Male Genital And Rectal Exam Flashcards by Lauren F

Which kind of hemorrhoid can cause bright red bleeding with pooping

Internal

How well did you know this?

Not at all

Perfectly

What is the more common name for condyloma acuminata

Genital warts

How well did you know this?

Not at all

Perfectly

What would happen to a varicocele if you elevated the scrotum while the patient is lying on his back

Collapses

How well did you know this?

Not at all

Perfectly

What is the test we use to check for blood in stool

Hemoccult/guaiac test

How well did you know this?

Not at all

Perfectly

What is the least common type of hernia

Femoral

How well did you know this?

Not at all

Perfectly

Should you apply lubricant to your index finger before you start the inspection

No do inspection first

How well did you know this?

Not at all

Perfectly

Does a syphilis chancre hurt

How well did you know this?

Not at all

Perfectly

Is it easy to feel rectal polyps with your finger?

No they are soft

How well did you know this?

Not at all

Perfectly

What age group has the highest incidence of testicular cancer

15-35

How well did you know this?

Not at all

Perfectly

Which kind of urethritis causes a more purulent discharge?

Gonococcal

How well did you know this?

Not at all

Perfectly

What does the epididymis feel like

Bag of worms

Wad of noodles

How well did you know this?

Not at all

Perfectly

How does benign prostatic hypertrophy affect urination

Difficult to start

Slow stream

How well did you know this?

Not at all

Perfectly

Who is most likely to get a femoral hernia

Women

How well did you know this?

Not at all

Perfectly

What age group is most likely to get testicular torsion

Neonates

Adolescents

How well did you know this?

Not at all

Perfectly

Do anal fissures hurt

Yes, Severe pain

How well did you know this?

Not at all

Perfectly

What is Prehn’s sign?

Elevation of the scrotum brings relief to a man with epididymitis

How well did you know this?

Not at all

Perfectly

What two hernia types are above the inguinal ligament and which one is below

Above: direct and indirect

Below: femoral

How well did you know this?

Not at all

Perfectly

How does penis carcinoma start

A nodule or ulcer that doesn’t heal

How well did you know this?

Not at all

Perfectly

Is varicocele associated with infertility

Yes

How well did you know this?

Not at all

Perfectly

What is a possible complication of an anorectal abscess?

Anorectal fistula

How well did you know this?

Not at all

Perfectly

Does acute orchitis present similarly to acute epididymitis?

Yes

How well did you know this?

Not at all

Perfectly

What is a varicocele

Varicose veins in the scrotum

How well did you know this?

Not at all

Perfectly

What are the 2 groups of inguinal lymph nodes

Horizontal

Vertical

How well did you know this?

Not at all

Perfectly

What is the size of the prostate

Walnut

How well did you know this?

Not at all

Perfectly

Which kind of urethritis causes a less purulent discharge

Non-gonococcal

How do you diagnose an anal fissure

History and anoscopy

Which way will a direct inguinal hernia bulge

Anteriorly

Will elevation of the scrotum bring relief to someone with testicular torsion?

NO***

What could cause acute orchitis?

Mumps Epipdidymitis

What should the consistency of the testicles be

Eraser Hard boiled egg

What is it: Infection of the epididymis via the vas deferens Unilateral Scrotal pain radiating to flank May progress to red, fluctuant mass

Acute epididymitis

Will a spermatocele/epididymal cyst transilluminat?

Bitch it might

What would you feel on exam if someone had prostate cancer

Irregular contour Median sulcus is obscured Enlarged, firm nodule

What population is most likely to get a direct inguinal hernia?

Men over 40

How does benign prostatic hypertrophy grow

Symmetrical enlargement

From what does an anorectal abscess originate?

An infected anal cryptgland

What is a spermatocele/epididymal cyst?

A painless mobile mass above the testicle

What kind of lymph nodes suggest cancer

Hard or immobile

Is penis carcinoma painful

No (similar to a chancre)

Is testicular torsion an emergency?

Yes

What is the most common STI worldwide

Condyloma acuminata

What lymph nodes would be swollen with testicular tumors?

Inguinal OR para-aortic | Penile was just inguinal

How long does it take for the syphilis chancre to go away without treatment

1-2 months

Does a direct inguinal hernia extend into the scrotum?

Not often

Which is bigger: a hydrocele or a spermatocele?

Hydrocele

How could you tell the difference between a prolapsed internal hemorrhoid and an external hemorrhoid?

Prolapsed internal will be red and moist External will be a bluish tender mass

What kind of symptoms will someone with prostatitis have

UTI symptoms with fever and chills

How will an anorectal abscess present?

Severe pain Fever, malaise Perinatal erythema Fluctuant mass +/- Purulent rectal drainage

Does a femoral hernia bulge into the scrotum?

Never

What is it: Curved penis with firm, palpable plaques in the shaft. Painful erections/ED

Peyronie’s disease

Do you need to biopsy rectal polyps?

Yes

Will someone with testicular torsion have an intact cremasteric reflex?

Which type of herpes affects mouth vs genitals

HSV1 mouth HSV2 genitals

Do testicular tumors hurt?

What is a hydrocele

A soft hemi scrotal swelling that transilluminates*** Full of fluid

What lymph nodes will be swollen with penis cancer

Inguinal

What does a varicocele feel like?

A bag of worms

Should you retract the patient’s foreskin if he’s uncircumcised

No ask him to do it

What should you suspect if you see an inflamed meatus

Urethritis

What is the shape of the prostate

Almond with 2 lobes

How far in to the patients rectum do you insert your finger

All the way

What are the two ways rectal polyps may appear

Pedunculated (on a stalk) Sessile (attached at base)

How does prostate cancer affect urination

Obstructive voiding symptoms

Does prostate cancer grow fast?

Where does prostate cancer metastasize to?

Locally and to the bone

What is the etiology of syphilis?

Treponema pallidum

Which is more lateral: a femoral hernia or an inguinal hernia?

Femoral

Is penis cancer more common in circumcised or uncircumcised men?

Uncircumcised

Where is the epididymis located on the testicle

Superiorly and posterolaterally

What is a Bell Clapper Deformity

A possible complication of testicular torsion where the axis of the testicle changes

How do you treat acute prostatitis vs chronic prostatitis

Acute-antibiotics Chronic- antobiotics for a longer time

What is the primary phase of syphilis?

Painless papule that erodes into a painless ulcer

When might testicular torsion appear?

A few hours after vigorous physical activity or minor trauma

What do rectal carcinomas feel like

Firm nodular with a rolled edge

What may a femoral hernia mimic

Lymph node

What is the etiology of condyloma acuminata

HPV

Are external hemorrhoids asymptomatic

Yes, unless they become thrombosed

What age and gender is most likely to get an indirect inguinal hernia?

All ages, all genders

Does a varicocele just pop up out of nowhere

No, they develop slowly

What causes anal fissures

Stretching of the anus

Where is an indirect inguinal hernia?

Goes through the inguinal canal and often extends into scrotum (if the person has a scrotum lol)

What is the consistency of the prostate

Firm like the tip of nose or thenar area of palm