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300 quiz 4 > male > Flashcards

male Flashcards

1
Q

The older male can produce sperm until:

A

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

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2
Q

Gradual decrease in testosterone production in older male after:

A

the age of 30.

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3
Q

Aging male characteristics:

A 
decreasing pubic hair
penile size
Slower/less intense sexual response
Erection takes longer to develop
Ejaculation shorter/less forceful
rapid detumescence (flaccid)
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4
Q

Why might a man withdraw from engagement in sexual activity?

A 
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
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5
Q

Adolescence: puberty beginning at:

A

9 y.o. African Americans

10 y.o. caucasian

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6
Q

Older male physical changes become evident when:

A

later in life

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7
Q

What are the two main causes of chronic kidney disease:

A

hypertension

diabetes

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8
Q

hesitancy/straining

A 
trouble starting stream
strain to start urine
change in force/weakness
terminal dribbling
residual urine
UTI
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9
Q

what symptoms suggest BPH

A 
hesitancy/straining
loss of force
terminal dribbling
sense of residual urine
reoccurring episodes of acute cystitis
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10
Q

cloudy urine indicates:

A

UTI

kidney stones

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11
Q

hematuria indicates:

A

danger sign warrants further work-up

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12
Q

pale yellow urine indicates:

A

acute viral hepatitis
cirrhosis
excess liquids

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13
Q

yellow urine indicates:

A

bright yellow with vitamin supplements

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14
Q

amber urine indicates:

A

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

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15
Q

orange urine indicates:

A

medication side effects
food/dyes/laxatives
dehydration
jaundice

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16
Q

red urine indicates:

A 
blood in urine
nephritis
cystitis
cancer
after prostate surgery
17
Q

pink urine indicates:

A 
with menses
some foods: beats/berries/food dyes
some laxatives
kidney stones
UTI
18
Q

tea urine indicates:

A 
liver disease (w/ pale stools,  jaundice)
myoglobinuria (w/ rabdo)
medications
foods
blood in urine
19
Q

dark grey urine indicates:

A

urine contains melanin/melanuria

20
Q

blue urine indicates:

A

medication side effect
food: asparagus
dye after prostate surgery

21
Q

frequency of urination in average adult:

A

voids 5-6 times/day

22
Q

polyuria is:

A

excessive quantity of urine

23
Q

oliguria is:

A

diminished quantity of urine

<400 mL/24 hours

24
Q

dysuria is:

A 
pain/burning with urinating
common with 
    acute cystitis 
    prostatitis
    urethritis
25
Q

urge incontinence:

A

involuntary loss from overactive bladder

26
Q

stress incontinence:

A

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

27
Q

sexual activity questions should be asked when:

A

routine in review of body systems

objective and matter of fact

28
Q

nocturnal enuresis:

A

involuntary urinating at night after age 5-6 years

29
Q

later symptoms of BPH:

A

more dramatic
hematuria
UTI

30
Q

What can cause nocturia:

A 
diuretic medication
habit
fluid ingestion 3 hrs before bed
coffee
alcohol
------------------------
fluid retention from heart failure
varicose veins
31
Q

depressants to sexual desire/function in older adult:

A 
antihypertensives
sedatives
tranquilizers
estrogens
alcohol
32
Q

Inspection and Palpation in genitals:

A 
inspect for inflammation
nodules
solitary ulcer (chancre)
grouped vessels
wartlike papules
Check for scrotal swelling, inflammation
33
Q

Retract foreskin:

A

assess for phimosis
paraphimosis
hypospadias
epispadias

34
Q

Assess urine for:

A

color
clarity
pH (should be 4.5-8.0)

35
Q

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

A

men in their 60’s

36
Q

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

A

90% of men in 70’s

300 quiz 4 (5 decks)

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