Male GU Exam

Question 1

corpus spongiosum

Answer 1

contains urethra x1

Question 2

corpus cavernosa

Answer 2

2x

Question 3

prepuce

Answer 3

foreskin

Question 4

pampiniform plexus

Answer 4

to testes

-plexus because can get testosterone up from scrotum

Question 5

prostate gland

Answer 5

five lobes

-anterior, posterior, middle, 2 lateral

Question 6

most common for cancer?

Answer 6

posterior lobe of prostate gland

Question 7

most common hernia

Answer 7

indirect for both sexes
above inguinal ligament
-into scrotum

Question 8

direct hernia

Answer 8

less common, mostly in men

above inguinal ligament - rarely in scrotum

Question 9

femoral hernia

Answer 9

less common, mostly in women
below inguinal ligament
-never into scrotum

Question 10

dysuria

Answer 10

pain in urination

Question 11

hematuria

Answer 11

blood in urine

Question 12

components of male exam

Answer 12

penis
scrotum
hernias
prostate
special exams

Question 13

penis exam

Answer 13

inspection and palpation

hair - triangle up

female hair - triangle down

Question 14

chlamydia

Answer 14

WBC

Question 15

gonorrhea

Answer 15

WBC with gram - intracellular diplococcic

Question 16

trichomonas

Answer 16

WBC with moving organisms

Question 17

GEN probe (genetic probe)

Answer 17

chlamydia and GC

Question 18

scrotum exam

Answer 18

inspection and palpation

Question 19

sims position

Answer 19

left lateral decubitus

Question 20

modified lithotomy

Answer 20

birthing position

Question 21

best palpated on DRE

Answer 21

posterior lobe of prostate

Question 22

testicular self exam

Answer 22

very important

educate your patients

Question 23

indirect hernia

Answer 23

enters internal ring and exits external ring

tip of finger in inguinal canal

Question 24

direct hernia

Answer 24

above inguinal ligament
behind and through external ring

at side of finger in inguinal canal

Question 25

femoral hernia

Answer 25

not felt by finger in inguinal canal

-mass below canal

Question 26

hypospadias

Answer 26

urethral meatus on inferior surface of penis

new born exam- renal abnormalities

Question 27

phimosis

Answer 27

foreskin cannot be retracted

• painful with erection
• Tx: circumsize

Question 28

paraphimosis

Answer 28

foreskin cannot be retracted over glans

-Tx: circumcision

Question 29

hydrocele

Answer 29

fluid filled mass in tunica vaginalis

illuminates with light

Question 30

cryptochidism

Answer 30

undescended testicle

increased risk for cancer

Question 31

syphilis

Answer 31

trepnema pallidum

painless chancre

RPR and VDRL positive screening
FTA-ABS, TP-PA, or dark field microscopy - confirmatory

Question 32

secondary syphilis

Answer 32

unexplained rash on body, palms, feet

think syphilis

Question 33

dark field microscopy

Answer 33

syphilis diagnosis

spirochetes for syphilis

Question 34

genital herpes

Answer 34

cluster of small vesicles
-burning and pain**

viral culture - fluid in vesicle

herpes simplex I and 2

Question 35

pregnant women

Answer 35

can transmit herpes simplex virus to infant

-do C section

Question 36

Tx for herpes

Answer 36

acute and suppressive therapy

Question 37

veneral warts

Answer 37

from HPV
grow in clusters

cryosurgery, laser surgery, electrosurgery, podophylin, aldar, surgery

Question 38

genital scabies

Answer 38

mite - sarcopes scabiei

treatment - permethrin

Question 39

gonoccocal vs. nongonoccoal

Answer 39

non - chlamydia

gram - intracellular diplococci