Genitourinary Assessment

Question 1

males

Answer 1

penis, passage of urine, canal for semen, circumcised or not, testicles, epididymis, vas deferens, seminal vesicles, prostate gland

Question 2

When does puberty begin for males?

Answer 2

9-13, testosterone, secondary sex characteristics

Question 2

prostate gland

Answer 2

walnut shaped, urethra runs through

Question 3

kidneys

Answer 3

removes/filters waste, maintains volume status, regulates acid/base, regulate bp, endocrine - erythropoietin/vitamin D

Question 4

frequency

Answer 4

go multiple times

Question 4

Male history/present complaints

Answer 4

dysuria, frequency, urgency, polyuria, hematuria, nocturia, urinary incontinence, penile discharge, pain in genital region, lesions. onset, frequency, duration/quality, associated symptoms

Question 5

dysuria

Answer 5

difficulty urinating

Question 6

polyuria

Answer 6

excessive urination

Question 6

nocturia

Answer 6

urination at night

Question 7

urgency

Answer 7

need to urinate immediately

Question 8

hematuria

Answer 8

blood in urine

Question 9

male past medical history

Answer 9

history of problems, sexual history, chronic conditions, past surgeries, finding on self exam. family medical history - deaths, chronic disease, congenital birth defects

Question 10

male social history

Answer 10

tobacco, alcohol, recreational drugs, exercise, occupation

Question 11

Review of important systems male

Answer 11

general - fever, skin - rash, respiratory - cough, GI - n/v, musculoskeletal - aches/edema

Question 12

exam set up

Answer 12

gloves, comfortable temp, gown, draping, flashlight, supine

Question 13

Exam techniques

Answer 13

blunt percussion CVA, palpate kidneys, percussion to determine bladder volume

Question 14

Female urinary system

Answer 14

urethra carries urine from bladder to outside by urinary meatus. 3.5cm long, opening above vagina introitus

Question 15

Female health history

Answer 15

common complaints - pelvic pain, vaginal bleeding, discharge, lesions, dysuria, hematuria, frequency, urgency, incontinence, abnormal bleeding

Question 16

Female past medical history

Answer 16

onset of menses, last GYN/GU exam, pregnancies, sexual activity, past GU problems

Question 17

Female social history

Answer 17

stress, hobbies, personal hygiene, tobacco, alcohol, recreational drugs

Question 18

GYN exam

Answer 18

assistant in room, empty bladder before, draping, assess, inspect

Question 19

Female manifestations in other systems

Answer 19

fever/chills, respiratory, n/v, altered mental status

Question 20

Newborns

Answer 20

should void w/n 24 hrs, foreskin. males assess for hypospadias, epispadias, cryptorchidism. females - mother’s estrogen can cause mucoid discharge/psuedomenstruation

Question 21

hypospadias

Answer 21

opening of urethra on underside of penis instead of tip

Question 22

Epispadias

Answer 22

urethra ends in opening on upper aspect of penis

Question 23

Cryptorchidism

Answer 23

one or both testes fail to descend from abdomen to scrotum

Question 24

Pregnancy

Answer 24

uterus enlarges as pregnancy progresses, hormonal changes, pressure from uterus/increase in blood volume, can cause renal structure changes. often experience nocturia, frequency, urgency

Question 25

pediatrics

Answer 25

generally UTIs over 2, regression from potty training could be UTI, UTIs increase in sexually active adolescents

Question 26

elders

Answer 26

bladder muscles weaken, vaginal pH changes with menopause, meds can cause urinary frequency, UTIs in older adults have different symptoms - shortness of breath, confusion, chest pain, assess sexual activity

Question 27

hernias

Answer 27

inguinal, umbilical

Question 28

Inguinal hernia

Answer 28

tissue protrudes through weak spot in abdominal muscles - bulge can be painful when coughing/bending over/sneezing/lifting heavy object

Question 29

Umbilical hernia

Answer 29

bowel or fatty tissues protrudes into umbilicus

Question 30

Types of urinary incontinence

Answer 30

stress, urge, mixed, temporary

Question 31

Stress incontinence

Answer 31

during activities like coughing, laughing, sneezing, exercising

Question 32

Urge incontinence

Answer 32

strong sudden urge

Question 33

Mixed incontinence

Answer 33

mix of stress and urge, may leak w/ laugh or sneeze

Question 34

Temporary incontinence

Answer 34

illness like UTI that causes frequent/sudden urination