Male Exam

Question 1

Most common scrotal mass, Often asymptomatic and Left sided

Answer 1

Varicocele

Question 2

usually as a result orchitis or epididymitis

Answer 2

Hydrocele

Question 3

Sudden onset Pain with Swelling, Tenderness, Nausea & Vomiting common

Answer 3

Orchitis

Question 4

orchitis is caused by

Answer 4

granulomatous or viral GU infection

Question 5

Granulomatous causes of orchitis

Answer 5

Gonorrhea/ Syphylis/ TB

Question 6

viral causes of orchitis

Answer 6

Mumps (20-35% of cases)

Question 7

Proteinurea or hematuria may be present in

Answer 7

orchitis

Question 8

Gradual onset of pain, Fever, Urethral discharge, with very painful enlarged and elevated testes

Answer 8

Epididymitis

Question 9

Ascending infection, secondary to urethritis / ascending from
prostatis

Answer 9

Epididymitis

Question 10

Pyuria possible with

Answer 10

Epididymitis

Question 11

Sudden onset severe unilateral scrotal pain in young males

Answer 11

Testicular

Torsion

Question 12

All young males with acute scrotal pain should be considered

to have _______ until proven otherwise

Answer 12

testicular torsion

Question 13

Symptoms of testicular torsion

Answer 13

• Excruciating one-sided pain & sudden
swelling.
• Nausea and vomiting (20-30%)
• Abdominal pain (20-30%)
• Fever (16%) / Urinary frequency (4%)

Question 14

Inguinal Hernia gender ratio

Answer 14

9:1 males

Question 15

Intestines through canal & possible into scrotum

Answer 15

Indirect (Congenital/Oblique)

Question 16

Most common hernia in both sexes

Answer 16

indirect inguinal hernia

Question 17

Felt on the tip of finger

Answer 17

indirect inguinal hernia

Question 18

Most symptomatic type of indirect inguinal hernia

Answer 18

incarcerated/strangulated

Question 19

Hesselbach’s triagle

Answer 19

Direct (Acquired) inguinal hernia

Question 20

Felt on the pad/side of finger and Less Symptomatic

Answer 20

Direct (Acquired) inguinal hernia

Question 21

Boundaries of Hesselbach’s Triangle

Answer 21

• Medially: Rectus Abdominus M.
• Inferiorly: Inguinal ligament
• Laterally: Inferior epigastric vessel

Question 22

Femoral Hernia gener ratio

Answer 22

females 3:1

Question 23

femoral hernia sac follows the potential space along the

Answer 23

femoral vessels.

Question 24

• Weak/painful urine flow
• Frequent urination
  (nocturia)
• hesitation
• Inability to completely empty bladder
• Pushing or straining to urinate
• (urgency)
• Dribbling

Answer 24

BPH

Question 25

More serious consequences of BPH

Answer 25

* Blood in the urine * Recurrent UTIs * Back-up of urine into kidneys * Acute urinary retention

Question 26

- Fever possible - Urgency - Dysuria: Pain / Burning - Urinary Hesitancy - Nocturia - Pain in lower back, perineal area, lower abdomen, groin - Pain may be worse during a bowel movement.

Answer 26

Prostatitis

Question 27

Prostate s Tender, Enlarged / Median Furrow may disappear, Boggy, Hot

Answer 27

Prostatitis

Question 28

Hematuria may be present

Answer 28

Prostatitis

Question 29

Early prostate CA usually has what symptoms?

Answer 29

none

Question 30

- dull pain in the lower pelvic area - frequency, dysuria, pain, burning, weakened urine flow, hematuria, painful ejaculation - lower back hips or upper thighs pain - perhaps persistent bone pain - loss of appetite / wt loss

Answer 30

Prostatic CA

Question 31

Detects CA long before symptoms

Answer 31

PSA

Question 32

PSA is Sensitive but not Specific for

Answer 32

- CA - BPH - Prostatitis

Question 33

2 out of 3 of those with elevated PSA

Answer 33

do not have Cancer