Male GU Exam - King

Question 1

phimosis

Answer 1

inability to retract over glans

Question 2

paraphimosis

Answer 2

inability to pull back over glans

Question 3

balanitis

Answer 3

inflammation of glans

Question 4

hypospadius

Answer 4

urethral on bottom of penis

opening on ventral side of penis

Question 5

cryptorchidism

Answer 5

undescended testicles

Question 6

strangulated hernia

Answer 6

painful

Question 7

incarcerated hernia

Answer 7

doesn’t hurt - but cannot be reduced

Question 8

preliminary to exam

Answer 8

have patient empty bladder
explain exam - especially prostate

inspect/palpate - supine
hernia exam - standing
prostate exam - left lateral recumbent position

Question 9

male hair pattern

Answer 9

diamond shaped

Question 10

herpes lesion

Answer 10

vesicular to ulcerated

Question 11

base of glans

Answer 11

STDs in males

Question 12

peyronies disease

Answer 12

fibrous tissue on penis

Question 13

inspection of scrotum

Answer 13

look for symmetry

shouldn’t be marked difference in size

Question 14

testicular cancer

Answer 14

is aggressive

Question 15

testicular masses

Answer 15

carcinoma

hydrocele

Question 16

testicular tenderness

Answer 16

orchitis
torsion
epididymitis
turmor
hernia

Question 17

transillumination of scrotum

Answer 17

hydrocele and sometime epididymal cyst allow light passage

Question 18

nontender mass in scrotum, can be transilluminated

Answer 18

hydrocele

remnant of hernia sac

Question 19

nontender mass in scrotum, extends to inguinal canal, maybe transilluminate

Answer 19

inguinal hernia

Question 20

very tender scrotum, dysuria, does not transilluminate

Answer 20

epididymitis

Question 21

orchitis

Answer 21

very tender scrotum

Question 22

abrupt pain in testicle, affected testicle elevated

Answer 22

testicular torsion

boy 10-16yo

concern is necrosis**

Question 23

bag of worms

Answer 23

varicocele

does not transilluminate

Question 24

testicle painless, enlarged, irregular, does not transilluminate

Answer 24

testicular cancer

Question 25

indirect inguinal hernia

Answer 25

internal inguinal ring does not close

may pass towards scrotum

Question 26

direct inguinal hernia

Answer 26

with weight lifters

tear of floor of inguinal canal

through floor of canal - transversalic fascia**

may pass into scrotum

Question 27

femoral hernia

Answer 27

most rare

under inguinal ligament and into femoral triangle

more common in women**

Question 28

most common hernia in female

Answer 28

indirect hernia

also in males

Question 29

femoral hernia

Answer 29

in women more than men

Question 30

external hemorrhoid

Answer 30

very painful

with liver disease

common complaint - bleeding

make sure you check for cancer**

clotted off - severe pain

Question 31

internal hemorrhoid

Answer 31

no discomfort - but do bleed more

Question 32

skin tag

Answer 32

overgrowth of anal epithelium

painless

may confuse with cancer

Question 33

tear in anal mucosa

Answer 33

anal fissure

very painful

chronic constipation and strain moving bowels

Question 34

anorectal fistula

Answer 34

abnormal tract rectum to anus

surgical repair
commonly crohns disease

Question 35

painful ulcerating vesicles

Answer 35

herpes

Question 36

condyloma lata

Answer 36

secondary syphilis

flattened appearance

Question 37

anal cancer

Answer 37

squamous cell

painless until ulcerated

presents with bleeding

often ignored in people with hemorrhoids

Question 38

weakening of pelvic floor

Answer 38

rectal prolapse

Question 39

prostate

Answer 39

normally 4cm in diamter

-should be smooth

Question 40

rubbery prostate

Answer 40

BPH

Question 41

rigid prostate

Answer 41

carcinoma

Question 42

urethral discharge

Answer 42

Profuse yellow discharge occurs in gonococcal urethritis; scanty white or clear discharge in nongonococcal urethritis

Question 43

most common form of cancer in men between the ages of 15 and 34

Answer 43

testicular