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Physical Diagnosis Exam 3 (Lauren) > Male Genital And Rectal Exam > Flashcards

Male Genital And Rectal Exam Flashcards

1
Q

Which kind of hemorrhoid can cause bright red bleeding with pooping

A

Internal

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2
Q

What is the more common name for condyloma acuminata

A

Genital warts

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3
Q

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

A

Collapses

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4
Q

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

A

Hemoccult/guaiac test

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5
Q

What is the least common type of hernia

A

Femoral

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6
Q

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

A

No do inspection first

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7
Q

Does a syphilis chancre hurt

A

No

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8
Q

Is it easy to feel rectal polyps with your finger?

A

No they are soft

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9
Q

What age group has the highest incidence of testicular cancer

A

15-35

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10
Q

Which kind of urethritis causes a more purulent discharge?

A

Gonococcal

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11
Q

What does the epididymis feel like

A

Bag of worms

Wad of noodles

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12
Q

How does benign prostatic hypertrophy affect urination

A

Difficult to start

Slow stream

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13
Q

Who is most likely to get a femoral hernia

A

Women

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14
Q

What age group is most likely to get testicular torsion

A

Neonates

Adolescents

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15
Q

Do anal fissures hurt

A

Yes, Severe pain

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16
Q

What is Prehn’s sign?

A

Elevation of the scrotum brings relief to a man with epididymitis

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17
Q

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

A

Above: direct and indirect

Below: femoral

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18
Q

How does penis carcinoma start

A

A nodule or ulcer that doesn’t heal

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19
Q

Is varicocele associated with infertility

A

Yes

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20
Q

What is a possible complication of an anorectal abscess?

A

Anorectal fistula

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21
Q

Does acute orchitis present similarly to acute epididymitis?

A

Yes

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22
Q

What is a varicocele

A

Varicose veins in the scrotum

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23
Q

What are the 2 groups of inguinal lymph nodes

A

Horizontal

Vertical

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24
Q

What is the size of the prostate

A

Walnut

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25
Q

Which kind of urethritis causes a less purulent discharge

A

Non-gonococcal

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26
Q

How do you diagnose an anal fissure

A

History and anoscopy

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27
Q

Which way will a direct inguinal hernia bulge

A

Anteriorly

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28
Q

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

A

NO***

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29
Q

What could cause acute orchitis?

A

Mumps

Epipdidymitis

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30
Q

What should the consistency of the testicles be

A

Eraser

Hard boiled egg

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31
Q

What is it:

Infection of the epididymis via the vas deferens

Unilateral

Scrotal pain radiating to flank

May progress to red, fluctuant mass

A

Acute epididymitis

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32
Q

Will a spermatocele/epididymal cyst transilluminat?

A

Bitch it might

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33
Q

What would you feel on exam if someone had prostate cancer

A

Irregular contour

Median sulcus is obscured

Enlarged, firm nodule

34
Q

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

A

Men over 40

35
Q

How does benign prostatic hypertrophy grow

A

Symmetrical enlargement

36
Q

From what does an anorectal abscess originate?

A

An infected anal cryptgland

37
Q

What is a spermatocele/epididymal cyst?

A

A painless mobile mass above the testicle

38
Q

What kind of lymph nodes suggest cancer

A

Hard or immobile

39
Q

Is penis carcinoma painful

A

No (similar to a chancre)

40
Q

Is testicular torsion an emergency?

A

Yes

41
Q

What is the most common STI worldwide

A

Condyloma acuminata

42
Q

What lymph nodes would be swollen with testicular tumors?

A

Inguinal OR para-aortic

Penile was just inguinal

43
Q

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

A

1-2 months

44
Q

Does a direct inguinal hernia extend into the scrotum?

A

Not often

45
Q

Which is bigger: a hydrocele or a spermatocele?

A

Hydrocele

46
Q

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

A

Prolapsed internal will be red and moist

External will be a bluish tender mass

47
Q

What kind of symptoms will someone with prostatitis have

A

UTI symptoms with fever and chills

48
Q

How will an anorectal abscess present?

A

Severe pain

Fever, malaise

Perinatal erythema

Fluctuant mass

+/- Purulent rectal drainage

49
Q

Does a femoral hernia bulge into the scrotum?

A

Never

50
Q

What is it:

Curved penis with firm, palpable plaques in the shaft.

Painful erections/ED

A

Peyronie’s disease

51
Q

Do you need to biopsy rectal polyps?

A

Yes

52
Q

Will someone with testicular torsion have an intact cremasteric reflex?

A

No

53
Q

Which type of herpes affects mouth vs genitals

A

HSV1 mouth

HSV2 genitals

54
Q

Do testicular tumors hurt?

A

No

55
Q

What is a hydrocele

A

A soft hemi scrotal swelling that transilluminates***

Full of fluid

56
Q

What lymph nodes will be swollen with penis cancer

A

Inguinal

57
Q

What does a varicocele feel like?

A

A bag of worms

58
Q

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

A

No ask him to do it

59
Q

What should you suspect if you see an inflamed meatus

A

Urethritis

60
Q

What is the shape of the prostate

A

Almond with 2 lobes

61
Q

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

A

All the way

62
Q

What are the two ways rectal polyps may appear

A

Pedunculated (on a stalk)

Sessile (attached at base)

63
Q

How does prostate cancer affect urination

A

Obstructive voiding symptoms

64
Q

Does prostate cancer grow fast?

A

No

65
Q

Where does prostate cancer metastasize to?

A

Locally and to the bone

66
Q

What is the etiology of syphilis?

A

Treponema pallidum

67
Q

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

A

Femoral

68
Q

Is penis cancer more common in circumcised or uncircumcised men?

A

Uncircumcised

69
Q

Where is the epididymis located on the testicle

A

Superiorly and posterolaterally

70
Q

What is a Bell Clapper Deformity

A

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

71
Q

How do you treat acute prostatitis vs chronic prostatitis

A

Acute-antibiotics

Chronic- antobiotics for a longer time

72
Q

What is the primary phase of syphilis?

A

Painless papule that erodes into a painless ulcer

73
Q

When might testicular torsion appear?

A

A few hours after vigorous physical activity or minor trauma

74
Q

What do rectal carcinomas feel like

A

Firm nodular with a rolled edge

75
Q

What may a femoral hernia mimic

A

Lymph node

76
Q

What is the etiology of condyloma acuminata

A

HPV

77
Q

Are external hemorrhoids asymptomatic

A

Yes, unless they become thrombosed

78
Q

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

A

All ages, all genders

79
Q

Does a varicocele just pop up out of nowhere

A

No, they develop slowly

80
Q

What causes anal fissures

A

Stretching of the anus

81
Q

Where is an indirect inguinal hernia?

A

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

82
Q

What is the consistency of the prostate

A

Firm like the tip of nose or thenar area of palm

Physical Diagnosis Exam 3 (Lauren) (4 decks)

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