13

Benign cyst, a collection of fluid in epidydimsy
-cysts filled with mildly fluid due to involvement of sperm
-can cause significant pain

Question 14

Cryptorchidism

Answer 14

Abnormalities where testes do not descent completely
-remain in abdomen or in Guiana canal

Question 15

Cause of Cryptorchidism

Answer 15

Short spermatic cord, adhesions, narrow inguinal canal

Question 16

Manifestations of Cryptorchidism

Answer 16

50x times risk of testicular cancer

Question 17

TX Cryptorchidism

Answer 17

GnRH or surgery to relocate

Question 18

Orchitis

Answer 18

Acute inflammation of testes
-goes from urethra, vas deferents, epididymus, testes

Question 19

Most common cause of orchitis

Answer 19

Mumps

Question 20

Epididymitis

Answer 20

Inflammation of epididmyis
-sexually active young males (can be norrhoea or chlamydia)

Question 21

Chemical epididymitis

Answer 21

Caused by reflux of sterile urine into ejaculatory ducts