Exam 3 - GU

Question 1

normal scrotum finding

Answer 1

L hangs lower than the R

Question 2

what is the prostate gland

Answer 2

in front of anterior wall of rectum, 2cm behind symphysis pubis

Question 3

when does puberty begin for boys and how long does it last?

Answer 3

9.5-13.5 y/o

lasts 2-5 years

Question 4

first sign of puberty for boys

Answer 4

enlargement of testes
pubic hair
increase in penis size

Question 5

tanner stage 1 - boys

Answer 5

prepubertal genitalia

Question 6

tanner stage 2 - boys

Answer 6

enlargement of testes, scrotum

no enlargement of penis

Question 7

tanner stage 3 - boys

Answer 7

penis begins to enlarge (length, then diameter)

testes, scrotum continue to enlarge

Question 8

tanner stage 4 - boys

Answer 8

testes, scrotum continue to enlarge
penis continues to lengthen
enlargement of glans

Question 9

tanner stage 5 - boys

Answer 9

genitalia of adult size, proportion

Question 10

when does sperm production being to decrease?

Answer 10

around 40 y/o

Question 11

when does testosterone begin to decrease?

Answer 11

after 30

Question 12

decrease in testosterone results in what changes?

Answer 12

decrease in pubic hair, penis size
scrotal hangs lower, less rugae
pendulous scrotum
testes decrease in size, less firm to palpation
prostate gland beings to enlarge

Question 13

benefits of circumcision

Answer 13

lower risk for STI, genital ulcer disease in males; reduce risk for contracting HIV through heterosexual contact

decrease risk for bacterial vaginosis and trich in females

Question 14

highest ethnic ground for prostate cancer

Answer 14

African Americans

Question 15

prostate cancer risk factors

Answer 15

increased age
African ancestry
family hx
inherited - BRCA 1, BRCA 2

Question 16

urgency incontinence

Answer 16

sudden loss

Question 17

stress incontinence

Answer 17

involuntary loss d/t physical straining such as laughing, coughing

weak pelvic floor muscles

Question 18

what plays a role in UTI in younger males?

Answer 18

constipation

Question 19

what is a predisposition to kidney stones

Answer 19

family hx

Question 20

what can cause an increase risk for penile cancer?

Answer 20

10+ partners

Question 21

meds that can cause ED

Answer 21

anti-depressants

HTN meds

Question 22

meds that can lead to increase penile blood flow

Answer 22

nitro
imdur
isosorbide
Cialia

Question 23

male positioning for prostate exam

Answer 23

L lateral decubitus
standing
litotomy

Question 24

scrotal edema may indicate…

Answer 24

CHF
renal failure
local inflammation/infection

Question 25

what is cryptorchidism?

Answer 25

absent testes

Question 26

cryptorchidism increases the risk for

Answer 26

testicular cancer

Question 27

what is tosion

Answer 27

twisting of the spermatic cord medical emergency

Question 28

reducible hernia

Answer 28

hernia will return when lying down or with gentle pressing

Question 29

incarcerated hernia

Answer 29

can not be returned to abdominal cavity

Question 30

strangulated hernia

Answer 30

blood supply cut off pain, N/V; surgical emergency

Question 31

perianal area 12:00 and 6:00

Answer 31

12: towards symphysis pubis 6: coccyx

Question 32

when to start self testicular exams

Answer 32

13

Question 33

common age range for testicular cancer

Answer 33

15-40

Question 34

TSE for testicular exam

Answer 34

timing shower examine

Question 35

avoid retracting foreskin in an infant until after

Answer 35

3 months old

Question 36

hypospadias

Answer 36

urethral meatus is on the ventral (under) side of penis

Question 37

priapism

Answer 37

erection lasting > 4 hours

Question 38

phimosis

Answer 38

foreskin that cannot be retracted

Question 39

paraphimosis

Answer 39

can not return foreskin

Question 40

epispadias

Answer 40

urine does not exit through urethra birth defect

Question 41

Peyronie's disease

Answer 41

curve penis

Question 42

first signs of puberty in girls

Answer 42

breast development | pubic hair

Question 43

when does puberty occur in girls?

Answer 43

8.5-13 y/o

Question 44

how long does puberty last in girls?

Answer 44

3 years

Question 45

when does menarche start in girls?

Answer 45

12-14 y/o

Question 46

a menarche cycle last how long

Answer 46

18-45 days

Question 47

how long does menarche ast

Answer 47

3-7 days

Question 48

tanner stage 1 - girls/pubic hair

Answer 48

no hair

Question 49

tanner stage 2 - girls/pubic hair

Answer 49

sparse, long downy

Question 50

tanner stage 3 - girls/pubic

Answer 50

sparse, spreading | darker, coarser, curlier

Question 51

tanner stage 4 - girls/pubic

Answer 51

adult type, smaller area

Question 52

tanner stage 5 - girls/pubic

Answer 52

inverse triangle | meidal thigh surface

Question 53

perimenopausal period/age

Answer 53

40-45

Question 54

cervix color during pregnant

Answer 54

violet, blue Chadwick's sign

Question 55

what causes an increase risk of vaginitis

Answer 55

``` oral BC abx DM menses, postpartum, menopause douching feminine spray local irritation ```

Question 56

pt positioning for female GU exam

Answer 56

HOB up | arms at side or across chest

Question 57

should you apologize about having to do an exam?

Answer 57

no

Question 58

thick, white, curdlike discharge

Answer 58

candidiasis labia may be erythematous

Question 59

frothy, yellow, green discharge

Answer 59

trichamonas

Question 60

thin gray, fishy odor discharge

Answer 60

bacteria vaginosis

Question 61

green, malodorous discharge

Answer 61

gonorrhea

Question 62

Goodell's sign

Answer 62

soft, velvety cervix early indication of pregnancy; 5-6 weeks

Question 63

is a fallopian tube normally palpable?

Answer 63

no

Question 64

palpable, pulsation of fallopian tube suggests

Answer 64

ectopic pregnancy

Question 65

what is cystocele

Answer 65

bladder falls into vagina

Question 66

what is rectocele

Answer 66

rectum falls into vagina

Question 67

what is uterine prolaspe

Answer 67

uterus falls into vagina

Question 68

mixed incontinence

Answer 68

stress + urge mixed together

Question 69

overflow incontinence

Answer 69

frequent dribbling d/t inefficient bladder emptying *spinal cord injuries, DM, neurological problems, enlarged prostate