Test 1 Part 2

Question 1

T/F: Testicular tumors are most often hard. enlarged, and painless.

Answer 1

True

Question 2

What are the stages called that are used to rate sexual maturation?

Answer 2

Tanner stages

Question 3

T/F: Older adults may have graying and more abundant pubic hair.

Answer 3

False; graying and less abundant

Question 4

When should a DRE be performed in healthy males?

Answer 4

over the age of 50 (over 40 for high risk)

Question 5

T/F: Changes in urination, defecation, and sexual function are all clues that a DRE should be performed.

Answer 5

True

Question 6

T/F: As the rectum fills with feces, reflexive stimulation tightens the internal sphincter.

Answer 6

False; relaxes it

Question 7

What sphincter is under voluntary control and prevents/delays defecation?

Answer 7

striated external sphincter

Question 8

T/F: Somatic sensory nerves are found in the upper half of the anal canal.

Answer 8

False; lower half

autonomic control in upper half

Question 9

T/F: the median lobe of the prostate is not palpable on examination.

Answer 9

True

Question 10

When is the first stool passed? what is it called?

Answer 10

within the first 24-48 hours;

meconium

Question 11

It is common for newborns to have a stool after each feeding. What is this reflex called?

Answer 11

gastrocolic reflex

Question 12

Why are both the internal and external anal sphincters of a newborn under involuntary control?

Answer 12

myelination of the cord is incomplete

Question 13

When are children developmentally ready to begin toilet training typically?

Answer 13

around 18 months

Question 14

greenish-black, viscous, sterile stool containing occult blood

Answer 14

newborn meconium

Question 15

T/F: Stools of formula fed babies are more irritating to the skin than that of breast fed babies.

Answer 15

True

Question 16

How can you tell if a pediatric patient has a congenital hip dislocation?

Answer 16

asymmetric creases

Question 17

T/F: shrunken buttocks of a pediatric patient is a sign of a chronic debilitating disease.

Answer 17

True

Question 18

When is an “anal wink” observed?

Answer 18

lightly touch the anal opening during a pediatric exam which should produce a contraction (absence may indicate a lower cord lesion)

Question 19

T/F: transient rectal prolapse may occur during a rectal exam of a pediatric patient.

Answer 19

True

Question 20

Constipation but empty rectum?

Answer 20

Hirschsprung disease

Question 21

T/F: Sphincter tone is usually stronger in older adult males.

Answer 21

False; sphincter tone may be decreased

Question 22

Prolonged painful erection,
constant or intermittent,
associated with alcohol and medication

Answer 22

prostate infection

Question 23

Lifestyle factors that may increase temperature of the scrotum, history of undescended testes, and varicocele are all associated with what?

Answer 23

infertility

Question 24

Peyronie disease

Answer 24

contracture of penis

Question 25

Abnormal testicle development

Answer 25

Klinefelter syndrome

Question 26

cryptochordism, Klinefelter’s, 20-54 years old, and being white are all associated with?

Answer 26

testicular cancer

Question 27

What age range of men is most at risk of colorectal cancer?

Answer 27

over 50

Question 28

Ashkenazi Jewish decent

Answer 28

colorectal cancer risk factor

Question 29

T/F: Black men are twice as likely to contract prostate cancer as white men.

Answer 29

True

Question 30

What is the term for involuntary “fecal soiling” in children who have already been potty trained?

Answer 30

encopresis

Question 31

T/F: According to the American Cancer Society, PSA screening, inconjunction with a DRE, should be offered to men over 40 who wish to be screened.

Answer 31

False; this is the recommendation of the American Urological Association

Question 32

At what age does the American Cancer Society suggest men of average risk should be given info about prostate cancer, PSA, DRE, etc?

Answer 32

age 50

Question 33

What organisation recommends against PSA-based prostate cancer screening?

Answer 33

U.S. Preventative Services Task Force (USPSTF)