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PCC1 Exam 2 > Male Genitourinary > Flashcards

Male Genitourinary Flashcards

1
Q

Does fertility end for men?

What factors influence sperm production?

A

No

  • Sperm production begins to decline at 40 (does not stop)
  • Testosterone production declines after 30.
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2
Q

What are some causes of withdrawal from sex for older men?

A
  • Chronic disease
  • Depression
  • Medications
  • Alcohol
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3
Q

What subjective data should you collect from men regarding male genitourinary?

A
  • Frequency, urgency, and nocturia?
  • Dysuria (pain with urination)
    *
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4
Q

What are common causes of dysuria?

A

Acute cystitis

Prostatitis

Urethritis

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5
Q

When collecting subjective data, what questions should be asked about:

Hesitancy and straining

A
  • Trouble starting/maintaing urine?
  • Changes in force of stream?
  • Dribbling?
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6
Q

When collecting subjective data, what questions should be asked about:

A

Is urine:

Clear/discolored

Cloudy

Fould smelling

Bloody?

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7
Q

What is a common cause of hesitancy and straining in men?

A

BPH: Benign Prostatic Hyperplasia

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8
Q

When collecting subjective data, what questions should be asked about:

Genitourinary history

A
  • Stress incontinence?
  • History of kidney diseases: Stones, UTI,
  • Prostate problems
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9
Q

What are these abnormal findings of testes:

Cyst in epididymis; painless, movable mass

A

Spermatocele

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10
Q

What is this abnormal finding of scrotum:

Collection of cystic fluid; feeling of weight

A

Hydrocele

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11
Q

What is this abnormal finding of the scrotum:

Varicose veins in spermatic cord; feels like bag of worms

A

Varicocele

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12
Q

What is this abnormal finding of the scrotum:

Firm, painless nodule (can’t move)

A

Testicular cancer

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13
Q

What subjective data should be collected regarding:

Penis and Scrotum

A
  • Pain/lesions
  • Discharge?
  • Lumps/swellings
  • self-care behaviors
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14
Q

Common signs of BPH include:

A

Frequent urinary tract infections

Hematuria

Urinary incontinence

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15
Q

When performing an examination of the male genitourinary, how should you handle the situation?

A

Be confident and relaxed

Use firm touch

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16
Q

What are these abnormalities of the penis:

  • Foreskin does not fully retract over glans
  • Foreskin is trapped behind glands
A
  • Phimosis
  • Paraphimosis; restricts circulation
17
Q

What are these abnormalities of the penis:

  • Urethral opening on bottom of penis
  • Urethral opening on top of penis
A
  • Hypospadias
  • Epispadias
18
Q

What are these abnormalities of the penis:

  • Abnormal curvature of penis
  • Involuntary prolonged erection
A
  • Peyronie’s disease
  • Priapism
19
Q

What is this abnormal finding of the scrotum:

Soft swelling through inguinal ring that causes pain with straining

A

Indirect inguinal hernia

20
Q

What is this abnormal finding of the scrotum:

Round swelling close to pubis behind inguinal ring (rarely in scrotum)

A

Direct Inguinal hernia

21
Q

Who should be taught how to perform testicular self exams?

Why?

A

Men starting at age 13-14

Testicular cancer most common among men ages 15-35

22
Q

When teaching about Testicular self examinations, what are these teaching points:

T

S

E

A

T= timing; once a month

S= shower; warm water relaxes

E= examine; check for changes

23
Q

Does BPH increase risk for prostate cancer?

What are the similar symptoms among them?

A

No

Symptoms

  • Hesitance
  • Weak urine stream
  • Dribbling
  • Nocturia
24
Q

Who is most at risk for prostate cancer?

How is prostate cancer detected?

A

African americans and those with first relatives that had it.

Blood test for prostate specific antigen (PSA)

25
Q

What are normal ranges of Prostate specific antigen for clients under 50?

What is amount requires further screening?

A

2.5 ng/mL

4 ng/mL is bad

26
Q

What factors, other than prostate cancer, can raise PSA?

A
  • BPH
  • Age
  • Prostatitis
  • UTI

PCC1 Exam 2 (9 decks)

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