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Male Exam Flashcards

1
Q

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

A 
Corpus spongiosum (1)
Corpora cavernosa (2)
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2
Q

What does the corpus spongiosum form

A

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

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3
Q

Where can smegma collect?

A

foreskin (prepuce)

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4
Q

What is smegma?

A

secretions of the glans

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5
Q

Describe the testes

A

ovoid, rubbery structures 4.5cm long

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6
Q

Describe the scrotum

A

loose, wrinkled pouch divided into two compartments that contain testis

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7
Q

What does the tunica vaginalis cover

A

testis- its a serous membrane

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8
Q

Where is the epididymis? What does it do?

A

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

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9
Q

Where does the vas deferens go?

A

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

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10
Q

Where is the inguinal canal

A

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

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11
Q

How are inguinal hernias produced

A

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

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12
Q

Where do femoral hernias form

A

femoral canal

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13
Q

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

A

the etiology regarding abdominal pain

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14
Q

Femoral hernia more common in

A

women

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15
Q

Where is the point of origin for femoral hernia?

A

below the inguinal ligament

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16
Q

What is the most common hernia

A

indirect

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17
Q

Where is the point of origin for the indirect hernia

A

above the inguinal ligament

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18
Q

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

A

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

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19
Q

Who usually gets direct hernias

A

men over 40

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20
Q

Where is the point of origin for direct hernia

A

above inguinal ligament, close to pubic tubercle

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21
Q

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

A

hernia bulges anteriorly and pushes to the side of the finger

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22
Q

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

A

Patient stand and provider sit in chair or stool

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23
Q

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

A
  • 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

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24
Q

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

A

NO

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25
Q

When inspecting the scrotum what are you assessing?

A

swelling, lumps, veins

26
Q

Where does the prostate gland lie against

A

anterior rectal wall

27
Q

Describe the prostate

A

round, heart shaped and normally 2.5cm long

28
Q

What lobes of prostate are palpable

A

lateral lobes and median sulcus

29
Q

What are you assessing with prostate exam?

A

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

30
Q

What is a normal prostate

A

rubbery and nontender

31
Q

What is a concerning prostate?

A

Firm and tender

32
Q

Abnormal scrotal findings

A

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

33
Q

Abnormalities of Prostate

A

prostatitis
BPH
Cancer of prostate

34
Q

Peyronie’s Disease

A

fibrosis part of penis–> bent erections

35
Q

Hypospadias

A

opening of penis on underside rather than tip

36
Q

RF for carcinoma of penis

A

smegma and HPV

37
Q

Condyloma acuminata

A

Genital warts due to HPV 6 and 11

38
Q

Genital herpes simplex due to

A

HSV 2

39
Q

Chancre

A

painless ulcer

40
Q

Chancroid

A

painful red papule or pustule that forms into and ulcer

41
Q

What to assess in sacrococcygeal and perianal areas

A

lumps, ulcers, inflammation, rashes and excoriations

42
Q

What to do if patient is too tender for internal exam

A

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

43
Q

Signs of anal fissure

A

pain and BRB

44
Q

In the internal anal exam, what to assess for?

A

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

45
Q
  • Testes is atrophied and lies in the inguinal canal or the abdomen, resulting in unfilled scrotum
  • No palpable testes or epididymis
A

Cryptochordism

46
Q
  • Testes less than 2cm

- Small, soft testes suggesting atrophy

A

Klinfelter syndrome

47
Q

Klinfelter syndrome is common in

A

cirrhosis, myotonic dystrophy, use of estrogens and hypopituitarism

48
Q
  • Testes is acutely inflamed, painful, tender, and swollen
  • Difficult to distinguish from epididymis
  • Scrotum is red
  • Unilateral
A

Acute orchitis

49
Q

Acute orchitis is common in

A

mumps and viral infections

50
Q
  • painless nodule and overtime the testes is heavier
A

Testicular tumor

51
Q

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

A

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

52
Q

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

A

nodules or tenderness

53
Q

Findings common in area above prostate (rectal shelf)

A

peritoneal metastasis or the tenderness of peritoneal inflammation

54
Q

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

A

Note color of fecal matter and test for occult blood

55
Q

What is not an adequate screen for colon cancer

A

single fecal occult blood test

56
Q

RF testicular cancer

A

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

57
Q

Testicular self- exam

A
  • 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
58
Q

Phimosis

A

tight prepuce that cannot be retracted over the glans

59
Q

Paraphimosis

A
  • tight prepuce that, once retraced cannot be returned

- Edema ensues

60
Q

Balantis

A

inflammation of the glans

! (11 decks)

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