Male & Female Reproductive

Question 1

How often should a male perform a TSA?

Answer 1

once a month

Question 2

What positions should the patient be in for a Digital Rectal Exam (DRE)? What is a DRE assessing?

Answer 2

the patient can be lying laterally or bent over
- assessing the prostate

Question 3

Inspection of the penis, what are you looking for?

Answer 3

• pubic hair
• shaft: normal, wrinkles, no rashes
• glans: smooth, free of lesions
• look for location of the meatus: look for discharge by squeezing the gland

Question 4

Circumcision: what

Answer 4

decrease risk for penal cancer, infection

Question 5

Phimosis

Answer 5

difficulty retracting the foreskin

Question 6

Paraphimosis

Answer 6

foreskin is trapped behind the skin; can lead to necrosis

Question 7

Syphilis

Answer 7

a form of STI; treated with PCN

Question 8

Herpes

Answer 8

clear vesicles; medications to help management; no cure

Question 9

Genital Warts

Answer 9

painless, cause by HPV; no cure; can go away on its own

Question 10

Hypospadias

Answer 10

meatus is in an abnormal location, located underside of the penis; treated with surgery

Question 11

Epispadias

Answer 11

a rare congenital condition where the urethra doesn’t fully form, resulting in an abnormal opening

Question 12

Peyronines Disease

Answer 12

a bent pp

Question 13

Penile Cancer

Answer 13

painless, hard nodules

Question 14

Scrotal Edema can occur due to what condition? (most commonly seen)

Answer 14

congestive heart failure

Question 15

Testicular torsion

Answer 15

twisting of the spermatic cord; treated with surgery

Question 16

Orchitis

Answer 16

inflammation of the testicles related with infection; treated with antibiotics and scrotal support

Question 17

Testicular cancer

Answer 17

curable cancer, testicular lumps present

Question 18

Hydrocele

Answer 18

collection of fluid; fluid-filled sac that surrounds the testicles

Question 19

Transillumination

Answer 19

diagnostic tool
- bright light = fluid
- dark light = solid tissue or blood clot

Question 20

Symptoms of Prostate cancer

Answer 20

• difficulty urinating
• decreased force of urine stream
• frequent urination at night
• dribbling after urination
• blood in urine
• swelling in legs
• discomfort in pelvic area
• bone pain

Question 21

Symptoms of BPH (Benign Prostatic Hyperplasia)

Answer 21

• difficulty urinating
• decrease force of urine stream
• frequent urination at night

Question 22

What is a Pilonidal Cyst? Where is this found?

Answer 22

redness, irritation, cyst
- found in the perianal area

Question 23

What are the two kinds of Hemorrhoids? What is this found? How is this treated?

Answer 23

• internal
• external
• found in the perianal area
• typically treated with creams

Question 24

Colorectal cancer starts as what?

Answer 24

Polyps

Question 25

What is Metorrhagia?

Answer 25

bleeding between menstrual periods (spotting)

Question 26

What is Amenorrhea?

Answer 26

absence of menstruation - primary: have not had a period yet - secondary: had period but now it stopped

Question 27

What is Dysmenorrhea?

Answer 27

painful menstruation

Question 28

What is Perimenopausal?

Answer 28

just before menopause - ex. hot flashes, night sweats, vaginal dryness, fatigue, urinary urgency/leakage - occurs around 40-50 years of age

Question 29

What does PMS stand for?

Answer 29

Premenstrual Syndrome

Question 30

How do you know your cisgender female patient is in menopause?

Answer 30

a year without menses

Question 31

What is TSS? What are the symptoms and treatment?

Answer 31

Toxic Shock Syndrome - staph infection - life threatening - related to tampon use - symptoms: fever, intense pain, hypotension, seizures, muscle pain, shock, renal failure, (even) death - treatment: antibiotics, fluids, dialysis (renal failure)

Question 32

What is PID?

Answer 32

Pelvic Inflammatory Disease - secondary to gonorrhea/chlamydia (most common)

Question 33

What is the role of a nurse during an objective assessment for a female?

Answer 33

chaperone

Question 34

Before you assessing a female's genitalia, what should you ask the patient?

Answer 34

ask they if they need to go to the bathroom; having a full bladder is uncomfortable during these exams

Question 35

What are the risk factors for Cervical Cancer?

Answer 35

- failure to have reg pap smears - HPV infectino - having multiple sexual partners - no HPV vaccination - smoking - h/o of HIV infection

Question 36

What are the risk factors for Colorectal Cancer?

Answer 36

- diet high in fat and low in fiber - diet high in red or processed meats - smoking - alcohol - reduced physical exercises and activity

Question 37

Assessment of cisgender female older adults, what to look out for?

Answer 37

- vaginal bleeding - vaginal drying - grey, thinning public hair - sexual health - increased risk for cervical polyps