Ch 3 Physical Exam of Male Genitalia Flashcards

1
Q

The function of the penis is to:

A

Excrete urine and to introduce semen into the vagina

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2
Q

Urethral orifice is a slit like opening about ___mm

A

2mm

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3
Q

Each scrotum sac contains:

A

Teste

Epididymis

Spermatic cord

Muscle layer

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4
Q

Testicular temperature is controlled by altering the distance of the testes from the body through:

A

Muscular action

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5
Q

The testicles produce:

A

Spermatozoa

Testosterone

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6
Q

Shape

The adult testis is:

A

Ovoid

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7
Q

Provides for the storage, maturation, and transmission of the sperm

A

Epididymis

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8
Q

What forms the ejaculatory duct?

A

Vas Deferens & Seminal vesicles

tail of the epididymis to the seminal vesicle

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9
Q

The prostate surrounds the urethra at the:

A

Bladder neck

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10
Q

Produces the major volume of ejaculatory fluid containing fibrinolysin, an enzyme that liquifies coagulated semen

A

Prostate

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11
Q

Extends from the prostate to the posterior surface of the bladder

A

Seminal vesicles

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12
Q

Erection of the penis occurs when the two corpora cavernosa become engorged with ___mL of blood in response to the ANS.

A

20-50 mL

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13
Q

Erection is a neurovascular reflex induced by:

A

Psychogenic or local reflex mechanisms

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14
Q

What can suppress arousal?

A

Cortical input

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15
Q

External genitalia are the same for males and females at __ weeks of gestation

A

8 weeks

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16
Q

Sex differentiation occurs at __ weeks of gestation

A

12 weeks

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17
Q

Testes descend into the scrotum during:

A

Third trimester

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18
Q

A term newborn may experience final descent of the testes during:

A

Postnatal period

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19
Q

Separation of the prepuce from the glans is usually incomplete at birth and may remain so until:

A

3-4 years old

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20
Q

Hormonal changes at puberty cause ____ hair to appear at the base of the penis

A

Straight

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21
Q

With age, pubic hair becomes:

A

Fine and less abundant

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22
Q

Patient position during exam

A

Lying or standing

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23
Q

Examination of the genitalia involves:

A

Inspection

Palpation

Transillumination

24
Q

Penis

The ____ vein should be apparent on inspection

A

Dorsal

25
Q

Patient positioning while inspecting and palpating for hernia

A

Knee-chest

26
Q

Typical variations

Scrotal lumps may be caused from:

A

Sebaceous cysts

27
Q

Uncircumcised males may have _______ as a result of nonretractable foreskin

A

Balanoposthitis

28
Q

Pinpoint urethral opening suggests:

A

Meatal stenosis

29
Q

Thickening of the scrotum from edema is associated with:

A

Cardiac, Renal, or Hepatic disease

30
Q

The vas deferens should feel:

A

Smooth and discrete

31
Q

Edema of newborn genitalia is common especially after:

A

Breech delivery

32
Q

Testicle newborn is usually __cm

A

1 cm

33
Q

Newborn nonerect penis is ___cm

A

2-3 cm

34
Q

Newborn scrotum without rugae and testes indicates:

A

Preterm birth

35
Q

Foreskin of non-circumcised males is fully retractable by __ age

A

3-6 years old

36
Q

Infants

A mass that does not transilluminate may indicate:

A

Incarcerated hernia

37
Q

Infants

A hard, enlarged painless testicle may indicate:

A

Tumor

38
Q

Varying degrees of maturation should be classified according to the:

A

Tanner stages

39
Q

Protrusion of a peritoneal-lined sac through some defects in the abdominal wall

A

Hernia

40
Q

Hernias that are more common in women

A

Femoral hernias (fossa ovalis)

41
Q

The inability to replace the foreskin to its usual position after it has been retracted behind the glans

A

Paraphimosis

42
Q

Congenital defect in which the urethral meatus is located on the ventral surface of the glans, penile shaft, or perineal area

A

Hypospadias

43
Q

Syphilitic chancre lesion of primary syphilis generally occurs __ weeks after exposure

A

2 weeks

44
Q

Herpes is a viral infection that appears as:

A

Superficial vesicles

45
Q

Soft, reddish lesion that arises because of infection with a papovavirus

A

Condyloma acuminatum

46
Q

Lymphogranuloma venereum is an STI caused by a ______ organism

A

Chlamydial

47
Q

Molluscum contagiosum is an STI caused by:

A

Poxvirus

48
Q

Lesions are pearly gray, often umbilicated, smooth, dome shaped, with discrete margins

A

Molluscum contagiosum

49
Q

Fibrous band in the corpus cavernosum that results in deviation of the penis during erection

A

Peyronie Disease

50
Q

Penile carcinomas typically occur in:

A

Uncircumcised men who practice poor hygiene

51
Q

Nontender, smooth, firm mass that results from fluid accumulation in the tunica vaginalis.

Will transilluminate.

A

Hydrocele

52
Q

Cystic swelling occurring on the epididymis

A

Spermatocele

53
Q

Abnormal tortuosity and dilation of veins of the pampiniform plexus within the spermatic cord

A

Vericocele

54
Q

An acute inflammation of the testis

A complication of mumps

A

Orchitis

55
Q

Inflammation of the epididymis is often seen in association with a UTI

A

Epididymitis

56
Q

Surgical emergency occurring most commonly in adolescents.

Acute onset and is often accompanied by nausea and vomiting

A

Testicular torsion

57
Q

Neoplasm arising from the testicle

Irregular, nontender mass fixed on the testis.

Does not transilluminate

A

Testicular tumor