Male

Question 1

Male self exam

Answer 1

Palpation genitalia and surrounding areas, testicles, hernias

Question 2

What does a DRE evaluate (5)

Answer 2

Sacrococcygeal and perinatal areas
Anus
Sphincter and anal ring
Lateral and posterior rectal walls
Anterior rectal wall and prostate

Question 3

Why should we perform a DRE

Answer 3

Preventative screening

Question 4

How often should a DRE be preformed

Answer 4

Yearly after being sexually active

Question 5

1 question to be asked over age of 50

Answer 5

Do you have any changes in urination defication or sexual function

Question 6

Who can do a DRE

Answer 6

Chiros (in most states)
Family/general practitioners 
Gynecologists
Proctologists/urologists
Physicians assistants
Nurse practitioners

Question 7

When shouldn’t a DRE be performed

Answer 7

Anal cracks/fissures
Anal fistula
Rectal prolapse
Spastic sphincter

Question 8

Internal sphincter control

Answer 8

Smooth muscle- involuntary control

Question 9

Defication controlled by

Answer 9

Striated external sphincter- voluntary

Question 10

Lower half of anal canal innervation

Answer 10

Somatic sensory nerve

Question 11

Upper half of anal canal

Answer 11

Insensitive to pain- autonomic control

Question 12

Prostate info

Answer 12

Surrounds urethra
Chestnut size
Access to posterior side

Question 13

How many people have bph

Answer 13

70-90% of men over 70

Question 14

How does prostate feel with bph

Answer 14

Boggy smooth squishy
Enlarged
Nontender

Question 15

Risk factors for prostate cancer

Answer 15

High animal fat
Age over 50
African American
Family history

Question 16

How much of skeletal mets come from prostate cancer

Answer 16

60%

Question 17

Risk factors for prostate cancer

Answer 17

High animal fat
Age over 50
African American
Family history

Question 18

How much of skeletal mets come from prostate cancer

Answer 18

60%

Question 19

What is the psa test

Answer 19

Prostate specific antigen

Question 20

What psa level are normal

Answer 20

Less than 4 ng/ml

Question 21

What psa level is borderline

Answer 21

4-10ng/ml

Question 22

What psa level is abnormal

Answer 22

Above 10 ng/ml

Question 23

Where can prostatitis spread to

Answer 23

Scrotum and epididymis

Question 24

How many men have prostate cancer

Answer 24

1/6

Question 25

Hypospadius

Answer 25

Congenital anomalies of urethral meatus on ventral surface

Question 26

epispadias

Answer 26

Congenital anomalies of urethral meatus on dorsum

Question 27

Balanitis

Answer 27

Infection of glans

Question 28

Balanoposthitis

Answer 28

Inflammation of glans and prepuce

Question 29

Penile ca

Answer 29

Increased risk with uncircumcised males and hpv infection

Question 30

Prostate ca

Answer 30

Second most common ca in older males

Question 31

Hydrocele

Answer 31

Fluid filled scrotum

Question 32

Peyronie

Answer 32

Fibrous band in the corpus cavernosum, deviation of penis

Question 33

Phimosis

Answer 33

Tight foreskin that will not retract over glans | Common among young children

Question 34

Priapism

Answer 34

Prolonged painful erection

Question 35

Testicular torsion

Answer 35

Acute pain Vomiting nausea Lack of cremasteric reflex Babies to teens

Question 36

Epididymitis

Answer 36

``` Bacterial infection Gradual onset Fever Discharge Nodular epididymus ```

Question 37

Smegma

Answer 37

Sebacious material secreted by glans under the foreskin

Question 38

Spermatocele

Answer 38

Cystic swelling of epididymus

Question 39

Varicocele

Answer 39

Dilated torsion of spermatic cord | Bag of worms in scrotum

Question 40

Three most common stds

Answer 40

Herpes Hpv Chlamydia

Question 41

Less common stds

Answer 41

Syphilis Gonorrhea HIV/AIDS

Question 42

What are the curable stds

Answer 42

Chlamydia, syphilis, gonorrahea

Question 43

Chlamydia symptom

Answer 43

Crusty in the morning

Question 44

Gonorrhea symptom

Answer 44

Drippy discharge

Question 45

Syphilis

Answer 45

Lesion on sole of feet

Question 46

Incurable stds

Answer 46

Herpes hpv AIDS

Question 47

What is a normal urethral meatus look like

Answer 47

Pink, glistening, slit like, smooth

Question 48

Lycopene

Answer 48

Tomatoes Grapefruit Watermelon

Question 49

Leading causes of death in males in the us

Answer 49

Heart disease Cancer (lung>prostate>colorectal) Unintentional injuries

Question 50

Life expectancy of men

Answer 50

75.6

Question 51

Life expectancy of women

Answer 51

80.6

Question 52

Health screenings for men 18-39

Answer 52

Bp (2yrs) Cholesterol (5 years) Preventative health (2 yrs)

Question 53

Health screening men 40-64

Answer 53

``` Bp (2yrs) Cholesterol (5yrs) Preventative (every yr after 50) Colon screening Prostate Osteoporosis ```

Question 54

Health screenings men 65+

Answer 54

``` Bp (1yr) Cholesterol (5yrs) Preventative (1yr) AAA Colon cancer Prostate cancer Osteoporosis ```

Question 55

What is a guiac test used for

Answer 55

Fecal occult blood test Colorectal cancer

Question 56

Acute prostatitis

Answer 56

``` Painful Palpation over perenial area Systemic indications (fever, chills) ```

Question 57

Andropause

Answer 57

Male menopause Decline in testosterone Average age 50

Question 58

Signs of low testosterone

Answer 58

Decreased cognition, strength, libido, hemoglobin, coronary vasodilation Increased obesity, leptin, ischemic heart disease

Question 59

Screening test for low testosterone

Answer 59

Adam questionare Created at St. Louis university 80% sensitive 60% specific

Question 60

Common causes of impetence

Answer 60

Medication side affects

Question 61

Andropause (low testosterone) and cardio vascular disease

Answer 61

Increases atherosclerosis Angina ST depression