Peds GU Flashcards

1
Q

Why can the first urine turn the diaper pink?

A

First urine is concentrated, contains urates, can turn the diaper pink.

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2
Q

T/F If there are signs of discharge or dysuria, the NP should milk the penis to get a sample.

A

False. Have the PATIENT milk the penis.

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3
Q

Pubertal development before the age of _____ in males is considered precocious puberty.

A

9 years

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4
Q

When can you usually retract the foreskin during an exam?

A

Approximately 6 years of age

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5
Q

Why should you not palpate the inguinal ring before puberty?

A

Generally NOT recommended prior to puberty due to tenderness of ring and low yield.

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6
Q

What could forcible retraction of the foreskin cause?

A

Tissue damage and later cause adhesions.

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7
Q

What is the cremasteric reflex?

A

Retraction of the testes into the inguinal canal and abdomen; stimulated by cold, touch, emotional excitement, exercise.

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8
Q

What position works best for GU exam on females prior to puberty?

A

Frog-legged or with knees to chest.

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9
Q

Pubic hair before the age of _____ in females should be considered precocious puberty.

A

7 years

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10
Q

In prepuberty, what do you use to examine the GU structures?

A

Labial traction

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11
Q

What constitutes delayed puberty in males and females?

A

No signs of secondary sexual characteristics by age 13 in girls and age 14 in boys.

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12
Q

What is the most common cause of delayed puberty in males?

A

Constitutional delay (familial condition involving delayed bone and physical maturation but normal hormone levels).

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13
Q

In infants and young children, where do you palpate the bladder?

A

Slightly above the symphysis pubis.

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14
Q

T/F Any testicular mass is almost always a malignancy.

A

True. Any testicular mass is to be worked up because it is almost always a malignancy.

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