Male Genitalia Exam

Question 1

What are the two chains of the inguinal lymph nodes?

Answer 1

horizontal and vertical

Question 2

What dose the horizontal chain drain?

Answer 2

skin of the lower abdominal wall, external genitalia expect testis, anal canal, lower vagina, and gluteal area

Question 3

What dose the vertical chain drain?

Answer 3

drains the great saphenous vein

Question 4

When you are palpating the inguinal lymph nodes what are you looking for?

Answer 4

note size, consistency, symmetry, and tenderness

Question 5

What pathology dose unilateral lymphadenopathy indicate?

Answer 5

infection of scrotum, epididymis, urethritis, chancroid, or lymphogranuloma

Question 6

What pathology dose bilateral lymphadenopathy indicate?

Answer 6

syphilis or gonorrhea

Question 7

What are you looking for when palpating the penis?

Answer 7

nodules, ulcers, scars, tenderness, retraction of foreskin, edema, fracture, nits or lice, location of urethral meatus, urethral discharge

Question 8

What are you looking for when palpating the scrotum pathology wise?

Answer 8

sebaceous cysts, edema, carcinoma, hernia,

Question 9

What are you looking for when palpating the testis?

Answer 9

size, shape, consistency, and sensitivity to pressure, transillumination

Question 10

What are potential pathologically findings in palpating the testes?

Answer 10

cryptorchism, hydrocele, hematocele, chyocele, TB, acute orchitis

Question 11

What do sebaceous cyst feel like?

Answer 11

firm, nontender, yellowish, multiple

Question 12

How dose edema present in the scrotum?

Answer 12

redness, tenderness

Question 13

How dose hydrocele present in testis?

Answer 13

nontender, transilluminates

Question 14

How dose hematocele present in testis?

Answer 14

nontender, swelling, opaque on transillumination

Question 15

How dose chyocele present in testis?

Answer 15

nontender, translucent

Question 16

How dose TB present in testis?

Answer 16

hard nodular mass, nontender

Question 17

How dose acute orchitis present in testis?

Answer 17

painful, tender, swollen,

Question 18

What are you looking for when palpating the epididymis (pathology and description)

Answer 18

spermatocele, solid tumor, acute epididymitis, size, consistency, tenderness

Question 19

How dose spermatocele present in epididymis

Answer 19

painless, mass, translucent

Question 20

How dose solid tumor present in epididymis?

Answer 20

opaque mass

Question 21

How dose acute epididymitis present in epididymis?

Answer 21

painful, tender, swollen with fever and increased WBCs

Question 22

What are you looking for when palpating the spermatic cord?

Answer 22

size, consistency, tenderness, deferentitis, hydrocele, varicocele, testicular torsion

Question 23

How dose deferentitis present in spermatic cord?

Answer 23

tender, swollen

Question 24

How dose hydrocele present in spermatic cord?

Answer 24

smooth, resilient, sausage-shaped mass

Question 25

How dose varicocele present in spermatic cord?

Answer 25

soft, irregular mass, bag of worms, unilateral

Question 26

How dose testicular torsion present in spermatic cord?

Answer 26

panful, tender, swollen, retracted upward

Question 27

How do you asses for hernia?

Answer 27

place the tip of your index finger a the most inferior part of the scrotum and slowly direct it up into the external inguinal ring then have patient Valsalva or cough

Question 28

What are you looking for during the hernia test?

Answer 28

feeling the herniated mass against your fingertip

Question 29

What is an indirect hernia?

Answer 29

most common, tissue herniates through internal ring

Question 30

What is an direct hernia

Answer 30

>40, tissue herniated behind external ring