Male Genitalia LECT

Question 1

KEY THINGS TO FOCUS ON FOR DR NEWMAN:

First 8 Learning objectives: SPECIFICALLY…

Answer 1

Physical findings (Hydrocele, Testicular torsion, Inguinal hernia)

Testicular cancer

Question 2

What is the KCU Chaperone Policy for students?

Answer 2

Regardless of the gender of the student performing the exam and the patient being examined, a chaperone, defined as another medical professional, preferably the preceptor is required during all intimate examinations

Question 3

When should a male genital exam be performed?

Answer 3

ALL pediatric well child exams

ALL adolescent well visits until patient is tanner V

Only with symptoms/complaint in late adolescent/adult men

Question 4

What is the most common cancer in men overall?

Answer 4

Testicular cancer

Approx 1% of cancers in men overall

Question 5

What age range does testicular cancer typically affect?

Answer 5

15-35 yo

Question 6

Most testicular cancers are what type of tumors?

Answer 6

Germ cell tumors

Question 7

What is testicular cancer associated with 7-10% of the time?

Answer 7

Cryptorchidism

Question 8

What is the prognosis for testicular cancer?

Answer 8

Generally excellent

Question 9

How is testicular cancer screened?

Answer 9

Physical exam

Question 10

Why don’t we perform a routine testicular exam in post-pubertal men with no risk factors for testicular cancer?

Answer 10

The low incidence and high cure rate of testicular cancer make it UNLIKELY that screening for testicular cancer would appreciably decrease the cancer mortality rate

Question 11

Positioning of patient and doctor during male genital exam?

Answer 11

Patient stands with feet shoulder width apart

Doc on stool facing the patient

*Can perform supine if pt. can’t stand

Question 12

What is the order of the 6 steps for a male genital exam?

Answer 12

1. Inguinal/pubic region
2. Hernia check
3. Penis/glans
4. Scrotum
5. Rectal/prostate
6. Breast (as needed, based on history)

Question 13

If a scrotal mass is present ____________ may be performed to assist in diagnosis

Answer 13

If a scrotal mass is present trans-illumination may be performed to assist in diagnosis

Question 14

What are indications for a rectal and prostate exam?

Answer 14

Blood in stool

Chronic constipation

Pain w/ defecation

Symptoms of prostate inflammation/infection/enlargement

Question 15

What is the patient position for rectal/prostate exam?

Answer 15

Patient position:

Patient is facing away from you, leaning forward, elbows on exam table

Question 16

What is a hydrocele?

Answer 16

Accumulation of fluid around a testicle

Question 17

Where is the fluid contained in a hydrocele?

Answer 17

Tunica vaginalis

Question 18

How can you diagnose a hydrocele?

Answer 18

Transilluminate

Scrotal ultrasound

Question 19

What are the two types of inguinal hernias?

Answer 19

Direct

Indirect

Question 20

What is testicular torsion?

Answer 20

Spermatic cord rotates and becomes twisted

Twisting cuts off the testical’s blood supply and causes sudden pain and swelling

VERY PAINFUL, EMERGENCY

Question 21

Flashcards only include what DR. NEWMAN said were important