Male Exam

Question 1

What type of hernia develops at the internal inguinal ring, where the spermatic cord exits the abdomen?

Answer 1

Indirect inguinal hernia

Question 2

What type of hernia arises medially from weakness in the floor of the inguinal canal. Commonly as a result of straining/lifting.

Answer 2

Direct inguinal hernia

Question 3

What type of hernia is more likely to present as an emergenicy with bowel incarceration or strangulation?

Answer 3

Femoral hernia

Question 4

What are some causes of lacking libido?

Answer 4

1) psychogenic
2) endocrine
3) medications

Question 5

Yellow penile discharge is usually seen in ___________

Answer 5

gonorrhea

Question 6

White discharge is usually seen in _________

Answer 6

chlamydia

Question 7

What are some non-urogenital symptoms of disseminated gonorrhea?

Answer 7

rash, tenosynovitis (FINKELSTEIN), monoarticular arthritis, meningitis

Question 8

Testicular cancer is most commonly seen in what agegroup?

Answer 8

15-34

Question 9

_____________is a tight prepuce that cannot be retracted over the glans

Answer 9

Phimosis

Question 10

____________is a tight prepuce that, once retracted, cannot be returned

Answer 10

Paraphimosis

Question 11

Inflammation of the glans

Answer 11

Balanitis

Question 12

inflammation of the glans and prepuce

Answer 12

balanoposthitis

Question 13

congenital ventral displacement of the meatus on the penis

Answer 13

hypospadias

Question 14

Induration along the ventral surface of the penis suggests what?

Answer 14

1) urethral stricture

2) possible carcinoma

Question 15

A poorly developed scrotum on one side or both sides suggests __________________

Answer 15

cryptorchidism

Question 16

Common scrotal swellings include: (4)

Answer 16

1) inguinal hernias
2) hydroceles
3) scrotal edema
4) carcinoma (rarely)

Question 17

There may be dome-shaped white or yellow papules/nodules formed by occluded follicles filled with debris on the scrotum. Is this alarming? What is it?

Answer 17

Epidermoid cysts and common and benign

Question 18

Which of the following is NOT a cause of tender, painful scrotal swelling?

a) epididymitis
b) testicular cancer
c) orchitis
d) torsion of spermatic cord
e) strangulated inguinal hernia

Answer 18

b) testicular cancer

Question 19

You detect a thickened cystic like structure of the spermatic cord. What is this?

Answer 19

Hydrocele of the cord, 2nd to chronic infection of the vas deferens

Question 20

What common scrotal swelling can be diagnosed by transillumination.

Answer 20

hydrocele

Question 21

True or False: A mass in the scrotum that disappears when the patient lies down is a scrotal hernia.

Answer 21

True

Question 22

A plaque or scar tissue on the top of the shaft which causes the penis to bend.

Answer 22

Peyronie’s Dz

Question 23

Which testicle usually hangs lower?

Answer 23

Left

Question 24

What type of hernia is the most common?

Answer 24

Indirect hernia (follows path made by testicles through the inguinal canal)

Question 25

Your 15 year old patient has an acutely painful, tender and swollen testicle. You notice it seems to be retracted. What do you suspect?

Answer 25

testicular torsion

Question 26

What are the surgical emergencies?

Answer 26

1) incarcerated hernia with strangulation

2) testicular torsion