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Clinical Med > Male Genitalia > Flashcards

Male Genitalia Flashcards

1
Q

What are the two erectile tissues in the penis?

A

Corpus cavernosum

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2
Q

What is the corpus spongiosum?

A

Body that carries the urethra

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3
Q

What is the structure that is felt at the back of the testes?

A

Epididymitis

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4
Q

Where does lymphatics from the penis drain? The testes?

A

Penis = superfifical inguinal nodes

Testes = abdominal lymph nodes

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5
Q

When is a standing exam when performing a male genitalia exam absolutely necessary?

A

Hernias or varioceles

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6
Q

What is smegma? When does it appear problematic (but isn’t actually)?

A

Waxy secretions that are secreted by the glans of the penis.

May appear problematic if circumcised and adhesions form

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7
Q

What are you assessing for when compressing the glans of the penis?

A

Nodules, plaques, or scarring

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8
Q

What is hydrospadias? What are the complications from this?

A

incomplete closure of the urethra

Loss of sperm
UTIs

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9
Q

What is the appropriate technique used to palpate the glans of the penis?

A

Thumb and first two fingers

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10
Q

What is the balanitis?

A

Remnant of the foreskin gets infected with yeast

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11
Q

What is peyronie’s disease?

A

Scarring around the tunica of the penis

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12
Q

What should you consider when a pt has bloody penile discharge?

A

Neoplasm or urethritis

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13
Q

What should you consider when a pt has purulent penile discharge?

A

STIs or prostatitis

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14
Q

What is the giveaway for UTIs/STDs?

A

Dysuria

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15
Q

What is the sign for prostatitis?

A

Tender in the perineal area, and no dysuria

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16
Q

Why should you not try and manipulate the prostate if you suspect infection?

A

Spread the infection

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17
Q

Painless lesions are indicative of what?

A

Syphilis

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18
Q

Vesicular lesions are indicative of what?

A

Herpes virus

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19
Q

What is the most common cause of genital warts?

A

HPV

20
Q

What are the signs of herpes?

A

Painful vesicular lesions on the penis

21
Q

What is the best way to identify herpes lesions as such?

A

Seeing multinucleated cells on a Giemsa stain

22
Q

Are syphilis lesions painful?

A

No

23
Q

What is chancroid?

A

Haemophilus Ducreyi STI characterized by painful sores on the genitalia. Chancroid is known to spread from one individual to another solely through sexual contact.

24
Q

What is the causative agent of syphilis?

A

Treponema pallidum

25
Q

What is the treatment for syphilis?

A

Penicillin

26
Q

What is the diagnostic technique for a hydrocele? What is the treatment? What does this differentiate against?

A

Transillumination of the scrotum.

Self limiting.

Differentiates against scrotal hernia

27
Q

What is the sign of scrotal edema as opposed to a hydrocele or hernia?

A

Crosses both sides of the scrotum

28
Q

What is the treatment for epidermoid cysts?

A

Self-limiting. Leave alone

29
Q

Why are spermatoceles usually found in pts who have had a vasectomy?

A

Sperm have no where to go

30
Q

What differentiates a spermatocele vs testicular CA?

A

Bump is on the epididymis

Also, transilluminates

31
Q

Where is pain felt with acute epididymitis?

A

Behind the testicle

32
Q

How much time is there to diagnose and treat a testicular torsion before loss of the testicle?

A

6 hours

33
Q

What are the signs of testicular torsion versus acute epididymitis?

A

Loss of cremaster reflex

Sudden onset

34
Q

Generally, how long do infectious processes take to develop, as opposed to vascular ones?

A

vascular = sudden

Infectious = slow

35
Q

Which way do testicles tend to torse?

A

Medially

36
Q

Where do direct hernias occur?

A

Directly through the abdomen

37
Q

Where do indirect hernias occur?

A

Through the spermatic cord

38
Q

Where do femoral hernia occur?

A

Below the inguinal ligament, and lateral to the inguinal canal

39
Q

What are the borders of Hasselbach’s triangle?

A

Inguinal ligament
Rectus abdominis
Inferior epigastric artery

40
Q

True or false: femoral hernia rarely enter the scrotum

A

False-they never enter the scrotum

41
Q

Who are more likely to develop femoral hernias, men or women? How about to indirect hernias?

A

Femoral, women more likely

Inguinal, men

42
Q

If your finger is hit on the pad when in the inguinal canal, what type of hernia? What about just the tip?

A

Pad = direct

tip = indirect

43
Q

What are the ages that testicular CA usually develops?

A

15-34 yo

44
Q

Who is more likely to get testicular CA, white or black men?

A

White (x4)

45
Q

What are the two risk factors for testicular CA?

A

family hx

Cryptorchidism

46
Q

Should you screen for testicular CA?

A

no

Clinical Med (30 decks)

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