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H & P (Final Exam) > Male Genital and Rectal Exam > Flashcards

Male Genital and Rectal Exam Flashcards

1
Q

What may excoriations indicate in the pubic hair?

A

lice or scabies

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2
Q

Which 3 scrotal contents need to be palpated?

A
  1. Testes
  2. Epididymis
  3. Spermatic cord (vas deferens)
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3
Q

Which age group has the highest incidence of testicular cancer?

A

15-35 years

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4
Q

Who do screening guidelines appy to?

A

these are recommendations for asymptomatic pations with average risk

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5
Q

Which male patients should consider monthly self-testicular exams?

A

Men with risk factors such as:

  1. Undescended testicle (cryptorchidism)
  2. Previous testicular cancer
  3. Family history
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6
Q

Does USPSTF recommend routine screening for testicular cancer in asymptomatic patients?

A

No, USPSTF recommends against this

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7
Q

What causes genital herpes?

A

Herpes Simplex virus (usually Herpes Simplex virus 2)

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8
Q

What condition is typified by painful vesicles that become ulcerated on the penis?

A

Herpes Simplex virus

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9
Q

What condition will present as painless, umbilicated vesicular-like lesion on the penis?

A

Molluscum contagiosum

  • benign
  • viral
  • self-limited
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10
Q

Which condition presents with a round, painless ulcer (chancre)?

A

Primary syphilis

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11
Q

How long does it take chancres to resolve?

A

4-8 weeks

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12
Q

Which organism should you be suspicious of if purulent urethral discharge is present?

A

Neisseria gonorrhoeae

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13
Q

Which organism will cause mucopurulent discharge from the penis?

A

Chlamydia

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14
Q

What is the name for the idiopathic condition resulting in fibrosis in the corpora cavernosa, palpable nontender plaques just beneath the skin on the dorsum of the penis - causing curvature of the penis?

A

Peyronie’s Disease

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15
Q

What should you be suspicious of if there is a firm nodule or ulcer that doesn’t heal on the penis?

A

carcinoma of the penis

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16
Q

Carcinoma of the penis is more likely in what population?

A

uncircumsized males

17
Q

What is the most common type of hernia?

A

indirect

*often into scrotum

18
Q

Which type of hernia is more common in women?

A

femoral

  • below the inguinal ligament
  • may mimic lymph node
19
Q

In what population are direct inguinal hernias more common?

A

Men over 40

20
Q

In which testicle is a varicocele most likely to occur?

A

Left

21
Q

Varicose veins of scrotal vessels

A

Varicocele

22
Q

What is the name for a benign, non tender fluid-filled mass within the tunica vaginalis?

A

Hydrocele

*transilluminates

23
Q

What is the name for a painless, mobile mass just above the testis containing sperm?

A

Spermatocele

24
Q

What is the name for an infection of the epididymis that causes local pain and swelling and is often associated with a UTI or prostate infection?

A

Acute epididymitis

25
Q

Acute orchitis (inflammation/infection of the testis) is a complication of what?

A

Mumps and other viral infections

26
Q

Testicular torision

A

Twisting of the spermatic cord

  • intense pain
  • red, swollen, tender scrotum
  • testis pulled upwards
  • SURGICAL EMERGENCY*
27
Q

What would you be concerned for with a firm, painless testicular nodule that didn’t transilluminate?

A

testicular tumor

28
Q

Which type of hemorrhoid is painful?

A

external (anal) hemorrhoids are painful

29
Q

Which type of hemorrhoid is usually painless?

A

internal (rectal) hemhorrhoids

30
Q

Which type of hemorrhoid is more likely to cause a painful blood clot?

A

External hemorrhoid

31
Q

What is the name of a tear in the inside lining of the wall of the anus?

A

Anal fissure

32
Q

How is an anal fissure diagnosed?

A
  • History

- Anoscopy

33
Q

What is the cause of perianal condylomata?

A

HPV - human papillomavirus

34
Q

How is perianal condylomata transmitted?

A

sexually transmitted

35
Q

What is the name for symmetrical enlargement of the prostate gland with weak urine stream and difficulty starting stream?

A

Benign prostatic hypertrophy (hyperplasia)

36
Q

What would you be concerned for if you palpated an enlarged, firm nodule or area of hardness with irregular contour and no median sulcus?

A

carcinoma of prostate

37
Q

Where does carcinoma of prostate metastasize?

A
  • Locally

- Bone

H & P (Final Exam) (3 decks)

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