Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

PCM II Exam 1 > Male GU Exam (stasio-8) > Flashcards

Male GU Exam (stasio-8) Flashcards

1
Q

three columns of vascular erectile tissue

A

corpus spongiosum

copora cavernosa X2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

glans

A

cone shaped end of penis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

prepuse/foreskin

A

present on uncircumcised males

covers glans

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

urethral meatus

A

vertical slit opening at top of glans

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

scrotum

A

pouch containing testes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

tunica vaginalis

A

serous membrane covering testes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

epididymis

A

tightly coiled spermatic ducts on posterolateral surgace of each testicle
stores sperm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

vas deferens

A

cordlike tube

transports sperm to urethra

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

spermatic cord

A

contains vas def, blood vessels, nerves and muscle fibers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

prostate gland

A

3 cm X 3.5 cm
5 lobes:
ant, post, middle, lat X2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

prostate lobe most common for cancer?

A

posterior lobe

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

indirect hernia

A

most common
above ing lig
into scrotum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

direct hernia

A

less common
usually in men
above ing lig
rarely into scrotum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

femoral hernia

A

least common
usually in women
below ing lig
never into scrotum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

common GU complaints

A 
pain
dysuria
changes in urine flow
hematuria
penile discharge
penile lesions
genital rashes
frequency and urgency with urination
scrotal enlargement
groin mass/swelling
testicular mass
ED
infertility
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

components of male GU exam

A 
penis
scrotum + contents
hernias
prostate exam
special techniques
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

inspection of penis

A 
skin for lesions, rashes
hair dist, lesions, infxns, parasites
prepuce/foreskin-if here
glans for ulcers, scars, rashes, ifm
meatus for lesions, ifm, d/c
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

STDs

A

chlamydia-WBC
gonorrhea-WBC w/ gm (-) intracellular diplococcic
trichomonas-WBC with moving organisms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

GEN probe

A

checks for chlamydia and GC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

palpation of penis

A

from base to glans
note tenderness, nodules, masses, ifm
palpate inguinal areas for LN, masses, hernias, tenderness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

inspection and palpation of scrotum

A

skin and scrotal contours

testes and epididymis, spermatic cord

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

hernia check

A

finger up inguinal cancal
also, palpate inguinal areas
ask pt to cough or bear down

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

positions to examine prostate (3)

A
  1. sim’s or L lateral decubitus
  2. modified lithotomy
  3. standing and leaning forward
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

prostate gland

A

bi-lobed
heart shaped
feels like rubber ball
inferior aspect of posterior lobe best palpated on DRE
note size, tenderness, consistency, nodules

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

what is best palpated on DRE?

A

inferior aspect of posterior lobe of prostate

26
Q

testicular self exam

A 
performed post-shower/bath
examine each with 2 hands
roll between thumbs and fingers
locate epid on post side
f/u w/ dr if lumps/tender
27
Q

prostate cancer

A

msot common non-skin CA
2nd leading cause of death in men
screen with: DRE and PSA (PSA can have false (+))

28
Q

what USPTF does NOT recommend screening for

A

prostate cancer

testicular cancer

29
Q

hypospadias

A

congenital
urethral meatus displaced on inferior surface of penis along urethral groove
important in newborn exam to check for renal abnml as well

30
Q

phimosis

A

foreskin can’t be retracted over penis
painful erections
hygiene issues
tx w/ circumcision

31
Q

paraphimosis

A

foreskin can’t be retracted over glans

tx w/ circumcision

32
Q

hydrocele

A

fluid filled mass in tunica vaginalis

TRANSILLUMINATES

33
Q

cryptorchidism

A

undescended testes
atropied
increaes risk for cancer

34
Q

which dz state increases risk for cancer?

A

cryptorchidism

35
Q

cause of syphilis

A

treponema pallidum

36
Q

primary syphilis

A

painless erosion/ulcer

non-tender enlarged LN common

37
Q

what tests are positive in primary syphilis?

A

RPR-many false (+)
VDRL-many false (+)
FTA-ABS
Dark field microscopy-confirmatory

38
Q

secondary syphilis

A

unexplained rash on body. palms and soles

39
Q

RPR

A

rapid plasma regain

common false pos

40
Q

VDRL

A

venereal disease research lab

common false pos

41
Q

FTA-ABS

A

fluorescent treponemal Ab absorbed

confirms

42
Q

TP-PA

A

T. pallidum particle agglutination

confirms

43
Q

dark field microscopy

A

confirmatory test

44
Q

USPTF rates syphilis how?

A

strongly recommends screening pts at increased risk and all pregnant women for syph
NO screening for pts not at risk and without sx

45
Q

how dr assesses risk for syph

A 
all sexually active ppl under 24 yrs old
previos hx of STDS
new/many partners
inconsistent condom use
sex for money/drugs
early sex activity
46
Q

genital herpes

A

cluster of small vesicles
burn, painful, become ulcers with erythemic base
pregnant women can pass to baby

47
Q

cause of genital herpes

A

herpes simplex virus 1 and 2

serological testing differentiates b/w the two

48
Q

how to dx genital herpes

A

viral culture of fluid in vesicle

49
Q

primary genital herpes

A

painful lesions, lymphadenopathy, fever, malaise

50
Q

recurrent genital herpes

A

localized lesions, fewer sx, viral shedding asymptomatic

51
Q

tx for genital herpes

A

acute and suppressive therapy

52
Q

USPTF screening for genital herpes?

A

recommends against screening for HSV in those without sx

53
Q

venereal warts

A

grow in clusters

hard to treat

54
Q

cause of venereal warts

A

caused by HPV

55
Q

tx for venereal warts

A 
cryosurgery
laser surgery
electrosurgery
podophyllin
aldara (imiquimod)
surgery
56
Q

genital scabies

A

linear, curved, s-shaped burrows
nocturnal pruritus to intense pruritus
spread by direct contact

57
Q

cause of genital scabies

A

mite=sarcoptes scabiei

58
Q

dx genital scabies

A

clinical suspicion

slide mount prep

59
Q

tx of genital scabies

A

permethrin cream (elimite)
lindane
oral steroids
antihistamines for pruritus

60
Q

gonococcal urethritis

A 
purulent d/c
gram (-) intracellular diplococci 
WBC (neutrophils)
abrupt onset
burning dysuria
3-5 d incubation
61
Q

nongonococcal urethritis

A 
chlamydia
7-28 d incubation
gradual onset
"smarting feeling" dysuria
mucoid d/c
PMN leukocytes

PCM II Exam 1 (7 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions