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Clinical Assessment III- Bates Flashcards > Male GU > Flashcards

Male GU Flashcards

1
Q

WHat cells produce testosterone?

A

Leydig cells

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2
Q

WHat cells produce FSH?

A

Sertoli cells and germ cells

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3
Q

If a male presents with ED what else should you test for?

A

peripheral vascular disease

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4
Q

What is balanitis?

A

Inflammation of foreskin

typically found in young men

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5
Q

What is phimosis?

A

Can’t retract the foreskin

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6
Q

What is paraphimosis?

A

Retracted foreskin but can’t get it to go back

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7
Q

What is NGU?

A

nongonococcal urethritis

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8
Q

Are pearly penile papules benign?

A

Yes

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9
Q

What does Peyronie’s dz cause?

A

Abnormal curvature of the penis during erection due to formation of scar tissue.

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10
Q

What does “eggplant penis” refer to?

A

The purplish color of the penis from trauma

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11
Q

What will a hydrocele look like under light?

A

Transiluminate

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12
Q

are hydroceles benign?

A

Yes

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13
Q

What testicular mass looks wormy?

A

Varicocele

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14
Q

Where are femoral hernias found? Who are they more common in?

A

top of the thigh

more common in females

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15
Q

what three positions do you want to check for hernias in?

A

supine
standing
valsalva (turn head and cough)

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16
Q

How many lobes are in the prostate?

A 
3 lobes
2 lateral (heart shaped) and 1 median (non-palpable)
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17
Q

Which lobe of the prostate isn’t palpable?

A

median lobe (anterior to urethra)

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18
Q

Do PSA differentiate aggressive CA from slow growing?

A

No

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19
Q

A PSA or greater than what is concerning.

A

> 4

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20
Q

How often should colonscopies be done with polyps or with patient’s with higher risk?

A

3-5 years

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21
Q

When should sigmoidscopy be done

A

every 5 years w/ FOBT

every 3 years otherwise

22
Q

What color are external hemorrhoids?

A

blue

23
Q

What is smegma?

A

cheesy, whitish material under foreskin

24
Q

What is hypospadias?

A

congenital displacement of urethral meatus to inferior surface of penis

25
Q

What does profuse yellow discharge indicate?

A

gonococcal urethritis

26
Q

What does scanty white or clear discharge indicate?

A

nongonococcal urethritis

27
Q

What ulceration is a small red papule that becomes a chancre or PAINLESS erosion up to 2cm diameter? Base of chancre is smooth, red, clean and glistening; heals within 3-8 weeks

A

Primary syphillis

28
Q

What ulceration is red papule or pustule initially that forms PAINFUL deep ulcer with ragged nonindurated margins; has friable base; necrotic exudate?

A

Chancroid

29
Q

What ulceration is a small scattered or grouped vesicles, 1-3 mm in size, on glans or shaft of penis?

A

Herpes

30
Q

What is tinea cruris?

A

jock itch

31
Q

What do pubic or genital excoriations suggest?

A

lice or scabies

32
Q

What is folliculitis?

A

infection or inflammation of one or more hair follicles

33
Q

What does molluscum look like?

A

umbilicated flesh colored lesion

34
Q

What is condyloma accuminata look like?

A

single or multiple papules or plaques of variable shapes; may be raised, flat, or cauliflower like

35
Q

What is scrotal edema usually seen with?

A

heart failure or nephrotic syndrome

36
Q

What is cryptorchidism

A

undescended testicle

37
Q

What are common scrotal swellings?

A

inguinal hernias, hydroceles, scrotal edema, and rarely testicular carinoma

38
Q

What are dome shaped white or yellow papules or nodulces formed by occulded follicles filled with keratin debris on the scrotum?

A

epidermoid cyst

39
Q

What is tender painful scrotal swelling?

A

acute epididymitis, acute orchitis, torsion of spermatic cord, or strangulated inguinal hernia

40
Q

What light up with a red glow on the scrotum?

A

hydrocele

41
Q

What does cryptorchidism raise the risk for?

A

testicular cancer

42
Q

What is acute orchitis?

A

acutely inflamed, painful, tender and swollen test; seen with mumps and other viral infections

43
Q

What feels like a soft bag of worms?

A

Varicocele of the spermatic cord

44
Q

What is the difference between a direct inguinal hernia and an indirect inguinal hernia?

A

direct is in the external inguinal ring; indirect is in the internal inguinal ring

45
Q

When should you not try to reduce a hernia? What should you suspect with these symptoms?

A

when the mass is tender or the patient has N/V; strangulation

46
Q

What is DRE?

A

digital rectal exam; has low sensitivity but high specificity

47
Q

What are 7 symptoms of BPH?

A

Incomplete emptying, frequency, intermittency, urgency, weak stream, straining, nocturia

48
Q

What does the normal prostate feel like?

A

smooth, rubbery, non-tender

49
Q

What does acute bacterial prostatitis present with?

A

fever, urinary tract symptoms (frequency, urgency, hesitancy), low back pain; gland feels tender and boggy

50
Q

What are characteristics of chronic bacterial prostatitis?

A

recurrent urinary tract infections, symptoms of dysuria, mild pelvic pain; gland feels normal wi/o tenderness or swelling

51
Q

What is the most common PE with prostate cancer?

A

hardness of gland; hard nodule that alters the contour of the gland

Clinical Assessment III- Bates Flashcards (14 decks)

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