Exam one (male) Flashcards

1
Q

Every adolescent/adult male should do a self exam how often?

A

monthly

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2
Q

What can a male self exam detect?

A

detect tumors, detect disease, or infections

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3
Q

What is the most common cancer amongst young men?

A

testicular cancer

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4
Q

When is the best time to do a male self exam?

A

while bathing (warmth)

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5
Q

Educate your patients about signs and symptoms of an STI. What are they?

A

reddened urethral meatus, swollen lymph nodes, pain/burning with urinations, discharge from penis (gonorrhea), lesions, sores, bumps, discoloration on penis (varies depending on STI), pain or itching on penis (herpes possibly)

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6
Q

What are the curable STIs?

A

gonorrhea, syphilis and chlamydia (CGs)

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7
Q

What are the three most common STIs?

A

HPV, herpes, chlamydia

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8
Q

What are the risk factors for colorectal cancer?

A

> 50 years old, Gardner syndrome, Ashkenazi Jewish decent, diet high in beef and animal fast and low in fiber

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9
Q

What is the most common sexually transmitted infection?

A

HPV

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10
Q

What are genital warts cause by HPV called?

A

condyloma acuminata

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11
Q

These are soft, painless warty-like lesions on the penis.

A

condyloma acuminata

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12
Q

Where are the common places to find condyloma acuminata?

A

prepuce, glans, shaft and within the urethra

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13
Q

Transmission of genital herpes are more like to occur from what type of partners?

A

infected male to a female partner

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14
Q

Genital herpes are more common in men or women?

A

women

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15
Q

This STI may present as a flu with initial infection.

A

genital herpes

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16
Q

Most frequently reported bacterial STI

A

chlamydia

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17
Q

What are the indications of chlamydia?

A

urethritis, watery urethral discharge, just a bit of crusty-ness

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18
Q

Is chlamydia curable?

A

yes with antibiotics

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19
Q

Temperature is a lifestyle factor that could increase temperature of the scrotum. Would a vericocele increase the temperature?

A

yes

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20
Q

Which STI usually presents as asymptomatic in men?

A

gonorrhea

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21
Q

What could be possible indications of gonorrhea in men?

A

urethritis and dysuria, white, yellow or green urethral discharge

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22
Q

What could possibly cause premature delivery or even stillbirth, cataracts, deafness, seizures or death?

A

congenital syphilis

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23
Q

How would someone get primary syphilis? (syphilitic chancre)

A

direct contact with a syphilitic sore

24
Q

How long would it take for a lesion of primary syphilis to occur?

A

2-3 weeks after exposure

25
Q

How long does a chancre (painless) last and how is it healed?

A

3-6 weeks it heals on its own

26
Q

Secondary syphilis occurs if primary is not treated, what are the indications of it?

A

skin rashes and/or mucous membrane lesions

27
Q

When do skin rashes of syphilis appear in regards to when the chancre appears?

A

skin rashes can appear from when the chancre is healing to several weeks after it is healed

28
Q

Where does a secondary syphilis rash appear?

A

palms and bottoms of the feet

29
Q

What does a secondary syphilis rash look like?

A

raised, gray or white lesion

30
Q

How to symptoms of secondary syphilis go away?

A

on their own

31
Q

How long can the latent stage of syphilis last? (late stages)

A

years

32
Q

How many people develop late stage syphilis?

A

about 15% of people who were not treated

33
Q

How long after syphilis was exposed to a patient can the latent stage appear?

A

10-30 years after

34
Q

What are the symptoms of latent stage syphilis?

A

difficulty coordinating movements, paralysis, numbness, gradual blindness, and dementia

35
Q

What is the initial diagnostic testosterone test called?

A

morning total testosterone

36
Q

What is the goal of testosterone therapy?

A

to induce and maintain secondary sex characteristics and improve sexual function, sense of well-being, muscle and strength, and bone mineral density

37
Q

What are the major contraindications of testosterone therapy?

A

heatocrit >50% and sleep apnea

38
Q

How can you naturally increase testosterone?

A

get enough sleep, maintain healthy weight, low glycemic diet, exercise, decrease stress (cortisol may block testosterone)

39
Q

If a patient has feels constipated but they have an empty bladder, what would you probably diagnose?

A

Hirschprung disease

40
Q

When would you do an adolescent rectal exam?

A

when there are symptoms related to the lower intestinal tract (make sure if this is their first exam, thoroughly explain to them what will take place-use models)

41
Q

Fecal impactions and polyps are common in what age range?

A

older adults

42
Q

Difficulty achieving and maintaining an erection may be associated with?

A

alcohol and medications

43
Q

What medications would cause a problem in achieving and maintaining an erection?

A

diuretics, sedatives, antihypertensive agents, anxiolytics, estrogens, inhibitors of androgen synthesis, antidepressants, cabazepine, erectile dysfunction agents

44
Q

What would increase ones likelihood of curvature of the penis in any direction with erection?

A

family history of the condition

45
Q

What kind of cysts are usually a congenital anomaly?

A

pilonidal cysts

46
Q

What kind of cyst is formed when loose hairs penetrate the skin in the sacroccygeal region?

A

pilonidal cysts

47
Q

What is the diagnosis of a pilonidal cyst?

A

usually asymptomatic

48
Q

What does a pilonidal cyst appear like?

A

as a dimple with a sinus tract opening

49
Q

What kind of STI causes anal warts?

A

HPV infection

50
Q

What is the MC squamous cell carcinoma associated with HPV?

A

anal carcinoma

51
Q

How might anal carcinoma appear?

A

raised erythematous mucosa, white scaling mucosa, pigmented mucosa, mucosal ulceration, verrucous lesion

52
Q

What is a major risk factor for anal cancer?

A

anal fistulas

53
Q

What is the diagnosis for an infection of soft tissue surrounding the anal canal with formation of discrete abscess cavity?

A

perianal abscess

54
Q

What is an infection of mucus-secreting anal glands?

A

perirectal abscess

55
Q

Perirectal abscesses are usually polymicrobial. T/F

A

true