Male GU

Question 1

WHat cells produce testosterone?

Answer 1

Leydig cells

Question 2

WHat cells produce FSH?

Answer 2

Sertoli cells and germ cells

Question 3

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

Answer 3

peripheral vascular disease

Question 4

What is balanitis?

Answer 4

Inflammation of foreskin

typically found in young men

Question 5

What is phimosis?

Answer 5

Can’t retract the foreskin

Question 6

What is paraphimosis?

Answer 6

Retracted foreskin but can’t get it to go back

Question 7

What is NGU?

Answer 7

nongonococcal urethritis

Question 8

Are pearly penile papules benign?

Answer 8

Yes

Question 9

What does Peyronie’s dz cause?

Answer 9

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

Question 10

What does “eggplant penis” refer to?

Answer 10

The purplish color of the penis from trauma

Question 11

What will a hydrocele look like under light?

Answer 11

Transiluminate

Question 12

are hydroceles benign?

Answer 12

Yes

Question 13

What testicular mass looks wormy?

Answer 13

Varicocele

Question 14

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

Answer 14

top of the thigh

more common in females

Question 15

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

Answer 15

supine
standing
valsalva (turn head and cough)

Question 16

How many lobes are in the prostate?

Answer 16

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

Question 17

Which lobe of the prostate isn’t palpable?

Answer 17

median lobe (anterior to urethra)

Question 18

Do PSA differentiate aggressive CA from slow growing?

Answer 18

No

Question 19

A PSA or greater than what is concerning.

Answer 19

> 4

Question 20

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

Answer 20

3-5 years

Question 21

When should sigmoidscopy be done

Answer 21

every 5 years w/ FOBT

every 3 years otherwise

Question 22

What color are external hemorrhoids?

Answer 22

blue

Question 23

What is smegma?

Answer 23

cheesy, whitish material under foreskin

Question 24

What is hypospadias?

Answer 24

congenital displacement of urethral meatus to inferior surface of penis

Question 25

What does profuse yellow discharge indicate?

Answer 25

gonococcal urethritis

Question 26

What does scanty white or clear discharge indicate?

Answer 26

nongonococcal urethritis

Question 27

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

Answer 27

Primary syphillis

Question 28

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

Answer 28

Chancroid

Question 29

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

Answer 29

Herpes

Question 30

What is tinea cruris?

Answer 30

jock itch

Question 31

What do pubic or genital excoriations suggest?

Answer 31

lice or scabies

Question 32

What is folliculitis?

Answer 32

infection or inflammation of one or more hair follicles

Question 33

What does molluscum look like?

Answer 33

umbilicated flesh colored lesion

Question 34

What is condyloma accuminata look like?

Answer 34

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

Question 35

What is scrotal edema usually seen with?

Answer 35

heart failure or nephrotic syndrome

Question 36

What is cryptorchidism

Answer 36

undescended testicle

Question 37

What are common scrotal swellings?

Answer 37

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

Question 38

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

Answer 38

epidermoid cyst

Question 39

What is tender painful scrotal swelling?

Answer 39

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

Question 40

What light up with a red glow on the scrotum?

Answer 40

hydrocele

Question 41

What does cryptorchidism raise the risk for?

Answer 41

testicular cancer

Question 42

What is acute orchitis?

Answer 42

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

Question 43

What feels like a soft bag of worms?

Answer 43

Varicocele of the spermatic cord

Question 44

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

Answer 44

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

Question 45

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

Answer 45

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

Question 46

What is DRE?

Answer 46

digital rectal exam; has low sensitivity but high specificity

Question 47

What are 7 symptoms of BPH?

Answer 47

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

Question 48

What does the normal prostate feel like?

Answer 48

smooth, rubbery, non-tender

Question 49

What does acute bacterial prostatitis present with?

Answer 49

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

Question 50

What are characteristics of chronic bacterial prostatitis?

Answer 50

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

Question 51

What is the most common PE with prostate cancer?

Answer 51

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