Exam 4: Male GU Flashcards

(90 cards)

1
Q

Soft, pointed fleshy papules that occur on the genitalia and are caused by HPV

A

Condylomata acuminata

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2
Q

Undescended testes

A

Cryptorchidism

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3
Q

Inflammation of the urinary bladder

A

Cystitis

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4
Q

Structure composed of coiled ducts located over the superior and posterior surface of the testes, which stores sperm

A

Epididymis

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5
Q

Congenital defect in which urethra opens on the dorsal/upper side of the penis instead of at the tip

A

Epispadias

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6
Q

Congenital defect in which urethra opens on the dorsal/upper side of the penis instead of at the tip

A

Epispadias

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7
Q

Weak spot in abdominal muscle wall usually in area of inguinal canal or femoral canal through which a lopp of bowel may protrude

A

Hernia

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8
Q

A sexually transmitted infection characterized by clusters of small painful vesicles caused by a virus

A

Herpes genitalis

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9
Q

Cystic fluid in tunica vaginalis surrounding testis

A

Hydrocele

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10
Q

Acute inflammation of testis, usually associated with mumps

A

Orchitis

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11
Q

Foreskin is retracted and fixed behind the glans penis

A

Paraphimosis

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12
Q

Congenital defect in which urethral opens on the ventral/underside of penis rather than at the tip

A

Hypospadias

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13
Q

Nontender, hard plaques on the surface of the penis, associated with painful bending of penis during erection

A

Peyronie disease

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14
Q

Foreskin is advanced and tightly fixed over the glans penis

A

Phimosis

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15
Q

Foreskin/the hood or flap of the skin over the glans penis that often is surgically removed after birth by circumcision

A

Prepuce

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16
Q

Prolonged pain erection of penis without sexual desire

A

Priapism

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17
Q

Collection of vas deferens, blood vessels, lymphatics, and nerves that ascends along the testis and through the inguinal canal into the abdomen

A

Spermatic cord

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18
Q

Collection of vas deferens, blood vessels, lymphatics, and nerves that ascends along the testis and through the inguinal canal into the abdomen

A

Spermatic cord

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19
Q

Sudden twisting of spermatic cord, a surgical emergency

A

Torsion

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20
Q

Dilated tortuous varicose veins in the spermatic cord

A

Varicocele

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21
Q

Duct carrying sperm from the epididymis through the abdomen and then into the urethra

A

Vas deferens

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22
Q

Duct carrying sperm from the epididymis through the abdomen and then into the urethra

A

Vas deferens

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23
Q

This is a continuation of the ab wall
Contains rugae and the cremaster muscle
Its a loose but protective sac

A

Scrotum

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24
Q

This pulls your testicles up when you are cold and allows them to hang lower when warm

A

Cremaster muscle

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25
This pulls your testicles up when you are cold and allows them to hang lower when warm
Cremaster muscle
26
These are suspended by the spermatic cord The place of sperm production Solid oval shape Left is usually lower
Testes
27
The lymphatics of the penis/scrotal surface drain into..
inguinal lymph nodes
28
The lymphatics of the testes drain into..
the abdomen
29
The lymphatics of the testes drain into..
the abdomen
30
What are some results of aging in men
``` Stay fertile Sperm production decreases in middle age Testosterone decreases Less pubic hair Penis can become smaller Scrotum becomes more pendulous (hangs down lower) ```
31
What are some results of aging in men
``` Stay fertile Sperm production decreases in middle age Testosterone decreases Less pubic hair Penis can become smaller Scrotum becomes more pendulous (hangs down lower) ```
32
Sexual changes that can occur in males
Slower to get an erection | Shorter ejaculation
33
Sexual changes that can occur in males
Slower to get an erection | Shorter ejaculation
34
``` Meds for HTN, depression, and anxiety Losing a spouse Work, marriage, or family conflicts Alcohol Less privacy (maybe in a hospital) Poor nutrition may all cause... ```
Reduced sexual activity
35
Why is circumcision a good thing
It reduces your risk of STIs like syphilis, gonorrhea, herpes and warts It also reduces HIV risk by 53%
36
Why is circumcision a good thing
It reduces your risk of STIs like syphilis, gonorrhea, herpes and warts It also reduces HIV risk by 53%
37
Pain or burning with urination
Dysuria
38
What subjective data should you ask about the penis
Pain or lesion?
39
What subjective data should you ask about the scrotum
Swelling, lumps, change in size, hernias? | Do you do self testicular exams?
40
What subjective data should you ask about the scrotum
Swelling, lumps, change in size, hernias? | Do you do self testicular exams monthly?
41
What subjective data should you ask about the scrotum
Swelling, lumps, change in size, hernias? | Do you do self testicular exams monthly?
42
How should a male be positioned for a testicular/penis exam
Draped, standing, with his underwear down | **Dont have cold hands
43
How should the penis look
Hairless Skin wrinkled and glans smooth Urethral meatus should be central right at end of penis
44
How should the penis look
Hairless Skin wrinkled and glans smooth Urethral meatus should be central right at end of penis
45
You need a specimen container and slide for..
Unusual discharge of the penis
46
Scrotal size varies with..
Temperature
47
The scrotum will turn a darker color after..
Puberty
48
While inspecting the scrotum you should spread the..
Rugae
49
While inspecting the scrotum you should spread the..
Rugae
50
The scrotum should feel..
Oval Rubbery Smooth Firm
51
Cystic fluid in tunica vaginalis surrounding testis | Fluid filled sac in the scrotum can be found by trans-illuminating the scrotum
Hydrocele
52
The scrotum should feel..
Oval Rubbery Smooth Firm
53
Auscultating bowel sounds in a testicular mass could mean..
Hernia
54
Auscultating bowel sounds in a testicular mass could mean..
Hernia
55
To palpate for a hernia on the inguinal canal on the right side, have him lay on his..
Left side
56
To palpate for a hernia on the inguinal canal on the right side, have him lay on his..
Left side
57
How do you palpate the inguinal canal
Index finger on lower part of scrotum Palpate up the spermatic cord Have them bear down to inspect for hernias Palpate femoral area for a buldge
58
How do you palpate the inguinal canal
Index finger on lower part of scrotum Palpate up the spermatic cord Have them bear down to inspect for hernias Palpate femoral area for a buldge
59
What do normal lymph nodes feel like
``` Its normal to feel 1 or 2 isolated inguinal nodes Less than 1 cm Soft Discrete Movable ```
60
What do normal lymph nodes feel like
``` Its normal to feel 1 or 2 isolated inguinal nodes Less than 1 cm Soft Discrete Movable ```
61
How often should a man do testicular self exams
Once a month after puberty and on
62
Before birth testicles are in the inguinal region and after birth are in the scrotum..Caucasians have a risk for an..
Undescended testicle
63
Before birth testicles are in the inguinal region and after birth are in the scrotum..Caucasians have a risk for an..
Undescended testicle | --the cure rate is good
64
What does TSE stand for in testicular self exam
Timing: once a month after puberty Shower: check in the shower with warm water Examine
65
What does TSE stand for in testicular self exam
Timing: once a month after puberty Shower: check in the shower with warm water Examine: hold scrotum in palm of head and feel with thumb and middle & index finger
66
What does TSE stand for in testicular self exam
Timing: once a month after puberty Shower: check in the shower with warm water Examine: hold scrotum in palm of head and feel with thumb and middle & index finger, should be egg shaped
67
What does TSE stand for in testicular self exam
Timing: once a month after puberty Shower: check in the shower with warm soapy water Examine/Egg shaped: hold scrotum in palm of head and feel with thumb and middle & index finger, should be egg shaped
68
Call a doctor for abnormal lumps in the scrotum which feel..
Hard, painless, firm, and enlarged
69
Call a doctor for abnormal lumps in the scrotum which feel..
Hard, painless, firm, and enlarged
70
Gradual enlargement of the prostate is..
Normal
71
These prostate exams are recommended annually at age 50
PSA or DRE
72
What is a DRE
Digital rectal exam | -putting a gloved lubricated finger into the rectum and feeling the surface, its used with PSA
73
What is a PSA
Prostate specific antigen test - measures a protein produced by prostate cells - risk for cancer goes up when PSA levels go up
74
What is BPH
Benign prostatic hyperplasia | -age associated prostate gland enlargment that can cause urinary difficulties
75
What is BPH
Benign prostatic hyperplasia - age associated prostate gland enlargment that can cause urinary difficulties - can cause a false positive with a PSA test
76
Begins as a red, raised, warty growth or ulcer Has watery discharge May necrose and slough as it grows Usually painless Almost always on glans or the inner lip of foreskin Follows chronic inflammation Enlarged lymph nodes are common
Carcinoma
77
Begins as a red, raised, warty growth or ulcer Has watery discharge May necrose and slough as it grows Usually painless Almost always on glans or the inner lip of foreskin Follows chronic inflammation Enlarged lymph nodes are common
Carcinoma
78
STI marked by small pumps
Genital warts/HPV
79
STI marked by pain and sores
Genital herpes/HSV2
80
Small hard deposit that forms in the kidneys and is painful when passed, also called a kidney stone
Renal calculi
81
Abnormal narrowing of the urethra (tube that carries the urine out of the body)
Urethral stricture
82
Abnormal narrowing of the urethra (tube that carries the urine out of the body)
Urethral stricture
83
Urethral discharge will need to be..
Cultured
84
Thick, profuse, yellow, or gray/brown discharge | Comes with an infection of the urethra
Gonococcal urethritis
85
Undescended or absent testes
Cryptorchidism
86
Foreskin is retracted and fixed behind the glans penis | This cuts off circulation
Paraphimosis
87
Foreskin is advanced and tightly fixed over the glans penis | Cant get it retracted
Phimosis
88
Thick, profuse, yellow, or gray/brown discharge | Comes with an infection of the urethra
Gonococcal urethritis
89
A cyst in the epididymis/testes filled with milky fluid containing sperm
Spermatocele
90
Cystic fluid in tunica vaginalis surrounding testis Fluid filled sac in the scrotum can be found by trans-illuminating the scrotum Cyst around the testes
Hydrocele