Male

Question 1

Prostate and Rectal Exam steps

Answer 1

Inspection

• Anus

Palpation

• Rectum
• Prostate

Additional

• Check for occult blood
• Clean up patient

Question 2

Compare/Contrast Inguinal Hernias: Direct versus Indirect

Answer 2

Question 3

Identify the Inguinal Hernia: Direct versus Indirect

Physical Exam

• Palpable mass at side of finger outside of inguinal canal
• No scrotal mass

Answer 3

Direct hernia

Question 4

Male Inspection (4 items)

Answer 4

1. Tanner stage
2. Penis
3. Foreskin
4. Scrotum

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Question 5

Identify:

• Urgent and frequent urination
• nocturia
• double voiding
• split stream
• straining

Answer 5

• Benign prostatic hyperplasia (BPH)
• Hydronephrosis secondary to BPH

Question 6

Testicular cancer is the most common cancer in American males between the ages of __________

Answer 6

15 and 34

Question 7

Is testicular cancer treatable?

Answer 7

Highly treatable

Question 8

Male palpation

Answer 8

1. Penis
2. Scrotum—testes

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Question 9

Guaiac negative means what?

Answer 9

Occult blood test negative

Question 10

Male Tanner Staging:

• Prepubertal
• Villus hair only

Answer 10

Stage 1

Question 11

Common hernia sites: Name the hernia

• (in inguinal canal)

Answer 11

Indirect inguinal hernia (in inguinal canal)

Question 12

_______ is a Swollen male breast tissue caused by a hormone imbalance.

Answer 12

gynecomastia

Question 13

Signs/symptoms of Hydronephrosis secondary to Benign Prostatic Hyperplasia (BPH)

Answer 13

1. Urgent and frequent urination
2. nocturia
3. double voiding
4. split stream
5. straining

Question 14

The need strain or push (called _______) to initiate and maintain urination in order to more fully evacuate the bladder

Answer 14

Valsalva maneuver

Question 15

Identify the Inguinal Hernia: Direct versus Indirect

History

• Men over 40
• Large, painless groin mass for many years

Answer 15

Direct hernia

Question 16

What is a secondary complication of Benign prostatic hyperplasia (BPH)?

Answer 16

hydronephrosis

Question 17

Common hernia sites: Name the hernia

• (external opening to femoral canal)

Answer 17

Femoral hernia

Question 18

Clinical staging of prostatic carcinoma. Identify the stage:

• Tumor has extended beyond the prostatic capsul to involve adjacent structures

Answer 18

C

Extensive carcinoma

Question 19

_________ occurs when a portion of the small intestine enters the inguinal canal

Answer 19

• inguinal hernia

Question 20

Male Tanner Staging:

• Enlargement of penis (length at first); further growth of testes
• Thicker, curlier hair spreads to the mons pubis

Answer 20

Stage 3

Question 21

Male Tanner Staging:

• Adult genitalia
• Adult-type hair with spread to medial thigh

Answer 21

Stage 5

Question 22

Male Tanner Staging:

• Enlargement of scrotum and testes; scrotum skin reddens and changes in texture
• Sparse growth of slightly pigmented hair at base of penis

Answer 22

Stage 2

Question 23

Identify the Inguinal Hernia: Direct versus Indirect

Physical Exam

• Palpable mass at tip of finger in inguinal canal
• Large mass in scrotum

Answer 23

INdirect hernia

Question 24

Identify the Inguinal Hernia: Direct versus Indirect

History

• Most common
• Painless scrotal mass

Answer 24

INdirect hernia

Question 25

Presentation of testicular cancer

Answer 25

1. Mass or swelling in either testicle 2. Dull ache in the back or lower abdomen 3. Gynecomastia (Swollen male breast tissue caused by a hormone imbalance) 4. Testicular discomfort/pain 5. a feeling of heaviness in the scrotum

Question 26

Clinical staging of prostatic carcinoma. Identify the stage: * Tumor is confined to the prostate

Answer 26

A and B Local carcinoma

Question 27

Common hernia sites

Answer 27

1. Indirect inguinal hernia (in inguinal canal) 2. Femoral hernia (external opening to femoral canal) 3. Direct inguinal hernia

Question 28

Clinical staging of prostatic carcinoma. Identify the stage: * Lymph node or distant metastases are present

Answer 28

D Extensive carcinoma

Question 29

Male Tanner Staging: * Increased size of penis with growth in breadth and development of glans; testes and scrotum larger, scrotum skin darker * Adult type hair but no spread to medial thigh

Answer 29

Stage 4

Question 30

Male Tanner Staging: * Approximate age of onset * Approximate age of completed development

Answer 30

Onset: 10-13 y Complete: 14-18 y