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Hospital Practicum > Male Genitalia and Hernias > Flashcards

Male Genitalia and Hernias Flashcards

1
Q

What forms the shaft of the penis?

A 
corpus spongiosum (containing the urethra)
two corpora cavernosa
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2
Q

What forms the bulb of the penis?

A

corpus spongiosum

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3
Q

What is smegma?

A

cheesy whitish secretions of the glans penis

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4
Q

What do the testes contain?

A

interstitial tissue and seminiferous tubules

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5
Q

What triggers pubertal growth in men?

A

5-alpha dihydrotestosterone

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6
Q

What regulates sperm production?

A

FSH

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7
Q

Where do sperm mature? Where are the stored?

A

epididumus

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8
Q

Secretions from which 3 structures make up the seminal fluid?

A

seminal vessicle
vasa diferentia
prostate

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9
Q

Increased levels of what result in vasodilation?

A

NO and cyclic GMP

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10
Q

Where do lymphatics from the penile and scrotal surfaces drain into? testes?

A

inguinal nodes

LN in abdomen (clinically undetectable)

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11
Q

What is an inguinal hernia?

A

When loops of bowel force their way through weak areas of the inguinal canal

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12
Q

What types of hernias are more likely to present as emergencies? Why?

A

femoral; due to bowel incarceration or strangulation

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13
Q

Where do indirect inguinal hernias develop?

A

at the internal inguinal ring, where the spermatic cord exits the abdomen.

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14
Q

Where do Direct inguinal hernias develop?

A

more medially from weakness in the floor of the inguinal canal

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15
Q

What are direct hernias associated with?

A

heavy straining or lifting

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16
Q

What may cause a lack of libido?

A

psychogenic causes such as depression, endocrine dysfunction or medication side effects

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17
Q

What is yellow penile discharge indicative of? white?

A

gonorrhea

chlamydia

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18
Q

What is the client-centered counseling approach?

A

interactive and informative about general risk reduction

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19
Q

What method is highly effective in preventing the trasmission of HIV, HPV and other STIs?

A

correct use of a male condom

20
Q

At what age should boys be vaccinated for HPV?

A

9-26

21
Q

What is the most common cancer in men ages 15-34?

A

testicular cancer

22
Q

How often should males preform testicular examinations?

A

once a month

23
Q

How should the patient be positioned when checking for hernias or varicoceles? Where should you be?

A

Patient standing

You sitting

24
Q

How do you inspect for discharge?

A

lightly squeeze glans with first 2 fingers and thumb to open the urethral meatus

25
Q

When should palpation of the shaft be omitted?

A

in a young asymptomatic patient

26
Q

what is phimosis?

A

tight prepuce that cannot be retracted over the glans

27
Q

what is paraphimosis?

A

tight prepuce that once retracted cannot be returned

28
Q

What is balanitis

A

inflammation of the glans

29
Q

What is balanoposthitis?

A

inflammation of the glans and prepuce

30
Q

What is hypospadias?

A

congenital ventral displacement of the meatus on the top of the penis

31
Q

How do we diagnose gonorrhea and chlamydia?

A

gram stain and culture

32
Q

What is cryptorchidism?

A

undecended testicle

33
Q

What are common scrotal swellings?

A

indirect inguinal hernias
hydroceles
scrotal edema

34
Q

What do tortuous veins signify?

A

varicocele

35
Q

What is a cyst like structure in the spermatic cord?

A

hydrocele

36
Q

What is translumination?

A

turn lights off, shine a light through the scrotum to inspect for swelling in the scrotum other than the testicles

used with hydroceles

37
Q

internal ring =

A

indirect

38
Q

Over what mass can bowel sounds be heard?

A

hernia

39
Q

what is the difference between incarerated and stragulated hernias?

A

incarcerated - cannot be returned ti the abdomen

straggled- blood supply to the entrapped contents is comprimised

40
Q

when do you suspect strangulation?

A

n/v and tenderness

41
Q

When is a TSE best preformed?

A

after a warm shower or bath

42
Q

what is peyronie’s disease?

A

palpable nontender, heard plaques are found just beneath the skin, usually along the dorsum of the penis. The patient complains of crooked, painful erections

43
Q

What disease is associated with small testes?

A

klinefelters syndrome

44
Q

What has a thickened beading of the vas deferens?

A

TB epididymitis

45
Q

indirect hernias:

A

all ages
above inguinal ligament
goes into the scrotum

46
Q

direct hernias:

A

men older than 40
above pubic tubercle
rarely goes into scrotum

47
Q

femoral hernias

A

more common in women
below inguinal ligament and lateral
never into the scrotum

Hospital Practicum (3 decks)

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