Male Genitalia

Question 1

what is the epididymis’ role?

Answer 1

• storage
• maturation
• transport
  of sperm

Question 2

what structure transports sperm from the epididymis tail to the urethra?

Answer 2

vas deferens

Question 3

what makes up the spermatic cord

Answer 3

vas deferens
blood vessels
nerves
muscle fibers

Question 4

what does the spermatic cord pass through?

Answer 4

inguinal canal

Question 5

what are the 3 borders of the hesselbach triangle

Answer 5

1. inferior epigastric
2. rectus abdominus
3. inguinal ligament

Question 6

internal inguinal ring is aka

Answer 6

deep inguinal ring

Question 7

external inguinal ring is aka

Answer 7

superficial inguinal ring

Question 8

what does NAVEL stand for

Answer 8

Nerve
artery
vein
empty space
lymph

moves lateral to medial

femoral triangle contents

Question 9

normal testis length for prepubertal boys

Answer 9

1.5-2cm

Question 10

what is the noraml testis length post puberty

Answer 10

4-5cm

Question 11

what are the 6 things you should focus on for health history?

Answer 11

1. SOGI
2. Past number
3. history of STI
4. hernias
5. penile discharge/lesions
6. scrotal or testicular pain, swelling, masses, lesions

Question 12

transgender women

Answer 12

individual who was born a male at birth but identifies as a female currently

Question 13

what hernia is associated with weakness in hesselbach’s triangle

Answer 13

direct hernia

Question 14

what three things should be evaluated for penile discharge

Answer 14

1. amount
2. color
3. associated symptoms (fever, rash, chills, dysuria, urinary sx)

Question 14

white or clear discharge is associated with

Answer 14

chlamydia (non-gonnoccocal urethritis)

Question 14

Yellow discharge is associated with

Answer 14

gonorrhea

Question 14

what associated sx will disseminated gonorrhea present with?

Answer 14

1. rash
2. tenosynovitis
3. mono-articular arthritis
4. meningitis

Question 14

what pain is associated with chancroid ulcers?

Answer 14

painful
(deep ulcer)

Question 15

what type of pain is associated with chancre of primary syphilis? describe the ulcer size?

Answer 15

Painless
erosion up to 2cm in diameter

Question 16

what ulcer is an erosion that is up to 2cm in diameter and clear/glistening

Answer 16

chancre of primary syphilis

Question 17

What type of pain is associated with Lymphogranuloma venereum (LGV)

Answer 17

painless ulcer

Question 18

genital warts aka

Answer 18

condyloma acuminata

Question 19

what is a cauliflower type lesion?

Answer 19

condyloma acuminata

Question 20

what are penile vesicles aka

Answer 20

genital herpes simplex

Question 21

what pain is associated with genital herpes simplex

Answer 21

painful erosision/ulcer if the vesicular membrane breaks

Question 22

describe genital herpes simplex

Answer 22

small scattered or group vesicles on erythematous base

Question 23

what can cause scrotal or testicular pruritus

Answer 23

scabies or pediculosis pubis

Question 24

what can cause scrotal or testicular swelling | 4

Answer 24

mumps orchitis scrotal edema testicular cancer hydrocele

Question 25

what can cause scrotal or testicular pain

Answer 25

* testicular cancer * torsion * epididymitis * orchitis

Question 26

what position can the patient be for PE

Answer 26

sstanding, sitting, supine

Question 27

what are you inspecting for on PE of the penis?

Answer 27

skin on the ventral and dorsal surface and base of penis * excoriations or inflammation

Question 29

what can cause excoriations

Answer 29

* scabies * peduculosis pubis

Question 30

Prepuse aka

Answer 30

foreskin

Question 31

when examining the penis ______ the foreskin

Answer 31

retract for detection of chancre or carcinoma

Question 32

what is Phimosis

Answer 32

tight foreskin that can not be retracted over the glans

Question 33

smegma is

Answer 33

secretions of glans that normally accumulate under the foreskin * white, cheesy materal

Question 34

what is paraphimosis

Answer 34

a tight foreskin that once retracted cannot be returned

Question 35

what are you looking for on inspection of the glans

Answer 35

* ulcers * scars * nodules * signs *

Question 36

what is balanitis

Answer 36

inflammation of the glans

Question 37

what is balanoposthitis

Answer 37

inflammation of the glans and prepuce

Question 38

what should you check for when looking at the urethral meatus

Answer 38

* location * discharge

Question 39

what is hypospadias

Answer 39

congential displacement urethral meatus moves to the anterior/ventral surface of the penis (down)

Question 40

what is epispadias

Answer 40

a congenital displacement of the meatus to the dorsal (top) part of the penis

Question 41

what should you palpate the penis for?

Answer 41

* any induration * any tenderness

Question 42

what is peyronie disease

Answer 42

palpable, non tender hard plaques found just beneath the skin on the dorsum of the penis

Question 43

what is a main symptom of peyronie disease

Answer 43

curved/painful erections

Question 44

what is carcinoma of the penis

Answer 44

indurated nodule or ulcer that is nontender

Question 45

what is the MC risk factor fo carcinoma of the penis?

Answer 45

in uncircumcised men

Question 46

what is a suspicious symptom of carcinoma of the penis?

Answer 46

penile sores

Question 47

what two diseases are associated with painful ulcers of the scrotum

Answer 47

herpes chancroid

Question 48

what is an epidermoid cyst?

Answer 48

a benign, dome-shaped white or yellow papules or nodules

Question 49

what are you looking for upon inspection of the scrotum

Answer 49

* swelling * lumps * veins * bulging * asymmetry *

Question 50

what is cryptorchidism

Answer 50

absense of one or both testes from the scrotum

Question 51

what are 4 common scrotal swelling causes

Answer 51

1. indirect inguinal hernia 2. hydrocele 3. scrotal edeam 4. testicular cancer

Question 52

what conditions is associated with scrotal edema that makes the scrotal skin taut bilaterally?

Answer 52

* heart failure * liver failure * nephrotic sydnrome

Question 54

what should you inspect the inguinal area for?

Answer 54

erythema, excoriation, visible adenopathy

Question 55

how is tinea cruris described?

Answer 55

beefy red rash in the inguinal area

Question 56

how should the testes feel?

Answer 56

firm, descended, symmetric, nontender, without masses

Question 57

what age range is testicular cancer most common?

Answer 57

age 15-34 yo

Question 58

what pain is associated with testicular cancer>

Answer 58

painless nodule

Question 59

what should the epididymis feel like?

Answer 59

* palpable on posterior surface of each testicle * feels nodular, cord-like, non tender

Question 60

where should you palpate for the spermatic cord

Answer 60

palpate from the epididymis to external inguinal ring *palpate for any nodules or swellings

Question 61

what 3 things are associated + transillumination

Answer 61

1. hydrocele 2. spermatocele 3. epididymil cyst *glows red*

Question 62

what 3 things are associated with (-) transillumination

Answer 62

1. tumor 2. hernia 3. normal testes light is blocked

Question 63

how do you palpate for inguinal hernia

Answer 63

ask the patient to cough with palpation at the external inguinal ring and again with palpation towards internal inguinal ring

Question 64

direct inguinal hernia is located near the _ and pushes against what

Answer 64

external inguinal; the side of the finger

Question 65

indirect inguinal hernia is located near the _ and pushes against what

Answer 65

internal inguinal ring; the fingertip

Question 66

what is an incarcerated hernia?

Answer 66

hernia can not be returned to the cavity

Question 67

what is a strangulatred hernia

Answer 67

when the blood supply to the trapped contents is compromised *emergency surgery*

Question 68

how to palpate for the femoral hernia

Answer 68

* below the inguinal ligament * move medially toward the pubic tubercle over the femoral canal * ask the pt to strain

Question 69

scrotal hernia is most commonly due to

Answer 69

indirect inguinal hernia

Question 70

what is a reducible scrotal hernia

Answer 70

scrotal mass that returns to abdomen when the pt lies down or with pressure

Question 71

does a scrotal hernia transilluminate?

Answer 71

no

Question 72

can you auscultate bowel sounds over the scrotum for scrotal hernia?

Answer 72

possible

Question 73

can examining fingers get above a scrotal hernia?

Answer 73

no