Genito-Urinary

Question 1

-bulge through the external inguinal ring that increases in size with straining or crying

Answer 1

Inguinal Hernia

Question 2

• bulge through the external inguinal ring that increases in size with straining or crying
• irritability, tender abdomen, and vomiting
• unsuccessful reduction

Answer 2

Incarcerated inguinal hernia

Question 3

-painless testicular mass that transilluminates and does not reach the inguinal ring

Answer 3

Hydrocele

Question 4

• tender inguinal mass with red skin and warmth to the touch

- infection distal to the node

Answer 4

inguinal lymphadenitis

Question 5

• left sided testicular swelling
• heavy sensation
• bag of worms

Answer 5

Varicocele

Question 6

-pink vaginal DC in an otherwise healthy newborn

Answer 6

Maternal Estrogen Withdrawal

Question 7

• cyclic abdominal pain, midline abdominal mass, bulging bluish hymen
• girl who has reached full sexual maturity

Answer 7

Imperforate Hymen

Question 8

• collection of fluid in the uterus
• imperforate hymen and retained menstrual fluids
• Must perform a physical exam

Answer 8

hydrometrocolpos

Question 9

• vaginal irritation , pain and pruritis, dysuria
• Causes: pinworms, GABHS, Staph, Candida, CT, GC, trich, HSV
• poor hygiene, chemical irritants, foreign body

Answer 9

Vulgovaginitis

Question 10

-soft masses which are non-erythematous and occur in the absence of vaginal DC or bleeding

Answer 10

Bartholin Gland Cysts

Question 11

• Tx: orchiopexy by 1 yo
• the longer it remains, the increased risk of infertility
• bringing testicle down, decreases risk of infertility but it doesn’t reduce risk of malignancy
• other testicle has a higher malignancy risk

Answer 11

Undescended Testicle

Question 12

Silver Russell Syndrome
Lawrence-Moon Biedl Syndrome
Opitz Syndrome
Beckwidth Wiedeman Syndrome

Answer 12

Hypospadias

Question 13

• micropenis
• poor feeding
• Hypotonia

Answer 13

Prader-Willi

Question 14

• micropenis

- hypoglycemia, septo-optic dysplasia, and anosmia

Answer 14

Kallmann Syndrome

Question 15

-Abnormal penile length

Answer 15

<2.5cm

Question 16

• unilateral scrotal pain, dysuria, and fever
• no testicular mass or urethral DC
• cremaster maintained
• low lying testicle
• WBCs in UA

Answer 16

Epididymitis

Question 17

• elevation of the testicle makes the pain worse
• absent cremasteric reflex
• high riding testicle

Answer 17

Testicular torsion

Question 18

-tightness of the foreskin which prevents retraction after the age of 3

Answer 18

Phimosis

Question 19

-Inflammation of the glans penis associated with phimosis

Answer 19

Balanitits

Question 20

• tiny white bumps on the tip of the penis

- reassurance

Answer 20

Inclusion Cysts

Question 21

• flesh colored verrucous lesions
• HPV
• non-tender but will bleed with minor trauma
• risk factor for development of cervical cancer

Answer 21

Condyloma accuminata

Question 22

• secondary syphilis
• whitish-grey papules that have coalesced in the genital area
• flatter
• fever

Answer 22

Condyloma Lata

Question 23

• red, crusted suprapubic macules

- blue-grey dots (maculae cerulea)

Answer 23

Pubic lice

Question 24

• sudden lower abdominal pain which radiates to the back, side, groin, or leg with nausea and vomiting
• Diagnosis is made by surgery

Answer 24

Ovarian Torsion