Breast, Pelvic and Male GU Exam

Question 1

The female GU exam is an essential component of a woman’s _____ health care

Answer 1

annual

Question 2

Presenting history questions for Female GU Exam

Answer 2

“Any concerns today?”
“Any abnormal discharge?”

Question 3

Female GU History Items

Answer 3

Medical and surgical history
Allergies
Menstrual history and pattern
Obstetric history
Results of pap smears
Breast concerns
Sexual history
Intimate partner violence screen
Family history
Vaccine history
Urinary and rectal symptoms

Question 4

Breast exam visual examination: inspect for _____ with the patient sitting

Answer 4

symmetry

Question 5

Visual examination on the breast

Answer 5

• Inspect for symmetry with the patient sitting
• Ask the patient to sit with arms lifted overhead and then leaning forward while she places her hands on her waist
• Examine the anterior chest wall
• Assess pigmentation changes, surface irregularities
• Inspect for symmetry in the recumbent position

Question 6

Palpation of the breast is performed using the base of the fingertips in small _____ with variable depth

Answer 6

circular motions

Question 7

Three breast examination palpation techniques

Answer 7

Circles
Wedges
Lines

Question 8

What you are looking for with breast examination

Answer 8

Irregular skin texture and tone
Changes to nipple shape
Discharge from the nipple
Irregular fullness or pluckering

Question 9

_____ breast changes tend to be on both breasts

Answer 9

Fibrocystic

Question 10

Why many women fear pelvic exams:

Answer 10

Fear
Embarrassment
Lack of information
Cultural or language barriers
Previous painful exams
PTSD related to sexual assault

Question 11

Supplies for the female pelvic exam

Answer 11

Gloves
Light source
Speculum
Lubricant
Cervical cytology
Wet prep slides
pH paper
Swabs
STD testing

Question 12

The typical position for a female pelvic exam is to have the patient in the _____ position

Answer 12

Lithotomy

Question 13

T/F - you should Insert the speculum at an angle

Answer 13

T

Question 14

Bimanual exam is meant to assess what

Answer 14

Cervix
Vaginal walls
Abdomen

Question 15

If you need to examine the rectum only, the lateral position is satisfactory and affords a better view of the _____ and _____ areas

Answer 15

perianal; sacrococcygeal

Question 16

Examples of male sexual dysfunction questions

Answer 16

“How do you feel about your ability to perform sexually?”
“Does your partner have any concerns regarding your sexual performance?”
“Can you achieve and maintain an erection?”
“Do you experience erections when you awake?”
“Do you climax too soon?”
“Do you find that you cannot have orgasm even though you can have an erection?”
“Any difficulty conceiving?”

Question 17

Male GU Health history

Answer 17

Penile Disorders
Scrotum Disorders
Prostate Disorders

Question 18

Scrotum disorder questions

Answer 18

“Do you have any scrotal pain?”
“Do you have any scrotal swelling?”

Question 19

Prostate disorder questions

Answer 19

“Do you have difficulty initiating urination?”
“Is the flow weak?”
“How often are you getting up in the middle of the night to pee?”

Question 20

Penile shaft inspection

Answer 20

Lesions
Carcinoma
Peyronie’s
Evaluate the base of the penis for excoriations, nits, or lice in the pubic hair

Question 21

_____: foreskin cannot be retracted over the glans

Answer 21

Phimosis

Question 22

_____: Foreskin once retracted cannot be returned.

Answer 22

Paraphimosis

Question 23

Penis inspection for

Answer 23

Chancres
Carcinomas
Smegma: a cheesy white material that may accumulate normally under the foreskin

Question 24

Scrotal examination

Answer 24

• Skin
  Lift up the scrotum so you can see the posterior surface
  Look for rashes, epidermoid cysts, rarely skin cancer
• Scrotal contours
  Swelling, lumps, veins

Question 25

A poorly developed scrotum may suggest _____ (undescended testicle)

Answer 25

cryptorchidism

Question 26

You can locate the ______ on the superior posterior surface of each testicle. (It feels nodular and cordlike)

Answer 26

epididymis

Question 27

Painless nodules in the testis could be ____

Answer 27

testicular cancer

Question 28

Tortuous veins in this area of the ______ typically indicate varicocele

Answer 28

spermatic cord

Question 29

The serous fluid in hydroceles will light up when performing ______ to evaluate for scrotum swelling

Answer 29

Transillumination

Question 30

Small testis are notable in _____ syndrome

Answer 30

Klinefelter's

Question 31

Inspection for hernia

Answer 31

Check the inguinal and femoral areas for bulges. Ask the patient to bear down invert the scrotal skin on each side and feel for any new pressure

Question 32

If you suspect a possible scrotal hernia

Answer 32

Ask patient to lie down If the scrotal mass returns to the abdomen = hernia Can you get your finger above the mass? If yes, it is a hydrocele Can you hear bowel sounds in the mass? If yes, it is a hernia

Question 33

Palpation of the prostate

Answer 33

Note the size, shape ,and consistency of the prostate Identify any nodules or tenderness The normal prostate is rubbery and non-tender

Question 34

In a Bimanual exam you are palpating these things

Answer 34

Cervix and cervical os Uterine body and apex of fundus Adnexa/overies

Question 35

_____ refers to varicose veins of the spermatic cord, usually found on the left

Answer 35

Varicocele

Question 36

A _____