Chapter 24: Male genitourinary System

Question 1

Where do the lymphatics of the penis and scrotal surface drain into?

Answer 1

The inguinal lymph nodes

Question 2

Where do the lymphatics of testes drain into?

Answer 2

Abdominal lymph nodes (are not accessible to clinical examination)

Question 3

Hypospadias

Answer 3

A condition in which the opening of the penis is on the underside rather than the tip

Question 4

Epispadias

Answer 4

The urethra ends in an opening on the upper aspect of the penis

Question 5

Phimosis

Answer 5

Can’t retract the foreskin and can cut off your circulation

Question 6

Circumcision benefit

Answer 6

Lower rate of infection and certain STIs (especially syphilis and genital herpes)

Question 7

Hydrocele

Answer 7

A fluid filled sac around a testicle, often first notices as swelling of scrotum

Question 8

Cryptorchidism

Answer 8

a condition in which one or both of the testes fail to descend from the abdomen into the scrotum.
If undescended: can become infertile and at risk for testicular cancer

Question 9

Signs of sexual molestation

Answer 9

Bruising
Abnormal behaviors of the child during the exam
If someone has an STI or STD before 10-14

Question 10

When does sperm production decrease?

Answer 10

Middle age around 40

But sperm is produced into the 80’s & 90’s

Question 11

Withdrawal from sexual activity reasons

Answer 11

Loss of spouse, depression, Work, Marital conflict, medication, alcohol, lack of privacy, living with adult children or in a nursing home, economic or emotional stress, poor nutrition or fatigue

Question 12

ESRD (“Kidney Disease” two main causes)

Answer 12

Hypertension & Diabetes

Question 13

Kidney disease is prevalent in what groups?

Answer 13

African Americans, American Indians & Hispanics are more likely to be affected

Question 14

When you inspect and palpate the scrotum, how should it feel?

Answer 14

Testes should slide easily

Question 15

Around what age does testicular cancer occur?

Answer 15

15 - 35

Question 16

TSE

Answer 16

Testicular self exam
T- timing once a month
S - do it in the shower because warm water relaxes scrotal sac. Hold scrotum in your palm and use your thumb and first two fingers
E - examine and check for and report changes immediately

Question 17

Symptoms of testicular cancer

Answer 17

a firm, painless lump, a hard area, or an overall enlarged testicle, call your physician for further check

Question 18

Blue pee is due to

Answer 18

Medication, dye from prostate exam, asparagus

Question 19

Dark gray pee is due to

Answer 19

Urine with melanin

Question 20

Tea colored pee is due to

Answer 20

Liver disease, myoglobinuria, medications, blood in urine

Question 21

Pink pee is due to

Answer 21

menses, food, laxatives, kidney stones, UTI

Question 22

Red pee is due to

Answer 22

Blood, nephritis, cancer, prostate surgery

Question 23

Orange pee is due to

Answer 23

Medication such as rifampin and coumadin, foods, laxatives, dehydration, jaundice

Question 24

Amber pee is due to

Answer 24

Dehydration, laxatives, B complex vitamins

Question 25

Pale yellow pee means

Answer 25

acute viral hepatitis, cirrhosis

Question 26

Glycosuria

Answer 26

Too much sugar in the pee

Question 27

Ketouria

Answer 27

Ketones in the pee

Question 28

Proteinuria

Answer 28

Due to renal problems, too much protein in the pee

Question 29

What does BUN measure

Answer 29

Measures urea (end product of protein metabolism)

Question 30

Serum analysis of kidney function correlates with what?

Answer 30

Creatinine level (end product of muscle metabolism)

Question 31

Peeing a lot is common in which individuals?

Answer 31

Those with diabetes insipidus (disorder of salt and water metabolism)

Question 32

Is gradual enlargement of the prostate gland normal during the aging process?

Answer 32

Yes but Benign prostatic hypertrophy (BPH) has similar symptoms as prostate cancer

Question 33

Who is at risk for prostate cancer?

Answer 33

African Americans and/or men who have a first-degree relative (father, brother, or son) diagnosed with prostate cancer at an early age (younger than 65) should be offered testing earlier

Question 34

If someone has prostate cancer are their PSA levels increased or decreased?

Answer 34

Increase

Question 35

Tinea Cruris

Answer 35

Fungal infection in the crural fold, not extending to scrotum, occuring in postpubertal males. “Jock itch”

Question 36

Genital Herpes (HSV-2 infection)

Answer 36

Cluster of small vesicles with surrounding erythema, which are often painful and erupt on the glans, foreskin, or anus
Initial infection lasts 7 - 10 days

Question 37

Syphilitic chancre

Answer 37

Begins within 2 - 4 weeks of infection as a small, solitary, silvery papule that erodesto a red, round oval, superficial ulcer with a yellowish serous discharge
Non tender indurated base
Lymph nodes enlarged

Question 38

Genital warts, HPV

Answer 38

Soft, pointed, moist, fleshy, painless papules.
Cauliflower like patches
Color may be gray, pale yellow or pink in white males and black or translucent-gray in black malesCaused by HPV
One of the most common STIs

Question 39

Carcinoma

Answer 39

Begins as red, raised, warty growth or as an ulcer with watery discharge.
May necrose and slough
Usually painless
Usually on glans or inner lip of foreskin
Enlarged lymph nodes are common

Question 40

Paraphimosis

Answer 40

Only effects uncircumcised penis’s

It develops when the foreskin can no longer be pulled forward over the tip of the penis

Question 41

Priapism

Answer 41

Prolonged erection of the penis, usually without sexual arousal

Question 42

Ur/o

Answer 42

Urine

Question 43

Nephr/o, Ren/o

Answer 43

Kidney

Question 44

Pyel/o

Answer 44

Renal pelvis

Question 45

Ureter/o

Answer 45

Ureter

Question 46

Cyst/o

Answer 46

Bladder

Question 47

Urethr/o

Answer 47

Urethra