male gu assessment - Sheet1

Question 1

What urinary symptoms should be discussed in a male GU subjective assessment?

Answer 1

Frequency, urgency, nocturia, dysuria, hesitancy, straining, urine color, and hematuria.

Question 2

What past GU history information is relevant in a male GU assessment?

Answer 2

Erection changes, associated health issues, medications, history of lesions, sores, lumps, discharge, sexual history (partners, STIs).

Question 3

What should be considered about the gender of the examiner during a male GU assessment?

Answer 3

Gender of the examiner may affect patient comfort; embarrassment or erection may occur.

Question 4

What should be assessed regarding hair distribution during a male GU exam?

Answer 4

Check for pubic hair distribution, which may decrease with age, and assess for pests.

Question 5

What questions should be asked about sexual history?

Answer 5

Inquire about partners, contraceptive use, and history of STIs.

Question 6

What is phimosis?

Answer 6

Phimosis is the inability to retract the foreskin over the glans due to tight foreskin.

Question 7

What are hypospadias and epispadias?

Answer 7

Hypospadias: Urethra opens on the underside of the penis; epispadias: Urethra opens on the upper aspect. Both require early surgery.

Question 8

What should be observed regarding the foreskin in a male GU assessment?

Answer 8

Check if circumcised, foreskin retractability, and presence of phimosis.

Question 9

How should a Foley or condom catheter be assessed?

Answer 9

Foley catheter: assess placement, urine color. Condom catheter: check for skin breakdown.

Question 10

What should be noted in a scrotal assessment?

Answer 10

Check for edema, signs of infection, and any history of abdominal or pelvic trauma.

Question 11

What are normal findings for inguinal or femoral hernias?

Answer 11

Hernias should not be palpable. Bulges suggest a hernia and should be referred to an MD or APRN.

Question 12

When should prostate screenings typically begin?

Answer 12

Prostate screenings typically begin at age 40-45.

Question 13

What is a Prostate-Specific Antigen (PSA) test?

Answer 13

PSA is a blood test used to screen for prostate cancer or other prostate conditions.

Question 14

What is Hypospadias?

Answer 14

Hypospadias is a congenital condition where the urethral opening is located on the underside of the penis, often repaired in infancy.

Question 15

What is Epispadias?

Answer 15

Epispadias is a congenital condition where the urethral opening is located on the upper aspect of the penis, requiring surgical repair.

Question 16

What is the ideal age for surgical repair of hypospadias and epispadias?

Answer 16

Both conditions ideally require surgical repair during the first 7 years of life.

Question 17

What is BPH?

Answer 17

Benign Prostatic Hyperplasia (BPH) is an enlargement of the prostate, which can cause urinary symptoms such as frequency and hesitancy.

Question 18

What are common signs of BPH?

Answer 18

Signs include frequent urination, urgency, nocturia, weak urine stream, and difficulty starting urination.

Question 19

When should males begin performing Testicular Self-Exams (TSE)?

Answer 19

Males should begin performing TSE at age 13 and continue monthly throughout adulthood.

Question 20

How often should a Testicular Self-Exam (TSE) be performed?

Answer 20

TSE should be performed once a month.

Question 21

When is the best time to perform a Testicular Self-Exam?

Answer 21

It is best to perform TSE after a warm shower, when the scrotum is relaxed.

Question 22

What should males look for during a Testicular Self-Exam?

Answer 22

They should check for any changes or lumps in the testicles, including painless lumps, which could indicate a testicular tumor.

Question 23

What is normal to feel during a Testicular Self-Exam?

Answer 23

The epididymis, which is located above the testicle, is normal to palpate.

Question 24

What age group is most at risk for testicular cancer?

Answer 24

Testicular cancer is most common in males ages 15-34.

Question 25

What is the main recommendation regarding TSE for males?

Answer 25

Males should report any changes or lumps they find immediately, as testicular tumors are often painless.

Question 26

Do nurses typically palpate the testicles during an exam?

Answer 26

Nurses do not typically palpate the testicles, but they are responsible for educating patients on how to perform the TSE themselves.

Question 27

What causes erectile dysfunction (ED) in males?

Answer 27

Causes of ED can include psychological factors (stress, anxiety), physical factors (diabetes, hypertension, heart disease), medications (antihypertensives, antidepressants), and hormonal imbalances.

Question 28

What are common subjective findings related to ED?

Answer 28

Males may report difficulty achieving or maintaining an erection, reduced sexual desire, and low satisfaction with sexual activity.

Question 29

How does ED present in the elderly male population?

Answer 29

ED in older men may be due to decreased testosterone, reduced blood flow, side effects from medications, and conditions like prostate problems (BPH).

Question 30

What are pediatric considerations related to male genital health?

Answer 30

Boys should have descended testes by 9 months of age. Delayed descent increases the risk for testicular cancer later. Abuse or inappropriate activity should be screened.

Question 31

What male genital issues should be assessed for in infancy?

Answer 31

Congenital deformities such as hypospadias and epispadias should be assessed. The urethra should be distally centered at birth.

Question 32

What changes occur in the male genital system as men age?

Answer 32

Older men may experience a pendulous scrotum, decreased sperm production, smaller testicle size, less rigid erections, and less powerful ejaculations. Prostatic hypertrophy (BPH) is more common.

Question 33

What should be considered when assessing erectile dysfunction in older men?

Answer 33

Medications like antihypertensives and antidepressants may contribute to ED. Reassure that these effects are not permanent and suggest consulting a prescriber for medication adjustments.

Question 34

What is Prostatic Hypertrophy (BPH) and its impact on urinary function?

Answer 34

BPH causes enlarged prostate, leading to straining with urination, weak urine stream, and urinary retention. It is more common in older men.

Question 35

What is the treatment for ED related to medication side effects?

Answer 35

ED due to medications may improve by adjusting prescriptions. Bring up concerns with the prescribing healthcare provider.

Question 36

How is erectile function related to age in elderly men?

Answer 36

Men can remain capable of impregnating a woman well into their 80s and 90s, though erectile function may decline with age.

Question 37

What are the most common STIs affecting males?

Answer 37

STIs include genital herpes (HSV-2), HPV (which can cause genital warts and cancers), syphilis (treatable with antibiotics), gonorrhea (causing burning urination), HIV/AIDS, and hepatitis.

Question 38

What is the treatment for genital herpes (HSV-2)?

Answer 38

Genital herpes is treated with antiviral medications. There is no cure, and the virus remains indefinitely. Barrier methods reduce transmission.

Question 39

What is the HPV vaccine and why is it important?

Answer 39

The HPV vaccine can prevent cervical and other cancers caused by HPV. It is most effective when administered before sexual activity.

Question 40

What are the symptoms of gonorrhea and its treatment?

Answer 40

Gonorrhea causes burning during urination, pus or inflammation of the urethra, and increased urinary frequency. It is treatable with antibiotics, though drug resistance is rising.

Question 41

What is the current treatment for HIV/AIDS?

Answer 41

HIV/AIDS is treated with antiretrovirals, though side effects can be significant, and treatment is costly. Risk reduction includes condoms and PrEP (Truvada, Descovy).

Question 42

What are the key prevention methods for hepatitis?

Answer 42

Hepatitis A and B are preventable by vaccines. Hepatitis C has costly treatments available. Risk reduction includes using condoms, avoiding needle use, and vaccination.