General Dx - Rectal & Urogenital Exam

Question 1

progressive tailbone tenderness after physical activity or prolonged sitting
small opening (sinus tract) at lower sacrum/coccyx
small erythematous draining sinus or abscess
when infected may present as a gluteal strain

Answer 1

pilonidal cyst

Question 2

pilonidal cyst

Answer 2

acquired condition
midline pits in natal cleft
enlarged hair follicle in skin
may develop small abcess that may expand

Question 3

Renal cyst dx imaging

Answer 3

intravenous pyelogram

Question 4

healthy prostate palpation

Answer 4

firm smooth slightly moveable

Question 5

benign hypertrophy prostate palpation

Answer 5

rubbery or boggy

Question 6

Carcinoma of prostate palpation

Answer 6

stony and nodular

Question 7

nontender mass adjacent to testis that transilluminates

Answer 7

hydrocele

Question 8

PAINFUL and tender masses near testis could be

Answer 8

orchitis

epididymitis

Question 9

nontender, non-transilluminating mass near testis could be

Answer 9

tumor

Question 10

man lower abdomen pain
and
unilateral scrotal enlargement when upright

Answer 10

indirect hernia

Question 11

direct hernia

Answer 11

no bulging scrotum (like with indirect)