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Health Assessment > Quiz #4 Male Genitourinary > Flashcards

Quiz #4 Male Genitourinary Flashcards

1
Q

Production of sperm in the aging adult

A

Begins to decrease around 40, but continues into the 80s and 90s

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2
Q

Testosterone production in the aging adult

A

Begins to decrease after age 30, but gradual- resulting physical changes are not evident until later

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3
Q

What happens as a result of decreased tone of the dartos muscle in the aging adult?

A

Scrotal contents hang lower, rugae decrease, scrotum looks pendulous

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4
Q

Changes in testes in the aging adult

A

decrease in size, less firm to palpation

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5
Q

sexual response in the aging adult

A

slower, less intense

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6
Q

Why might a man withdraw from sexual activity?

A
  1. loss of spouse
  2. depression
  3. preoccupation with work
  4. marital or family conflict
  5. side effects of medications (anti HTN, psychotropic, antispasmodics, sedatives, narcotics, estrogens)
  6. heavy alcohol use
  7. lack of privacy
  8. economic or emotional stess
  9. poor nutrition
  10. fatigue
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7
Q

subjective data for male genitourinary

A
  1. Frequency, urgency, nocturia
  2. Dysuria
  3. Hesitancy and straining
  4. Urine color
  5. Past genitourinary hx
  6. Penis pain, lesions, or discharge
  7. Scrotum and self-care
  8. Sexual activity and contraceptive use
  9. STI contact
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8
Q

rapid detumescence

A

Penis rapidly becomes flaccid after ejaculation in the aging adult

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9
Q

rapid detumescence

A

Penis rapidly becomes flaccid after ejaculation in the aging adult

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10
Q

Two major causes of chronic kidney disease

A

HTN and DM

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11
Q

How many times does the average adult void urine a day?

A

5-6 times

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12
Q

Oliguria

A

Diminished urine- <400mL/day

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13
Q

Dysuria is common with

A

acute cystitis, prostatitis, urethritis

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14
Q

Hesitancy, straining, terminal dribbling, and decreased urine flow suggest…

A

BPH

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15
Q

Urge incontinence

A

involuntary urine loss due to overactive bladder detrusor muscle

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16
Q

Stress incontinence

A

Involuntary urine loss with physical strain, sneezing, or coughing caused by weakness of the pelvic floor

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17
Q

Additional subjective hx for aging adult

A
  1. Difficulty urinating, hesitancy, weakened force of stream, dribbling, incomplete emptying?
  2. Do you ever leak water/urine when you don’t want to? use pads/tissues?
  3. Nocturia? Med use? PM fluids?
  4. Sexual function
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18
Q

Nocturia causes

A

Diuretics
medication
habit
fluid ingestion 3 hrs before bedtime- especially coffee and alcohol
fluid retention from HF or varicose veins- recumbency at night mobilizes fluid

19
Q

Nocturnal enuresis

A

Bedwetting after 5-6 years of age

20
Q

Objective data for male genitourinary

A

Inspect and palpate the penis
Retract the foreskin, check for phimosis, paraphimosis, hypospadias, epispadias
check for scrotal swelling and inflammation
Assess urine color, clarity, and pH

21
Q

Normal urine pH

22
Q

Phimosis

A

narrowed opening of prepuce— foreskin cannot retract

23
Q

Paraphimosis

A

Painful constriction of the glans by a retracted foreskin

24
Q

Hypospadia

A

ventral location of the meatus

25
Q

Epispadia

A

dorsal location of the meatus

26
Q

stricture

A

narrowed opening of the meatus

27
Q

urethritis S&S

A

edges that are red, everted, edematous, with purulent discharge

28
Q

Causes of taut, pitting scrotal swelling

A

CHF, renal failure, local inflammation

29
Q

Sebaceous cyst

A

Yellow, 1 cm nodules on scrotum. Firm, nontender, and often multiple. Common and benign

30
Q

Nodules on teses or epididymides call for

A

ultrasound imaging

31
Q

Indurated, swollen, tender epididymis indicates

A

epididymitis

32
Q

Varicocele

A

Soft, swollen, torturous spermatic cord

33
Q

Transillumination of scrotum

A

Darken the room and shine a flashlight- normal scrotal contents do not illuminate.
Serous fluid transilluminates and shows as red glow, indicates hydrocele or spermatocele.
Hernia, epididymitis, and tumor do not illuminate.

34
Q

Testicular Self-Examination

A

Should begin at age 13-14
Timing— once a month
S— shower- warm water relaxes scrotal sac
E— examine, report changes immediately

35
Q

Testicular cancer most common in ages

36
Q

Proteinuria indicates

A

glomerular disease in the nephron

37
Q

Glucosuria suggests

A

hyperglycemia with diabetes

38
Q

Increased RBCs in the urine occur with

A 
UTI
Glomerulonephritis
Renal calculi
Trauma
Cancer
39
Q

Normal creatinine levels

A

.70-1.5mg/dL.

Measures GFR

40
Q

Normal BUN

A

10-20mg/dL

41
Q

How many men experience BPH?

A

more than 1/2 of men in their 60s and 90% of men in their 70s have symptoms.

42
Q

What two groups of men have increased risk of prostate cancer?

A

African American men and men whose first degree relatives had prostate cancer.

43
Q

How is prostate cancer detected?

A

PSA test or DRE (less effective)

Health Assessment (20 decks)

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