male Path I

Question 1

hypospadias

Answer 1

inferior urethral opening

Question 2

epispadias

Answer 2

superior urethral opening

assoc with other GU anomalies

Question 3

spadias assoc with what

Answer 3

UTIs

Question 4

types of phimosis

Answer 4

congenital

acquired

Question 5

what causes paraphimosis

Answer 5

lack of perfusion

Question 6

what causes extrophy of bladder

Answer 6

failure of cloacal membrane development
bladder connects to surface
assoc with epispadias
need surgery

Question 7

what causes patent urachus

Answer 7

failure urachus to obliterate

Question 8

when do testes normally descend

Answer 8

7th mo guided by gubernaculum

Question 9

what are the types of scrotal masses

Answer 9

hydrocele
spermatocele
variocoele
inguinal hernia

Question 10

what causes communicating hydrocele

Answer 10

lack of obliteration of process vaginalis that allow communication between peritoneum and scrotal sac

Question 11

hydrocele more common on what side

Answer 11

R side because descent of testicle takes longer than L side

Question 12

hydrocele is distinguished from testicular mass how

Answer 12

transillumination

Question 13

where do the pampiniform plexus drain to

Answer 13

on R goes to single a that goes to R renal a

on L goes into IVC

Question 14

what is varicocele

Answer 14

when paminiform plexus dilate and fill with blood

feels like bag of worms

Question 15

what is spermatocele

Answer 15

dilation of 1 or more ducts of epididymus

Question 16

when does spermatocele become Sx

Answer 16

when become really large or infection

Question 17

does a spermatocele transilluminate in kids

Answer 17

yes

Question 18

which hernia is more medial

Answer 18

direct

Question 19

majority hernias are what type

Answer 19

indirect

Question 20

where is internal and external inguinal rings in comparison to inf epigastric a

Answer 20

internal is lateral

external is a medial

Question 21

when are there clinical Sx of hernias

Answer 21

vascular supply compromised
have pain
intestine cannot be reduced because swollen

Question 22

Trichimonas in male

Answer 22

burning, dysuria, discharge

Question 23

what is balanisis

Answer 23

inflammation of glans

Question 24

balanoposthitis

Answer 24

inflammation of glans and foreskin

Question 25

smegma

Answer 25

accumulation of desquamated epithelial cells, sweat and inflammatory debris

Question 26

patient with chlamydia and reiter syndrome may have what presentation

Answer 26

painless ulcers on penis

Question 27

Lichen sclerosis and atrophicus in male

Answer 27

whitening
can have painful erections– curvature
narrowing urethral orifice