Male Genitalia and Hernias

Question 1

Condition that makes it difficult to retract the foreskin of the penis.

Answer 1

Phimosis

Question 2

Urologic emergency when the foreskin of a penis becomes trapped behind the corona.

Answer 2

Paraphimosis

Question 3

Painful and deep lesion with a ragged border found in the Genito-anal area.

Answer 3

Chancroid

Question 4

Painless ulcer with an indurated border due to Syphilis.

Answer 4

Chancre

Question 5

What medication is used to treat Syphilis?

Answer 5

Penicillin G

Question 6

Single or multiple papules or plaques of variable shapes that may be raised or flat and have a cauliflower-like appearance.

Answer 6

Condyloma Acuminata
(Genital Warts)

Question 7

What is the causative organism of Condyloma Acuminata?

Answer 7

HPV 6 and 11

Question 8

Birth defect in which the opening of the urethra is not located at the tip of the penis.

Answer 8

Hypospadias

Question 9

Fibrous scar tissue that develops on the penis and causes curved and painful erections.

Answer 9

Peyronie’s disease

Question 10

Medical emergency where the testicle rotates, twisting the spermatic cord that brings blood to the scrotum.

Answer 10

Testicular Torsion

Question 11

What reflex is lost in a patient with testicular torsion?

Answer 11

Cremesteric Reflex

Question 12

How soon should a testicular torsion be reduced for the best outcome?

Answer 12

Less than 6 hours

Question 13

What is the name for the orientation of a testicle that has torsion?

Answer 13

Bell Clapper Orientation

Question 14

Fluid collection in the tunica vaginalis which covers the testicle. Can be transilluminated.

Answer 14

Hydrocele

Question 15

Enlargement of the veins within the scrotum. Can produce a “bag of worms” feeling.

Answer 15

Varicocele

Question 16

Acute inflammation of the testis that is painful, tender, and swollen. Scrotum may be redder. Commonly seen in mumps and other viral infections and is usually unilateral.

Answer 16

Acute Orchitis

Question 17

Usually appears as a painless nodule. Any nodule within the testis warrants investigation for malignancy.

Answer 17

Tumor of the Testis

Question 18

Inflammation of the epididymis. Presents as swollen, red, or warm. Commonly unilateral testicle pain with a gradual onset.

Answer 18

Epididymitis

Question 19

What are two common etiologies of Epididymitis?

Answer 19

Viral
STI

Question 20

Two conditions that cause a painless, movable cystic mass just above the testis. Both transilluminate. One contains sperm and the other does not, however, they are clinically indistinguishable.

Answer 20

Spermatocele and Cyst of the Epididymis

Question 21

When inspecting a male for hernias in the groin, what is the best position for him to be in?

Answer 21

Standing

Question 22

Occurs when the abdominal wall weakens over time causing a bulge to protrude directly through the posterior wall of the inguinal canal.

Answer 22

Direct Hernia

Question 23

Occurs due to a congenital defect in the inguinal ring causing the hernia to enter the inguinal canal from the top. These are often present at birth.

Answer 23

Indirect Hernia

Question 24

Medical term for an undescended testicle.

Answer 24

Cryptorchidism

Question 25

What are some risk factors that put men at an increased risk of developing testicular cancer?

Answer 25

Cryptorchidism
Cancer in contralateral testicle
Mumps orchitis
Inguinal hernia
Hydrocele in childhood
Family history

Question 26

What is the age range in which a male should perform a month self-examination of the testicles?

Answer 26

15 - 35 Years Old