Male Genitalia Quiz #1

Question 1

63 yo male presents with dysuria, urgency, low libido, pain after ejaculation, and pain in pelvis for the past year. List 2 dx

Answer 1

• Chronic prostatitis

- prostate cancer

Question 2

What PE would help differentiate between prostatitis and prostate CA?

Answer 2

Prostatitis: DRE - tender prostate, swollen, firm, warm, d/c after.
prostate CA: DRE: non-tender prostate, variable size, firm, stoney hard, irregular nodules.

Question 3

List two cases in which cystitis needs further evaluation?

Answer 3

• immunocompromised

- reoccuring cystitis

Question 4

urinary frequency, nocturia, urgency, pain in scrotal area in past day. List 3 ddx

Answer 4

• epididymitis
• testicular torsion
• UTI (prostate, bladder, kidney)

Question 5

List tests you would run for epididymitis, testicular torsion, UTI

Answer 5

• UA and culture

- prehn sign

Question 6

What is result of PE for patient with chronic epididymitis?

Answer 6

• non-tender or slightly tender scrotum on palp

- taut skin, hard

Question 7

What is the condition called where testes are not present in scrotal sac?

Answer 7

cryptorchidism

Question 8

What is protocol for cryptorchidism?

Answer 8

wait until 1 year for further action
see if they descend when in a warm bath
surgery after 1 year

Question 9

What is a varicocele?

Answer 9

dilation of pampiform plexus due to gravitational pull on venous valves and valve incompetence.

• bag of worms appearance
• nontender

Question 10

List 4 risk factors for prostate Ca

Answer 10

• Age
• FmHx
• African American
• SAD diet
• Smoking

Question 11

What is a special test to evaluate scrotal mass?

Answer 11

transillumination

Question 12

Lab tests for erectile dysfunction?

Answer 12

testosterone, LH, SHBG, prolactin

Question 13

Lab tests for prostate infection?

Answer 13

UA with EPS

Question 14

Epispadias?

Answer 14

congenital malformation of urethral meatus on upper, dorsal side of penis

Question 15

Hypospadias?

Answer 15

congenital malformation of urethral meatus on lower ventral side of penis

Question 16

inflammation of glans penis

Answer 16

Balanitis

Question 17

inflammation of foreskin

Answer 17

prosthitis

Question 18

inflammation of glans penis and foreskin

Answer 18

balanoposthitis

Question 19

foreskin can’t be retracted

Answer 19

phimosis

Question 20

Peyronies disease

Answer 20

scarring of tunica albuginea and formation of plaques that can cause painful erection and dorsal curvature.

Question 21

List 3 ddx for painful penile ulcerations

Answer 21

herpes
chancroid
syphilitic chancre
genital warts
SCC of penis

Question 22

List some risk factors for erectile dysfunction

Answer 22

• drugs
• neuro/psych disorders
• cavernosal disorders (peyronies)
• surgery
• aging
• kidney failure
• dm
• smoking
• alcoholism
• saddle injury

Question 23

workup for erectile dysfunction

Answer 23

• UA, CMP, hormone testing

Question 24

Painful, prolonged erection

Answer 24

priapism

Question 25

hematocele

Answer 25

tender, blood filled swelling, due to trauma

Question 26

hydrocele

Answer 26

non-tender, serous filled mass, due to inflammation.

Question 27

bag of worms

Answer 27

varicocele

Question 28

sx of acute epididymitis

Answer 28

painful, swollen, epididymis, may radiate to abdomen, peaude orange skin, febrile, d/c

Question 29

What PE would you do for acute epididymitis

Answer 29

elevate testes eases pain (Prehn sign)

Question 30

risk factors for testicular cancer

Answer 30

cryptorchidism, estrogen exposure, trauma

Question 31

sx of testicular ca

Answer 31

painless testicular nodule, smooth enlargement, firm nontender

Question 32

BPH

Answer 32

hyperplasia of prostatic stromal and epithelial cells in transitional zone results in formation of large, discrete nodules in periurethral region - urine outflow obstruction - urine stasis in bladder from residual urine

Question 33

sx of BPH

Answer 33

progressive urinary frequency, urgency, nocturia, hesitancy, decreased force of stream, incontinence

Question 34

complications of BPH

Answer 34

UTI urolithiasis hydronephrosis

Question 35

DRE for BPH reveals what?

Answer 35

enlarged rubbery prostate

Question 36

What is the most common cancer in men over 50?

Answer 36

prostate CA

Question 37

sx of prostate ca

Answer 37

sexual dysfunction, incontinence, irritative sx

Question 38

Dx of prostate Ca

Answer 38

``` transrectal US (TRUS) with biopsy axial CT or MRI ```

Question 39

PE for erectile dysfunction

Answer 39

cardio, neuro, and mental status exam