male exam 1

Question 1

which section of the anal canal is sensitive to pain and innervated by somatic sensory nerves?

Answer 1

lower half

Question 2

which section of the anal canal is under autonomic control and relatively insensitive?

Answer 2

upper half

Question 3

what portion of the prostate is accessible during DRE?

Answer 3

posterior surface

Question 4

what is made of smooth muscle and under involuntary autonomic control?

Answer 4

internal sphincter

Question 5

what is made of striated muscle and under voluntary control?

Answer 5

external sphincter

Question 6

the urge to defecate is caused by stimulation of?

Answer 6

internal sphincter

Question 7

actual defecation is controlled by?

Answer 7

external sphincter

Question 8

what is the nerve supply to the lower half of anal canal?

Answer 8

somatic sensory nerves

Question 9

where is the prostate located?

Answer 9

base of the bladder surrounding the urethra

Question 10

what percent of men over 70 have BPH?

Answer 10

70-90%

Question 11

consistency of prostate with BPH?

Answer 11

boggy, squishy, smooth

SHOULD BE NONTENDER

Question 12

why is BPH a problem?

Answer 12

acute urinary retention may occur causing recurrent infections

Question 13

incomplete bladder emptying leads to?

Answer 13

urinary stasis

Question 14

what is the 2nd leading cancer death in males over 65?

Answer 14

prostate cancer

Question 15

how many men will have prostate cancer?

Answer 15

1 in 6

Question 16

most common type of prostatic carcinoma?

Answer 16

adenocarcinoma

Question 17

cancer from the prostate is responsible for what amount of metastasis?

Answer 17

60% of all skeletal metastasis

Question 18

what are the risk factors for prostate cancer?

Answer 18

over 50
african american
diet high in animal fat

Question 19

what are other causes of hard nodules on the prostate besides cancer?

Answer 19

prostatic calculi
prostatic TB
prostate granulomata

Question 20

what are normal PSA levels?

Answer 20

less than 4 ng/ml

4-10 borderline
over 10 high

Question 21

symptoms of acute prostatitis?

Answer 21

high fever, flu like, perineal, prostate and LBP
urinary obstruction
dysuria, nocturia, hematuria
arthralgia and myalgia

Question 22

what are DRE results of acute prostatitis?

Answer 22

enlarged and warm and VERY painful

Question 23

what develops as a complication of acute prostatitis, urethritis and epididymitis?

Answer 23

prostate abscess

Question 24

what is the MC cancer in young men?

Answer 24

testicular

Question 25

fluid filled scrotum

Answer 25

hydrocele

Question 26

congenital defect, urethral opening on DORSUM of penis

Answer 26

epispadius

Question 27

urethral opening on VENTRAL surface of penis

Answer 27

hypospadius

Question 28

inflammation of glans and prepuce

Answer 28

balanoposthitis

Question 29

swelling of glans

Answer 29

balantitis

Question 30

tight foreskin will not retract over glans

Answer 30

phimosis

Question 31

prolonged painful erection

Answer 31

priapism HEMOGLOBINOPATHIES- sickle cell or leukemia

Question 32

describe torsion of testis on spermatic cord

Answer 32

babies to teens pain nausea, vomit surgical emergency

Question 33

describe epididymitis

Answer 33

bacterial infection teens to adults gradual onset of pain, fever nodular epididymus

Question 34

what is a sebaceous material secreted by glans penis and epithelium

Answer 34

smegma

Question 35

testicular tumors are usually

Answer 35

malignant

Question 36

what can HPV cause in men?

Answer 36

penile cancer

Question 37

what causes a painless erosion at or near coronal sulcus; mucus plug before AM urination?

Answer 37

chlamydia

Question 38

what causes watery or purulent discharge from penis?

Answer 38

gonorrhea

Question 39

testicular cancer is 5x more common in?

Answer 39

caucasian males

Question 40

what increases testicular cancer risk?

Answer 40

cryptorchidism or elevated testicular temp for long period of time

Question 41

what is the common age range for testicular cancer?

Answer 41

20-35

Question 42

highest city prevalence of HIV

Answer 42

washington DC

Question 43

common clinical concerns of AIDS patients

Answer 43

MI osteoporosis lipodystrophy, lipoatrophy

Question 44

what is 100x easier to catch than HIV because it can live outside the body for several days?

Answer 44

Hep B

Question 45

low testosterone is associated with?

Answer 45

declining cognition

Question 46

what is the 2nd leading cause of cancer death in US?

Answer 46

colon cancer

Question 47

hypogonadism of andropause causes?

Answer 47

decreased: cognition, libido, coronary vasodilation, hemoglobin obesity, heart disease and osteoporosis

Question 48

low vit D and calcium in diet is risk factor for?

Answer 48

colon cancer

Question 49

when should you get a colonoscopy?

Answer 49

over 50 unless risk factors | every 5-10 after that

Question 50

colorectal cancer screening could save how many lives per year?

Answer 50

18,800

Question 51

what is the 3rd most common type of cancer and 2nd most common cause of cancer death?

Answer 51

colorectal cancer

Question 52

what population is at greatest risk of colorectal cancer?

Answer 52

AA and alaska natives

Question 53

what is the number assigned to prostate cancer severity?

Answer 53

gleason score

Question 54

gleason score good and bad?

Answer 54

big is bad 1= good 5= bad

Question 55

what is the worst case scenario for gleason score?

Answer 55

gleason 10= both areas given score of 5

Question 56

what is the term for radioactive seeds planted in prostate?

Answer 56

brachytherapy