male genital and rectal

Question 1

normal diameter of urethral meatus

Answer 1

5mm

Question 2

what scrotal contents are you palpating for

Answer 2

• testes
• epididymis
• spermatic cord (vas deferens)

Question 3

highest incidence of testicular cancer is in what age group

Answer 3

15-35 yo

Question 4

hernia examination technique

Answer 4

1. move slowly
2. invaginate some scrotal skin
3. use “cross-handed” method
4. insert index finger into inguinal cana
5. ask patient to “turn your head and cough” or valsalva

Question 5

etiology of condyloma acuminata

Answer 5

genital warts: HPV

Question 6

clinical presentation

• umbilicated pearly papular lesions

Answer 6

Molluscum contagiosum

• benign viral condition

Question 7

clinical presentation

• acute phase begins as a painless papule that erodes into a painless ulcer

Answer 7

syphilitic chancre

*may become secondarily infected

Question 8

etiology of symphilitic chancre

Answer 8

Treponema pallidum

Question 9

what is the most common cause of non-gonococcal urethritis

Answer 9

chlamydia

Question 10

idiopathic condition resulting in fibrosis in the corpora cavernosa and may develop penile curvature, painful erections, and occasional erectile dysfunction. Firm plaques in penile shaft are palpable

Answer 10

Peyronie’s disease

Question 11

clinical presentation

• firm nodule or ulcer on penis that does not heal
• usually nontender
• more common in uncircumsized males
• will usually see inguinal lymphadenopathy

Answer 11

carcinoma of penis

Question 12

what is the most common hernia

Answer 12

indirect inguinal hernia

Question 13

indirect inguinal hernia

Answer 13

• above inguinal ligament, near the internal inguinal ring
• often extends into scrotum

Question 14

direct inguinal hernia

Answer 14

• above the inguinal ligament
• rarel into the scrotum
• bulges anteriorly
• less common, usually in men > 40

Question 15

femoral hernia

Answer 15

• below inguinal ligament
• never into scrotum
• least common, more common in women

Question 16

clinical presentation

• varicose veins of scrotal vessels
• may slowly collapse if scrotum elevated while patient supine
• associated with infertility

Answer 16

varicocele

Question 17

clinical presentation

• non-tender, fluid-filled mass within the tunica vaginalis
• transilluminates

Answer 17

hydrocele

Question 18

clinical presentation

• painless, mobile mass just above the testis
• small than hydrocele, usually
• may transilluminate

Answer 18

spermatocele/epididymal cyst

Question 19

clinical presentation

• local pain and swelling
• scrotum may be reddened
• often associated with UTI or prostate infection

Answer 19

acute epididymitis

Question 20

clinical presentation

• testicular swelling and tenderness
• similar in appearance to epididymitis
• complication of mumps and other viral infections

Answer 20

acute orchitis: inflammation or infection of testis

Question 21

clinical presentation

• intense pain
• red, swollen tender scrotum
• testis may be pulled upwards

Answer 21

testicular torsion: due to twisting of spermatic cord

**surgical emergency

Question 22

clinical presentation

• firm, painless testicular nodule
• does not transilluminate

Answer 22

testicular tumor

Question 23

anal fissure

Answer 23

• tear in the inside linign of the wall of the anus
• caused by stretching of anal mucosa
• severe pain with passage of stool. scant bleeding

Question 24

perianal condylomata

Answer 24

• HPV
• lesions are skin colored or pink and range form smooth flattened papules to a verrucous, papilliform appearance

Question 25

clinical presentation

• symmetrical enlargement of gland
• slowing of urine stream with difficulty starting stream

Answer 25

benign prostatic hypertrophy