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N1109 - Physical Assessment > Exam 3 - GU > Flashcards

Exam 3 - GU Flashcards

1
Q

normal scrotum finding

A

L hangs lower than the R

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2
Q

what is the prostate gland

A

in front of anterior wall of rectum, 2cm behind symphysis pubis

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3
Q

when does puberty begin for boys and how long does it last?

A

9.5-13.5 y/o

lasts 2-5 years

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4
Q

first sign of puberty for boys

A

enlargement of testes
pubic hair
increase in penis size

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5
Q

tanner stage 1 - boys

A

prepubertal genitalia

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6
Q

tanner stage 2 - boys

A

enlargement of testes, scrotum

no enlargement of penis

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7
Q

tanner stage 3 - boys

A

penis begins to enlarge (length, then diameter)

testes, scrotum continue to enlarge

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8
Q

tanner stage 4 - boys

A

testes, scrotum continue to enlarge
penis continues to lengthen
enlargement of glans

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9
Q

tanner stage 5 - boys

A

genitalia of adult size, proportion

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10
Q

when does sperm production being to decrease?

A

around 40 y/o

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11
Q

when does testosterone begin to decrease?

A

after 30

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12
Q

decrease in testosterone results in what changes?

A 
decrease in pubic hair, penis size
scrotal hangs lower, less rugae
pendulous scrotum
testes decrease in size, less firm to palpation
prostate gland beings to enlarge
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13
Q

benefits of circumcision

A

lower risk for STI, genital ulcer disease in males; reduce risk for contracting HIV through heterosexual contact

decrease risk for bacterial vaginosis and trich in females

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14
Q

highest ethnic ground for prostate cancer

A

African Americans

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15
Q

prostate cancer risk factors

A

increased age
African ancestry
family hx
inherited - BRCA 1, BRCA 2

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16
Q

urgency incontinence

A

sudden loss

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17
Q

stress incontinence

A

involuntary loss d/t physical straining such as laughing, coughing

weak pelvic floor muscles

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18
Q

what plays a role in UTI in younger males?

A

constipation

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19
Q

what is a predisposition to kidney stones

A

family hx

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20
Q

what can cause an increase risk for penile cancer?

A

10+ partners

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21
Q

meds that can cause ED

A

anti-depressants

HTN meds

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22
Q

meds that can lead to increase penile blood flow

A

nitro
imdur
isosorbide
Cialia

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23
Q

male positioning for prostate exam

A

L lateral decubitus
standing
litotomy

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24
Q

scrotal edema may indicate…

A

CHF
renal failure
local inflammation/infection

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25
Q

what is cryptorchidism?

A

absent testes

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26
Q

cryptorchidism increases the risk for

A

testicular cancer

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27
Q

what is tosion

A

twisting of the spermatic cord

medical emergency

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28
Q

reducible hernia

A

hernia will return when lying down or with gentle pressing

29
Q

incarcerated hernia

A

can not be returned to abdominal cavity

30
Q

strangulated hernia

A

blood supply cut off

pain, N/V; surgical emergency

31
Q

perianal area 12:00 and 6:00

A

12: towards symphysis pubis
6: coccyx

32
Q

when to start self testicular exams

A

13

33
Q

common age range for testicular cancer

A

15-40

34
Q

TSE for testicular exam

A

timing
shower
examine

35
Q

avoid retracting foreskin in an infant until after

A

3 months old

36
Q

hypospadias

A

urethral meatus is on the ventral (under) side of penis

37
Q

priapism

A

erection lasting > 4 hours

38
Q

phimosis

A

foreskin that cannot be retracted

39
Q

paraphimosis

A

can not return foreskin

40
Q

epispadias

A

urine does not exit through urethra

birth defect

41
Q

Peyronie’s disease

A

curve penis

42
Q

first signs of puberty in girls

A

breast development

pubic hair

43
Q

when does puberty occur in girls?

A

8.5-13 y/o

44
Q

how long does puberty last in girls?

A

3 years

45
Q

when does menarche start in girls?

A

12-14 y/o

46
Q

a menarche cycle last how long

A

18-45 days

47
Q

how long does menarche ast

A

3-7 days

48
Q

tanner stage 1 - girls/pubic hair

A

no hair

49
Q

tanner stage 2 - girls/pubic hair

A

sparse, long downy

50
Q

tanner stage 3 - girls/pubic

A

sparse, spreading

darker, coarser, curlier

51
Q

tanner stage 4 - girls/pubic

A

adult type, smaller area

52
Q

tanner stage 5 - girls/pubic

A

inverse triangle

meidal thigh surface

53
Q

perimenopausal period/age

A

40-45

54
Q

cervix color during pregnant

A

violet, blue

Chadwick’s sign

55
Q

what causes an increase risk of vaginitis

A 
oral BC
abx
DM
menses, postpartum, menopause
douching
feminine spray
local irritation
56
Q

pt positioning for female GU exam

A

HOB up

arms at side or across chest

57
Q

should you apologize about having to do an exam?

A

no

58
Q

thick, white, curdlike discharge

A

candidiasis

labia may be erythematous

59
Q

frothy, yellow, green discharge

A

trichamonas

60
Q

thin gray, fishy odor discharge

A

bacteria vaginosis

61
Q

green, malodorous discharge

A

gonorrhea

62
Q

Goodell’s sign

A

soft, velvety cervix

early indication of pregnancy; 5-6 weeks

63
Q

is a fallopian tube normally palpable?

A

no

64
Q

palpable, pulsation of fallopian tube suggests

A

ectopic pregnancy

65
Q

what is cystocele

A

bladder falls into vagina

66
Q

what is rectocele

A

rectum falls into vagina

67
Q

what is uterine prolaspe

A

uterus falls into vagina

68
Q

mixed incontinence

A

stress + urge mixed together

69
Q

overflow incontinence

A

frequent dribbling d/t inefficient bladder emptying

*spinal cord injuries, DM, neurological problems, enlarged prostate

N1109 - Physical Assessment (14 decks)

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