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Clinical Assess 3 > Male > Flashcards

Male Flashcards

1
Q

Prostate and Rectal Exam steps

A

Inspection

  • Anus

Palpation

  • Rectum
  • Prostate

Additional

  • Check for occult blood
  • Clean up patient
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2
Q

Compare/Contrast Inguinal Hernias: Direct versus Indirect

A
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3
Q

Identify the Inguinal Hernia: Direct versus Indirect

Physical Exam

  • Palpable mass at side of finger outside of inguinal canal
  • No scrotal mass
A

Direct hernia

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4
Q

Male Inspection (4 items)

A
  1. Tanner stage
  2. Penis
  3. Foreskin
  4. Scrotum

<<check for hernias>></check>

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5
Q

Identify:

  • Urgent and frequent urination
  • nocturia
  • double voiding
  • split stream
  • straining
A
  • Benign prostatic hyperplasia (BPH)
  • Hydronephrosis secondary to BPH
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6
Q

Testicular cancer is the most common cancer in American males between the ages of __________

A

15 and 34

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7
Q

Is testicular cancer treatable?

A

Highly treatable

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8
Q

Male palpation

A
  1. Penis
  2. Scrotum—testes

<<check for hernias>></check>

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9
Q

Guaiac negative means what?

A

Occult blood test negative

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10
Q

Male Tanner Staging:

  • Prepubertal
  • Villus hair only
A

Stage 1

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11
Q

Common hernia sites: Name the hernia

  • (in inguinal canal)
A

Indirect inguinal hernia (in inguinal canal)

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12
Q

_______ is a Swollen male breast tissue caused by a hormone imbalance.

A

gynecomastia

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13
Q

Signs/symptoms of Hydronephrosis secondary to Benign Prostatic Hyperplasia (BPH)

A
  1. Urgent and frequent urination
  2. nocturia
  3. double voiding
  4. split stream
  5. straining
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14
Q

The need strain or push (called _______) to initiate and maintain urination in order to more fully evacuate the bladder

A

Valsalva maneuver

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15
Q

Identify the Inguinal Hernia: Direct versus Indirect

History

  • Men over 40
  • Large, painless groin mass for many years
A

Direct hernia

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16
Q

What is a secondary complication of Benign prostatic hyperplasia (BPH)?

A

hydronephrosis

17
Q

Common hernia sites: Name the hernia

  • (external opening to femoral canal)
A

Femoral hernia

18
Q

Clinical staging of prostatic carcinoma. Identify the stage:

  • Tumor has extended beyond the prostatic capsul to involve adjacent structures
A

C

Extensive carcinoma

19
Q

_________ occurs when a portion of the small intestine enters the inguinal canal

A
  • inguinal hernia
20
Q

Male Tanner Staging:

  • Enlargement of penis (length at first); further growth of testes
  • Thicker, curlier hair spreads to the mons pubis
A

Stage 3

21
Q

Male Tanner Staging:

  • Adult genitalia
  • Adult-type hair with spread to medial thigh
A

Stage 5

22
Q

Male Tanner Staging:

  • Enlargement of scrotum and testes; scrotum skin reddens and changes in texture
  • Sparse growth of slightly pigmented hair at base of penis
A

Stage 2

23
Q

Identify the Inguinal Hernia: Direct versus Indirect

Physical Exam

  • Palpable mass at tip of finger in inguinal canal
  • Large mass in scrotum
A

INdirect hernia

24
Q

Identify the Inguinal Hernia: Direct versus Indirect

History

  • Most common
  • Painless scrotal mass
A

INdirect hernia

25
Q

Presentation of testicular cancer

A
  1. Mass or swelling in either testicle
  2. Dull ache in the back or lower abdomen
  3. Gynecomastia (Swollen male breast tissue caused by a hormone imbalance)
  4. Testicular discomfort/pain
  5. a feeling of heaviness in the scrotum
26
Q

Clinical staging of prostatic carcinoma. Identify the stage:

  • Tumor is confined to the prostate
A

A and B

Local carcinoma

27
Q

Common hernia sites

A
  1. Indirect inguinal hernia (in inguinal canal)
  2. Femoral hernia (external opening to femoral canal)
  3. Direct inguinal hernia
28
Q

Clinical staging of prostatic carcinoma. Identify the stage:

  • Lymph node or distant metastases are present
A

D

Extensive carcinoma

29
Q

Male Tanner Staging:

  • Increased size of penis with growth in breadth and development of glans; testes and scrotum larger, scrotum skin darker
  • Adult type hair but no spread to medial thigh
A

Stage 4

30
Q

Male Tanner Staging:

  • Approximate age of onset
  • Approximate age of completed development
A

Onset: 10-13 y

Complete: 14-18 y

Clinical Assess 3 (8 decks)

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