Male Genitalia

Question 1

prepuce

Answer 1

foreskin

Question 2

how do you palpate the penis?

Answer 2

with thumb and forefinger

Question 3

where is the epididymis located?

Answer 3

on top of testis

Question 4

what are you feeling for when examining for a hernia?

Answer 4

the external inguinal ring

Question 5

where is the indirect inguinal hernia located?

Answer 5

above inguinal ligament near its midpoint (the internal inguinal ring), often in scrotum

Question 6

where does the indirect inguinal hernia go through when patient coughs?

Answer 6

the inguinal canal

Question 7

where is the direct inguinal hernia located?

Answer 7

below inguinal ligament near pubic tubercle (external inguinal ring), rarely in scrotum

Question 8

Indirect vs direct inguinal hernia

Answer 8

indirect above inguinal ligament, near internal inguinal ring, often in scrotum

direct below inguinal ligament, near external inguinal ring, rarely in scrotum

Question 9

who usually gets direct inguinal hernias?

Answer 9

men over 40

Question 10

what happens to finger when feeling for direct inguinal hernia?

Answer 10

hernia bulges anteriorly and it pushes side of finger forward

Question 11

femoral hernia is most common in who?

Answer 11

females

Question 12

femoral hernia location

Answer 12

below inguinal ligament and lateral than inguinal hernias, never in scrotum, inguinal canal is empty

Question 13

orchitis

Answer 13

inflammation of testes, hard to tell from epididymitis

Question 14

Epididymitis

Answer 14

inflammation of epididymis

Question 15

Torsion of spermatic cord

Answer 15

cord gets twisted, medical emergency!

Question 16

Cryptorchidism

Answer 16

test does not descend, still in inguinal canal or abdomen

Question 17

what are men at risk for with cryptorchidism? (undescended testicle)

Answer 17

cancer

Question 18

hydrocele

Answer 18

non-tender, fluid filled cyst of tunica vaginalis, benign

Question 19

varicocele

Answer 19

varicose veins of spermatic cord

Question 20

spermatocele

Answer 20

cystic mass of spermatic cord above testis

Question 21

testicular cancer age group and symptom

Answer 21

20-34, pulling sensation

Question 22

early carcinoma

Answer 22

painless nodule

Question 23

are testes usually the same size?

Answer 23

no

Question 24

Orchitis, epididymitis, torsion, strangulated hernia…are these painful or not painful?

Answer 24

nonpainful

Question 25

what do you do with acute epididymitis

Answer 25

gently tug to see if they jerk in pain

Question 26

Orchitis viral or bacterial?

Answer 26

viral (mumps)

Question 27

proctitis

Answer 27

inflammation around rectal opening

Question 28

proctitis is involved with which problem?

Answer 28

ulcerative colitis

Question 29

tenesmus

Answer 29

painful contraction of anal sphincter, will have pain when pooping and on rectal exam

Question 30

perianal abcess occur in which kinds of patients frequently? treatment?

Answer 30

diabetics, surgery I&D

Question 31

Pruritis Ani and what is it associated with?

Answer 31

itchy anus, associated with anxiety and OCD

Question 32

if the prostate is firm, what does that indicate?

Answer 32

BPH

Question 33

prostate normally should be?

Answer 33

round, smooth and heart shaped