Male Genitourinary

Question 1

older male

Answer 1

Does not experience end of fertility
Gradual decrease in testosterone after 30
Decreasing pubic hair, penile size
Slower, less intense sexual response
Erection takes longer to develop
Ejaculation shorter, less forceful

Question 2

prostatic hypertrophy

Answer 2

Straining
Loss of force
Sense of residual urine
Urgency
Frequency
Hematuria
Nocturia

Question 3

subjective data

Answer 3

Frequency, urgency, nocturne
Dysuria
Hesitancy and straining
Past genitourinary history
Urine color
Penis/scrotum including self care
Sexual activity and contraceptive use
STI contact

Question 4

objective data

Answer 4

Inspection and palpation
Retract foreskin
Check scrotal swelling/inflammation
Assess urine (color, clarity, pH)

Question 5

When do adolescents hit puberty?

Answer 5

9- African American

10- White

Question 6

PSA

Answer 6

normal substance made by the prostate gland. Level increases when cancer develops. Enlarged prostate, age and prostatitis can also cause increase.

Question 7

TSE

Answer 7

timing, once a month
shower, warm water relaxes scrotal sac
examine, check for changes, report immediately

Question 8

urine

Answer 8

color
discolored
cloudy
foul-swelling
bloody
pH 4.5-8.0

Question 9

testosterone decrease

Answer 9

slower and less intense sexual response
erection takes longer to develop, less full and firm
shorter ejaculation
rapid detumescence, especially after 60 years

Question 10

withdrawal from sexual activity may be caused by

Answer 10

loss of spouse
depression
preoccupation with work
marital/family conflict
side effects of medication 
heavy use of alcohol
lack of privacy
economic or emotional stress
poor nutrition
fatigue

Question 11

testes at birth

Answer 11

descend before birth
measure 1.5-2 cm long and 1 cm wide
Only a slight increase in size occurs during the prepubertal years.

Question 12

testicular cancer most common in age

Answer 12

15-35

Question 13

SMR chart notes

Answer 13

enlargement of the testes and scotum
pubic hair growth
darkening of scrotal color
roughening of scrotal skin
increase in penis length and width
axillary hair growth

Question 14

oliguria

Answer 14

diminished quantity, less than 400mL in 24 hours

Question 15

nocturia causes

Answer 15

Occurs with frequency & urgency in urinary tract disorders

Other sources-
Meds (diuretics)
Habit
Fluid ingestion 3 hours prior to bedtime
coffee/alcohol have diuretic effect
Heart failure or varicose veins

Question 16

dysuria

Answer 16

pain or burning with urination

Common with-
Acute cystitis
Prostatitis
urethritis

Question 17

depressants to sexual activity/desire

Answer 17

Antihypertensives
Sedatives
Tranquilizers
Estrogens
Alcohol - decreases sexual response more dramatically in older person

Question 18

NAVEL

Answer 18

used to check for inguinal hernia

Nerve
Artery
Vein
Empty space
Lymphatics

Question 19

urethritis

Answer 19

(Urethral discharge and dysuria) causes painful, burning urination or pruritus. Meatus edges are reddened, everted and swollen with purulent discharge

Question 20

renal calculi

Answer 20

renal stones (crystals of calcium oxalate or uric acid), cause abrupt severe flank pain with radiation to the groin or abd, N/V, restlessness, gross or microscopic hematuria

Question 21

variocele

Answer 21

dilated tortuous veins in the spermatic cord

Question 22

creatinine

Answer 22

Measures glomerular filtration rate
Normal is 0.7-1.5 mg/dL
When GFR decreases by half, serum creatinine level doubles = decreased kidney function

Question 23

BUN

Answer 23

Blood Urea Nitrogen
Measures 10 to 20 mg/dL - rises w/decrease in fluid volume or increase in protein intake
Rises with decreased kidney function but is less specific