Skills

Question 1

Transillumination of scrotum differentiates what conditions?

Answer 1

lights up = hydrocele

doesn’t light up = vericocele, spermatoceles

Question 2

Why have patient “bear down”?

Answer 2

see if any hernias protrude

Question 3

Positioning for posterior and rectal exam

Answer 3

Lean on table in football stance

Lay on L or R side if pt unable to stand

Question 4

What to look for on perianal exam?

Answer 4

rashes, lesions, sores, anal tag, fissure, hemorrhoid, discharge, sphincter tone

Question 5

Prehn’s Sign for testicular pain

Answer 5

Elevate scrotum while supporting testicles

If pain is decreased = +Prehn’s sign and suggestive of Epididymitis
If pain is the same or increased it is a – Prehn’s sign and suggestive of testicular torsion

Question 6

Cremasteric reflex

Answer 6

Lightly stroke the upper inner thigh, the scrotum should rise on the same side as the stimulation.
Loss of the reflex is suggestive of testicular torsion in a patient who presents with testicular pain.