Male Exam

Question 1

What 3 columns of vascular erectile tissue for the shaft of the penis

Answer 1

Corpus spongiosum (1)
Corpora cavernosa (2)

Question 2

What does the corpus spongiosum form

Answer 2

bulb of the penis, ending in the cone shaped glans with its expanded base (corona)

Question 3

Where can smegma collect?

Answer 3

foreskin (prepuce)

Question 4

What is smegma?

Answer 4

secretions of the glans

Question 5

Describe the testes

Answer 5

ovoid, rubbery structures 4.5cm long

Question 6

Describe the scrotum

Answer 6

loose, wrinkled pouch divided into two compartments that contain testis

Question 7

What does the tunica vaginalis cover

Answer 7

testis- its a serous membrane

Question 8

Where is the epididymis? What does it do?

Answer 8

Provides a reservoir for storage, maturation and transport of sperm; located in posterolateral surface

Question 9

Where does the vas deferens go?

Answer 9

ascends within the scrotal sac (spermatic cord) and passes through the external inguinal ring on its way to the abdomen and pelvis

Question 10

Where is the inguinal canal

Answer 10

above and parallel to the inguinal ligament- forms a tunnel for the vas deferens

Question 11

How are inguinal hernias produced

Answer 11

loops of bowel force their way through weak areas of the inguinal canal

Question 12

Where do femoral hernias form

Answer 12

femoral canal

Question 13

What will a male gu/groin exam yield or exclude?

Answer 13

the etiology regarding abdominal pain

Question 14

Femoral hernia more common in

Answer 14

women

Question 15

Where is the point of origin for femoral hernia?

Answer 15

below the inguinal ligament

Question 16

What is the most common hernia

Answer 16

indirect

Question 17

Where is the point of origin for the indirect hernia

Answer 17

above the inguinal ligament

Question 18

When examining the inguinal canal, how will the indirect hernia present?

Answer 18

when asking patient to cough it will come down the inguinal canal and touch the finger

Question 19

Who usually gets direct hernias

Answer 19

men over 40

Question 20

Where is the point of origin for direct hernia

Answer 20

above inguinal ligament, close to pubic tubercle

Question 21

When examining the inguinal canal, how will the direct hernia present?

Answer 21

hernia bulges anteriorly and pushes to the side of the finger

Question 22

When checking for hernias how should the patient and provider be?

Answer 22

Patient stand and provider sit in chair or stool

Question 23

If a patient has a large mass in there scrotum, how do you determine if it is a hernia?

Answer 23

• have them lie down and if it disappears it is a hernia

- if the mass appears, listen with stethoscope and if bowel sounds heard- hernia

Question 24

If you transilluminate a scrotal mass and see red is it a hernia?

Answer 24

NO

Question 25

When inspecting the scrotum what are you assessing?

Answer 25

swelling, lumps, veins

Question 26

Where does the prostate gland lie against

Answer 26

anterior rectal wall

Question 27

Describe the prostate

Answer 27

round, heart shaped and normally 2.5cm long

Question 28

What lobes of prostate are palpable

Answer 28

lateral lobes and median sulcus

Question 29

What are you assessing with prostate exam?

Answer 29

size, shape and consistency of prostate; ID nodules or tenderness

Question 30

What is a normal prostate

Answer 30

rubbery and nontender

Question 31

What is a concerning prostate?

Answer 31

Firm and tender

Question 32

Abnormal scrotal findings

Answer 32

scrotal edema hydrocele- fingers get above mass scrotal hernia- fingers don't get above mass

Question 33

Abnormalities of Prostate

Answer 33

prostatitis BPH Cancer of prostate

Question 34

Peyronie's Disease

Answer 34

fibrosis part of penis--> bent erections

Question 35

Hypospadias

Answer 35

opening of penis on underside rather than tip

Question 36

RF for carcinoma of penis

Answer 36

smegma and HPV

Question 37

Condyloma acuminata

Answer 37

Genital warts due to HPV 6 and 11

Question 38

Genital herpes simplex due to

Answer 38

HSV 2

Question 39

Chancre

Answer 39

painless ulcer

Question 40

Chancroid

Answer 40

painful red papule or pustule that forms into and ulcer

Question 41

What to assess in sacrococcygeal and perianal areas

Answer 41

lumps, ulcers, inflammation, rashes and excoriations

Question 42

What to do if patient is too tender for internal exam

Answer 42

have them bear down and look for lesions, like anal fissure

Question 43

Signs of anal fissure

Answer 43

pain and BRB

Question 44

In the internal anal exam, what to assess for?

Answer 44

sphincter tone of anus, tenderness, induration, irregularities, or nodules

Question 45

- Testes is atrophied and lies in the inguinal canal or the abdomen, resulting in unfilled scrotum - No palpable testes or epididymis

Answer 45

Cryptochordism

Question 46

- Testes less than 2cm | - Small, soft testes suggesting atrophy

Answer 46

Klinfelter syndrome

Question 47

Klinfelter syndrome is common in

Answer 47

cirrhosis, myotonic dystrophy, use of estrogens and hypopituitarism

Question 48

- Testes is acutely inflamed, painful, tender, and swollen - Difficult to distinguish from epididymis - Scrotum is red - Unilateral

Answer 48

Acute orchitis

Question 49

Acute orchitis is common in

Answer 49

mumps and viral infections

Question 50

- painless nodule and overtime the testes is heavier

Answer 50

Testicular tumor

Question 51

When doing a prostate exam, where do we want to extend our finger into and sweep over?

Answer 51

above prostate into the region of seminal vesicles and the peritoneal cavity and sweep the anterior wall

Question 52

When feeling above the prostate, what do we feel for?

Answer 52

nodules or tenderness

Question 53

Findings common in area above prostate (rectal shelf)

Answer 53

peritoneal metastasis or the tenderness of peritoneal inflammation

Question 54

When you withdraw finger from anus, what must you note and do?

Answer 54

Note color of fecal matter and test for occult blood

Question 55

What is not an adequate screen for colon cancer

Answer 55

single fecal occult blood test

Question 56

RF testicular cancer

Answer 56

i. Crytochordism ii. History of carcinoma in the contralateral testicle iii. Mumps orchitis iv. Inguinal hernia v. Hydrocele as child

Question 57

Testicular self- exam

Answer 57

- Best performed after warm shower- heat relaxes scrotum - Stand in front of mirror and check for swelling on skin of scrotum - Examine each testicle separately - Cup testicle between thumb and fingers with both hands and roll it gently between fingers; may feel larger than the other which is normal; Assess for lumps and pain - Find epididymis at back of testicle

Question 58

Phimosis

Answer 58

tight prepuce that cannot be retracted over the glans

Question 59

Paraphimosis

Answer 59

- tight prepuce that, once retraced cannot be returned | - Edema ensues

Question 60

Balantis

Answer 60

inflammation of the glans