Male Reproductive

Question 1

Where is the primary area of prostate carcinoma development in men?

Answer 1

The peripheral zone

Question 2

What area of the prostate surrounds the urethra and is associated with BPH?

Answer 2

The transition zone

Question 3

What is the demarcation of the onset of puberty in men?

Answer 3

Testicular growth

Question 4

Of the 4 aspects of examination, what are the two used in the male reproductive system examination?

Answer 4

Inspection and palpation only

Question 5

If a male presents with urethral discharge, what should the provider do?

Answer 5

Culture the discharge to identify the cause

Question 6

If you palpate the testes and discover a nodule, should you investigate further?

Answer 6

Yes

Question 7

You note a varicocele in your male patient. He lays down and the varicocele seems to resolve. Is this normal?

Answer 7

Yes, variocele’s will resolve from palpation when the patient lays down

Question 8

Key Findings/Physical Exam:
-abnormal urethral opening on the ventral aspect of the penis requiring surgical correction

Answer 8

Hypospadias

Question 9

Key Findings/Physical Exam:
-Inability to retract the foreskin of an uncircumcised penis

Answer 9

Phimosis

Question 10

Key Findings/Physical Exam:
-forcefully retracted foreskin resulting in tightening, swelling and entrapment of the foreskin around the glans penis that can cut off circulation to the glans

Answer 10

Paraphimosis

Question 11

Key Findings/Physical Exam:
-no testes noted in the scrotum by 4 months requiring surgical correction

Answer 11

Undescended testes

Question 12

Key Findings/Physical Exam:
-collection of peritoneal fluid in the scrotal sac resulting in fascial defect in the inguinal canal

Answer 12

Hydrocele

Question 13

Key Findings/Physical Exam:
-dilated twisted veins surrounding the spermatic cord
-typically occurs on the L hemiscrotum
-“bag of worms”

Answer 13

Varicocele

Question 14

Key Findings/Physical Exam:
-pain, swelling, inflammation or the epididymis for up to 6 weeks
-typically a secondary infection in the setting of STIs

Answer 14

Epididymitis

Question 15

Key Findings/Physical Exam:
-acute onset testicular pain and swelling
-transverse testicular lie
-negative cremasteric reflex
-ischemia and death of the testes can occur within 6-12 hours

Answer 15

Testicular torsion

Question 16

Key Findings/Physical Exam:
-solid, firm mass
-fixed area in the testes

Answer 16

Testicular cancer

Question 17

Key Findings/Physical Exam:
-congential malformation with absence or abnormal location of anal opening

Answer 17

Anorectal anenesis/imperforate anus

Question 18

Inflammation of the glans penis

Answer 18

Balanitis

Question 19

Inflammation of the glans penis and foreskin in uncircumcised men

Answer 19

Balanoposthitis

Question 20

Key Findings/Physical Exam:
-painful, itchy, erythematous, potentially fissured rash
-white, curd-like discharge

Answer 20

Candidasis

Question 21

What are the most common STIs in men?

Answer 21

Gonorrhea and Chlamydia

Question 22

Key Findings/Physical Exam:
-penile pain
-nodules
-penile curvature or deformity
-erectile penile shortening and sexual dysfunction

Answer 22

Peyronie’s disease

Question 23

Key Findings/Physical Exam:
-thickening of the skin
-skin color changes, ulcers, velvety red plaques

Answer 23

Penile skin cancer

Question 24

Key Findings/Physical Exam:
-Enlarged prostate gland
-urinary frequency, impaired flow, weak urine stream, nocturia, urinary dribbling posturination

Answer 24

BPH

Question 25

Key Findings/Physical Exam:
-nodules or asymmetric prostate on DRE
-elevated PSA

Answer 25

Prostate cancer

Question 26

Is PSA a strong indicator of prostate cancer?

Answer 26

No it is non-specific