male

Question 1

The older male can produce sperm until:

Answer 1

production of sperm begins to decrease around 40 y.o., although continues into 80-90s y.o.

Question 2

Gradual decrease in testosterone production in older male after:

Answer 2

the age of 30.

Question 3

Aging male characteristics:

Answer 3

decreasing pubic hair
penile size
Slower/less intense sexual response
Erection takes longer to develop
Ejaculation shorter/less forceful
rapid detumescence (flaccid)

Question 4

Why might a man withdraw from engagement in sexual activity?

Answer 4

loss of spouse
depression
preoccupation with work
marital/family conflict
side effects meds
heavy use of alcohol
lack of privacy
economic/emotional stress
poor nutrition
fatigue

Question 5

Adolescence: puberty beginning at:

Answer 5

9 y.o. African Americans

10 y.o. caucasian

Question 6

Older male physical changes become evident when:

Answer 6

later in life

Question 7

What are the two main causes of chronic kidney disease:

Answer 7

hypertension

diabetes

Question 8

hesitancy/straining

Answer 8

trouble starting stream
strain to start urine
change in force/weakness
terminal dribbling
residual urine
UTI

Question 9

what symptoms suggest BPH

Answer 9

hesitancy/straining
loss of force
terminal dribbling
sense of residual urine
reoccurring episodes of acute cystitis

Question 10

cloudy urine indicates:

Answer 10

UTI

kidney stones

Question 11

hematuria indicates:

Answer 11

danger sign warrants further work-up

Question 12

pale yellow urine indicates:

Answer 12

acute viral hepatitis
cirrhosis
excess liquids

Question 13

yellow urine indicates:

Answer 13

bright yellow with vitamin supplements

Question 14

amber urine indicates:

Answer 14

dehydration (gold/concentrated)
some laxatives
food/supplements with B-complex vitamins

Question 15

orange urine indicates:

Answer 15

medication side effects
food/dyes/laxatives
dehydration
jaundice

Question 16

red urine indicates:

Answer 16

blood in urine
nephritis
cystitis
cancer
after prostate surgery

Question 17

pink urine indicates:

Answer 17

with menses
some foods: beats/berries/food dyes
some laxatives
kidney stones
UTI

Question 18

tea urine indicates:

Answer 18

liver disease (w/ pale stools,  jaundice)
myoglobinuria (w/ rabdo)
medications
foods
blood in urine

Question 19

dark grey urine indicates:

Answer 19

urine contains melanin/melanuria

Question 20

blue urine indicates:

Answer 20

medication side effect
food: asparagus
dye after prostate surgery

Question 21

frequency of urination in average adult:

Answer 21

voids 5-6 times/day

Question 22

polyuria is:

Answer 22

excessive quantity of urine

Question 23

oliguria is:

Answer 23

diminished quantity of urine

<400 mL/24 hours

Question 24

dysuria is:

Answer 24

pain/burning with urinating
common with 
    acute cystitis 
    prostatitis
    urethritis

Question 25

urge incontinence:

Answer 25

involuntary loss from overactive bladder

Question 26

stress incontinence:

Answer 26

involuntary urine loss with physical strain, sneezing, coughing weak pelvic floor

Question 27

sexual activity questions should be asked when:

Answer 27

routine in review of body systems | objective and matter of fact

Question 28

nocturnal enuresis:

Answer 28

involuntary urinating at night after age 5-6 years

Question 29

later symptoms of BPH:

Answer 29

more dramatic hematuria UTI

Question 30

What can cause nocturia:

Answer 30

``` diuretic medication habit fluid ingestion 3 hrs before bed coffee alcohol ------------------------ fluid retention from heart failure varicose veins ```

Question 31

depressants to sexual desire/function in older adult:

Answer 31

``` antihypertensives sedatives tranquilizers estrogens alcohol ```

Question 32

Inspection and Palpation in genitals:

Answer 32

``` inspect for inflammation nodules solitary ulcer (chancre) grouped vessels wartlike papules Check for scrotal swelling, inflammation ```

Question 33

Retract foreskin:

Answer 33

assess for phimosis paraphimosis hypospadias epispadias

Question 34

Assess urine for:

Answer 34

color clarity pH (should be 4.5-8.0)

Question 35

More than half of men at this age have symptoms of BPH

Answer 35

men in their 60's

Question 36

90% of men at this age have symptoms of BPH:

Answer 36

90% of men in 70's