Exam 2: Male Exams

Question 1

Testicular cancer is highest in what age group?

Answer 1

15-35

Question 2

What is the etiology of condylomata acuminata?

Answer 2

HPV

Question 3

What is the etiology of genital herpes?

Answer 3

Herpes simplex type 2

Question 4

What is the etiology of syphilitic chancre?

Answer 4

Treponema pallium

Question 5

How does the primary acute phase of syphilitic chancre present?

Answer 5

Painless papule that erodes into a painless ulcer

Question 6

What is the tx for syphilitic chancre?

Answer 6

Heal without tx in 4-8 weeks

Question 7

What is the etiology of gonococcal urethritis?

Answer 7

N. gonorrhoeae

Question 8

What is the etiology of non-gonococcal urethritis?

Answer 8

Chalamydia Trachomatis

Question 9

What is an idiopathic condition resulting in fibrosis in the tunica albuginea?

Answer 9

Peyronie’s Disease

Question 10

How does Peyronie’s disease present?

Answer 10

Penile curvature, painful erections, and erectile dysfunction

Question 11

What begins as a firm module or ulcer on the penis that does not heal, commonly with associated Inguinal adenopathy?

Answer 11

Carcinoma of the penis

Question 12

What is the average age of carcinoma of the penis? More common in circumcised or uncircumcised penises?

Answer 12

50

Uncircumcised

Question 13

What is the most common type of hernia?

Answer 13

Indirect Inguinal hernia

Question 14

What type of hernia goes above the Inguinal ligament, through the Inguinal canal and into the scrotum?

Answer 14

Indirect Inguinal hernia

Question 15

What type of hernia goes above the Inguinal ligament, bulges anteriorly, but rarely goes into the scrotum? I

Answer 15

Direct Inguinal hernia

Question 16

What type of hernia goes below the Inguinal ligament, is more common in women, and appears more lateral?

Answer 16

Femoral hernia

Question 17

What is varicoele?

Answer 17

Varicose veins of scrotal vessels

Question 18

What is the clinical presentation of varicocele?

Answer 18

Develops slowly
Feels like a soft bag of worms
May collapse if scrotum elevated while supine
Associated infertility

Question 19

What is a soft non tender hemi-scrotal swelling that transilluminates?

Answer 19

Hydrocele

Question 20

How does acute epididymitis present?

Answer 20

Fever, chills
Hemi scrotal swelling
Unilateral
Dull to severe scrotal pain raiding to ipsilateral flank
Phens sign (elevation of scrotum provides relief)

Question 21

What is inflammation of the testes?

Answer 21

Acute orchitis

Question 22

Patient presents with acute onset of scrotal pain, unilateral with hemi scrotal swelling, without relief with elevation. What do you suspect?

Answer 22

Testicular torsion

Emergent!

Question 23

Patient presents with enlargements of normal vascular cushions above pectinate line and bright red bleeding in his stool. What do you suspect?

Answer 23

Internal hemorrhoids

Question 24

Patient presents with dilated veins covered with skin, tender swollen bluish mass at anal margin. What do you suspect?

Answer 24

External hemorrhoids

Question 25

Patient presents with severe rectal pain, fever, malaise, perianal erythema, a palpable fluctuant mass. They also have noticed some purulent drainage. What do you suspect?

Answer 25

Anorectal abscess

Question 26

How does benign prostatic hypertrophy present?

Answer 26

More common with increasing age Symmetrical enlargement of gland Slowing of urine stream, difficulty starting stream

Question 27

How does carcinoma of the prostate present?

Answer 27

Enlarged, firm nodules Irregular contour Metastasizes locally and into bone Obstructive voiding symptoms