19 - Male Genetalia and Hernias

Question 1

What part of the penis does the urethra run through?

Answer 1

Corpus spongiosum

Question 2

What is the head of the penis made up of?

Answer 2

Differentiations of the corpus spongiosum

Question 3

Where do the lymphatics of the testes drain?

Answer 3

Abdominal lymph nodes

Question 4

Where do the lymphatics of the penis and scrotum drain?

Answer 4

Inguinal lymph nodes

Question 5

Tanner Stage I

Answer 5

Childhood

Question 6

Tanner Stage II

Answer 6

Early puberty

Question 7

Tanner Stage III

Answer 7

Mid-puberty

Question 8

Tanner Stage IV

Answer 8

Late puberty

Question 9

Tanner Stage V

Answer 9

Adulthood

Question 10

Hypospadias

Answer 10

Shortened urethra and splitting on the ventral shaft/head of penis due to embryological dysfunction

Question 11

Balanitis

Answer 11

Generally a yeast infection of the smegma behind the corona of the penile head

Question 12

Peyronie’s

Answer 12

Chronic inflammation of the tunica albuginea

Pain, abnormal curvature, erectile dysfunction, indentation, loss of girth and shortening

Question 13

What is almost always the answer on a test question?

Answer 13

Good history and physical

Question 14

Diagnose herpes

Answer 14

Multi-nucleated cells

Question 15

Hydrocele

Answer 15

Fluid accumulation in the tunica vaginalis

Question 16

Difference between epididymitis and testicular torsion

Answer 16

Onset - epididymitis (infectious) is gradual, but torsion (vascular) is sudden

Question 17

Indirect hernia

Answer 17

Enters internal ring and exits external ring

Often into scrotum

Question 18

Direct hernia

Answer 18

Enters through weakness in abdominal wall and exits via external ring
Bulges anteriorly

Question 19

Femoral hernia

Answer 19

Goes underneath the inguinal ligament and exits out of the femoral ring
Never into scrotum

Question 20

Testicular cancer screening

Answer 20

Don’t do it

If a patient comes in with lump, then you’re assessing