GI/GU

Question 1

What is the corona?

Answer 1

refers to the circumference of the base of the glans penis which forms a rounded projecting border

Question 2

When does sperm production begin to decrease?

Answer 2

40 years

Question 3

What is Tanner’s ecual maturity rating?

Answer 3

a system used by healthcare professionals to track and document the physical changes that occur during puberty in children

Question 4

When does testosterone production begin to decline gradually?

Answer 4

after age 55

Question 5

What is paraphimosis?

Answer 5

a urologic emergency where the foreskin, after being retracted (pulled back), becomes trapped behind the head of the penis (glans) and forms a tight, constricting ban

Question 6

What is smegma?

Answer 6

sebaceous secretion that collects under the prepuce (foreskin) of the penis
-cheese like substance

Question 7

What step must be taken to inspect an uncircumcised male?

Answer 7

retract foreskin to inspect glans

Question 8

What is phimosis?

Answer 8

unable to retract foreskin over glans; too tight

Question 9

T or F: If the left scrotal sac appears to hang lower than the right, patient may be at risk for scrotal displacement.

Answer 9

FALSE- asymmetry is normal

Question 10

What is the most common type of abdominal hernia?

Answer 10

indirect inguinal hernia

Question 11

When is a testicular self exam (TSE) best performed?

Answer 11

After a warm shower or bath

Question 12

Where are cancerous lumps found on the testicles?

Answer 12

usually on the lateral aspect but can show up on the front

Question 13

How often should a TSE be performed?

Answer 13

Once a month

Question 14

Which demographic is most susceptible to testicular cancer?

Answer 14

caucasian men aged 15-49

Question 15

What is the second most common cancer in Canadian men?

Answer 15

prostate

Question 16

Where are Skene’s glands located?

Answer 16

surround female urethral meatus

Question 17

Where are Bartholin’s glands located?

Answer 17

on either side of the vaginal oriface

Question 18

How is the patient positioned for a female GU exam?

Answer 18

lithotomy

Question 19

What should you always have the patient do before beginning a GI or GU exam?

Answer 19

empty their bladder

Question 20

What is the proper abdominal assessment sequence?

Answer 20

Inspect, auscultate, percuss, & palpate

Question 21

What are the 4 ways to describe the contour of the abdomen?

Answer 21

scaphoid
flat
rounded
protuberant

Question 22

What do bowel sounds sound like?

Answer 22

High pitched gurgling – irregular – should hear 5-30 times

Question 23

In what quadrant do we start bowel auscultation in?

Answer 23

RLQ – usually sounds are heard – ileocecal valve – continue clockwise

Question 24

What do hyperactive bowel sounds sound like and what do they mean?

Answer 24

tingling, loud, high pitched - heard in diarrhea, constipation

Question 25

List and describe the abdominal vascular landmarks.

Answer 25

Aorta: slightly below the xiphoid process midline with the umbilicus Renal Arteries: go slightly down to the right and left at the aortic site Iliac arteries: go few a inches down from the belly button at the right and left sides to listen Femoral arteries: found in the right and left groin

Question 26

How many spots do we percuss the abdomen?

Answer 26

at least 2 areas in each quadrant

Question 27

What is the normal percusing bowel sound?

Answer 27

tympany

Question 28

How deep do we depress the skin during light palpation?

Answer 28

1cm

Question 29

How far do we depress the skin for deep palpation? What is this used for?

Answer 29

5-8cm; feeling for organs and masses

Question 30

When the patient reports that a certain abdominal spot is tender, it is best to: A- Palpate that spot last, to prevent pain from interfering with the rest of the examination. B-Palpate that spot first, to avoid prolonging the patient’s anticipation. Avoid that spot entirely, as other clinicians are going to palpate it after you. C-Palpate in the same order as you always would, to avoid missing something because you broke your routine.

Answer 30

A

Question 31

Which of the following is not part of the list of common causes for abdominal distension? A- Flatus B- Fetus C- Fluid D- Follicles

Answer 31

D

Question 32

RUQ Contents:

Answer 32

Liver Gallbladder Duodenum Head of pancreas Right kidney/adrenal gland Hepatic flexure of colon Parts of ascending and transverse colon

Question 33

LUQ Contents:

Answer 33

Stomach Spleen Left lobe of liver Body of pancreas Left kidney/adrenal gland Splenic flexure of colon Parts of transverse and descending colon

Question 34

RLQ Contents:

Answer 34

Cecum Part of ascending colon Appendix Right ovary/fallopian tube Right ureter Right spermatic cord

Question 35

LLQ Contents:

Answer 35

Part of descending colon Sigmoid colon Left ovary/fallopian tube Left ureter Left spermatic cord