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Assessment > Exam 4: Male GU > Flashcards

Exam 4: Male GU Flashcards

1
Q

Soft, pointed fleshy papules that occur on the genitalia and are caused by HPV

A

Condylomata acuminata

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2
Q

Undescended testes

A

Cryptorchidism

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3
Q

Inflammation of the urinary bladder

A

Cystitis

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4
Q

Structure composed of coiled ducts located over the superior and posterior surface of the testes, which stores sperm

A

Epididymis

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5
Q

Congenital defect in which urethra opens on the dorsal/upper side of the penis instead of at the tip

A

Epispadias

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6
Q

Congenital defect in which urethra opens on the dorsal/upper side of the penis instead of at the tip

A

Epispadias

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7
Q

Weak spot in abdominal muscle wall usually in area of inguinal canal or femoral canal through which a lopp of bowel may protrude

A

Hernia

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8
Q

A sexually transmitted infection characterized by clusters of small painful vesicles caused by a virus

A

Herpes genitalis

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9
Q

Cystic fluid in tunica vaginalis surrounding testis

A

Hydrocele

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10
Q

Acute inflammation of testis, usually associated with mumps

A

Orchitis

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11
Q

Foreskin is retracted and fixed behind the glans penis

A

Paraphimosis

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12
Q

Congenital defect in which urethral opens on the ventral/underside of penis rather than at the tip

A

Hypospadias

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13
Q

Nontender, hard plaques on the surface of the penis, associated with painful bending of penis during erection

A

Peyronie disease

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14
Q

Foreskin is advanced and tightly fixed over the glans penis

A

Phimosis

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15
Q

Foreskin/the hood or flap of the skin over the glans penis that often is surgically removed after birth by circumcision

A

Prepuce

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16
Q

Prolonged pain erection of penis without sexual desire

A

Priapism

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17
Q

Collection of vas deferens, blood vessels, lymphatics, and nerves that ascends along the testis and through the inguinal canal into the abdomen

A

Spermatic cord

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18
Q

Collection of vas deferens, blood vessels, lymphatics, and nerves that ascends along the testis and through the inguinal canal into the abdomen

A

Spermatic cord

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19
Q

Sudden twisting of spermatic cord, a surgical emergency

A

Torsion

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20
Q

Dilated tortuous varicose veins in the spermatic cord

A

Varicocele

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21
Q

Duct carrying sperm from the epididymis through the abdomen and then into the urethra

A

Vas deferens

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22
Q

Duct carrying sperm from the epididymis through the abdomen and then into the urethra

A

Vas deferens

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23
Q

This is a continuation of the ab wall
Contains rugae and the cremaster muscle
Its a loose but protective sac

A

Scrotum

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24
Q

This pulls your testicles up when you are cold and allows them to hang lower when warm

A

Cremaster muscle

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25
Q

This pulls your testicles up when you are cold and allows them to hang lower when warm

A

Cremaster muscle

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26
Q

These are suspended by the spermatic cord
The place of sperm production
Solid oval shape
Left is usually lower

A

Testes

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27
Q

The lymphatics of the penis/scrotal surface drain into..

A

inguinal lymph nodes

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28
Q

The lymphatics of the testes drain into..

A

the abdomen

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29
Q

The lymphatics of the testes drain into..

A

the abdomen

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30
Q

What are some results of aging in men

A 
Stay fertile
Sperm production decreases in middle age
Testosterone decreases
Less pubic hair
Penis can become smaller
Scrotum becomes more pendulous (hangs down lower)
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31
Q

What are some results of aging in men

A 
Stay fertile
Sperm production decreases in middle age
Testosterone decreases
Less pubic hair
Penis can become smaller
Scrotum becomes more pendulous (hangs down lower)
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32
Q

Sexual changes that can occur in males

A

Slower to get an erection

Shorter ejaculation

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33
Q

Sexual changes that can occur in males

A

Slower to get an erection

Shorter ejaculation

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34
Q 
Meds for HTN, depression, and anxiety
Losing a spouse
Work, marriage, or family conflicts
Alcohol
Less privacy (maybe in a hospital)
Poor nutrition may all cause...
A

Reduced sexual activity

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35
Q

Why is circumcision a good thing

A

It reduces your risk of STIs like syphilis, gonorrhea, herpes and warts
It also reduces HIV risk by 53%

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36
Q

Why is circumcision a good thing

A

It reduces your risk of STIs like syphilis, gonorrhea, herpes and warts
It also reduces HIV risk by 53%

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37
Q

Pain or burning with urination

A

Dysuria

38
Q

What subjective data should you ask about the penis

A

Pain or lesion?

39
Q

What subjective data should you ask about the scrotum

A

Swelling, lumps, change in size, hernias?

Do you do self testicular exams?

40
Q

What subjective data should you ask about the scrotum

A

Swelling, lumps, change in size, hernias?

Do you do self testicular exams monthly?

41
Q

What subjective data should you ask about the scrotum

A

Swelling, lumps, change in size, hernias?

Do you do self testicular exams monthly?

42
Q

How should a male be positioned for a testicular/penis exam

A

Draped, standing, with his underwear down

**Dont have cold hands

43
Q

How should the penis look

A

Hairless
Skin wrinkled and glans smooth
Urethral meatus should be central right at end of penis

44
Q

How should the penis look

A

Hairless
Skin wrinkled and glans smooth
Urethral meatus should be central right at end of penis

45
Q

You need a specimen container and slide for..

A

Unusual discharge of the penis

46
Q

Scrotal size varies with..

A

Temperature

47
Q

The scrotum will turn a darker color after..

A

Puberty

48
Q

While inspecting the scrotum you should spread the..

A

Rugae

49
Q

While inspecting the scrotum you should spread the..

A

Rugae

50
Q

The scrotum should feel..

A

Oval
Rubbery
Smooth
Firm

51
Q

Cystic fluid in tunica vaginalis surrounding testis

Fluid filled sac in the scrotum can be found by trans-illuminating the scrotum

A

Hydrocele

52
Q

The scrotum should feel..

A

Oval
Rubbery
Smooth
Firm

53
Q

Auscultating bowel sounds in a testicular mass could mean..

A

Hernia

54
Q

Auscultating bowel sounds in a testicular mass could mean..

A

Hernia

55
Q

To palpate for a hernia on the inguinal canal on the right side, have him lay on his..

A

Left side

56
Q

To palpate for a hernia on the inguinal canal on the right side, have him lay on his..

A

Left side

57
Q

How do you palpate the inguinal canal

A

Index finger on lower part of scrotum
Palpate up the spermatic cord
Have them bear down to inspect for hernias
Palpate femoral area for a buldge

58
Q

How do you palpate the inguinal canal

A

Index finger on lower part of scrotum
Palpate up the spermatic cord
Have them bear down to inspect for hernias
Palpate femoral area for a buldge

59
Q

What do normal lymph nodes feel like

A 
Its normal to feel 1 or 2 isolated inguinal nodes
Less than 1 cm
Soft 
Discrete
Movable
60
Q

What do normal lymph nodes feel like

A 
Its normal to feel 1 or 2 isolated inguinal nodes
Less than 1 cm
Soft 
Discrete
Movable
61
Q

How often should a man do testicular self exams

A

Once a month after puberty and on

62
Q

Before birth testicles are in the inguinal region and after birth are in the scrotum..Caucasians have a risk for an..

A

Undescended testicle

63
Q

Before birth testicles are in the inguinal region and after birth are in the scrotum..Caucasians have a risk for an..

A

Undescended testicle

–the cure rate is good

64
Q

What does TSE stand for in testicular self exam

A

Timing: once a month after puberty
Shower: check in the shower with warm water
Examine

65
Q

What does TSE stand for in testicular self exam

A

Timing: once a month after puberty
Shower: check in the shower with warm water
Examine: hold scrotum in palm of head and feel with thumb and middle & index finger

66
Q

What does TSE stand for in testicular self exam

A

Timing: once a month after puberty
Shower: check in the shower with warm water
Examine: hold scrotum in palm of head and feel with thumb and middle & index finger, should be egg shaped

67
Q

What does TSE stand for in testicular self exam

A

Timing: once a month after puberty
Shower: check in the shower with warm soapy water
Examine/Egg shaped: hold scrotum in palm of head and feel with thumb and middle & index finger, should be egg shaped

68
Q

Call a doctor for abnormal lumps in the scrotum which feel..

A

Hard, painless, firm, and enlarged

69
Q

Call a doctor for abnormal lumps in the scrotum which feel..

A

Hard, painless, firm, and enlarged

70
Q

Gradual enlargement of the prostate is..

A

Normal

71
Q

These prostate exams are recommended annually at age 50

A

PSA or DRE

72
Q

What is a DRE

A

Digital rectal exam

-putting a gloved lubricated finger into the rectum and feeling the surface, its used with PSA

73
Q

What is a PSA

A

Prostate specific antigen test

  • measures a protein produced by prostate cells
  • risk for cancer goes up when PSA levels go up
74
Q

What is BPH

A

Benign prostatic hyperplasia

-age associated prostate gland enlargment that can cause urinary difficulties

75
Q

What is BPH

A

Benign prostatic hyperplasia

  • age associated prostate gland enlargment that can cause urinary difficulties
  • can cause a false positive with a PSA test
76
Q

Begins as a red, raised, warty growth or ulcer
Has watery discharge
May necrose and slough as it grows
Usually painless
Almost always on glans or the inner lip of foreskin
Follows chronic inflammation
Enlarged lymph nodes are common

A

Carcinoma

77
Q

Begins as a red, raised, warty growth or ulcer
Has watery discharge
May necrose and slough as it grows
Usually painless
Almost always on glans or the inner lip of foreskin
Follows chronic inflammation
Enlarged lymph nodes are common

A

Carcinoma

78
Q

STI marked by small pumps

A

Genital warts/HPV

79
Q

STI marked by pain and sores

A

Genital herpes/HSV2

80
Q

Small hard deposit that forms in the kidneys and is painful when passed, also called a kidney stone

A

Renal calculi

81
Q

Abnormal narrowing of the urethra (tube that carries the urine out of the body)

A

Urethral stricture

82
Q

Abnormal narrowing of the urethra (tube that carries the urine out of the body)

A

Urethral stricture

83
Q

Urethral discharge will need to be..

A

Cultured

84
Q

Thick, profuse, yellow, or gray/brown discharge

Comes with an infection of the urethra

A

Gonococcal urethritis

85
Q

Undescended or absent testes

A

Cryptorchidism

86
Q

Foreskin is retracted and fixed behind the glans penis

This cuts off circulation

A

Paraphimosis

87
Q

Foreskin is advanced and tightly fixed over the glans penis

Cant get it retracted

A

Phimosis

88
Q

Thick, profuse, yellow, or gray/brown discharge

Comes with an infection of the urethra

A

Gonococcal urethritis

89
Q

A cyst in the epididymis/testes filled with milky fluid containing sperm

A

Spermatocele

90
Q

Cystic fluid in tunica vaginalis surrounding testis
Fluid filled sac in the scrotum can be found by trans-illuminating the scrotum
Cyst around the testes

A

Hydrocele

Assessment (11 decks)

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