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Flashcards in Male Gen. & Rep. function Deck (60):
1

Produces male germ cells and secretes the male sex hormone

Testes

2

Transports and stores sperm, and in assists in their maturation

Ductile system

3

Prepares sperm for ejaculation

Accessory glands

4

What temperate does sperm production require,

2-3 Degrees C below body temperature

5

What is essential to the development of primary and secondary male sex characteristics, induces differentiation, and spermatogenesis?

Testosterone

6

What plays an essential role in testicular function?

Hypothalamus and anterior pituitary

7

What is the production of testosterone regulated by?

LH

8

The inability to achieve and maintain an erection sufficient to permit satisfactory intercourse

Erectile dysfunction

9

Localized progressive fibrosis of unknown origin that effect the tunica albuginea

Peyronie disease

10

What are the symptoms of Peyronie disease?

Painful erection
Bent erection
Hard mass at the sit of fibrosis

11

This is characterized by an inflammatory process thy results in dense fibrous plaque formation which prevents lengthening of involved area

Peyronie disease

11

What age in men does peyronie disease usually occur?

Middle aged to elderly men

12

What is the treatment for Peyronie Disease?

Oral agents with antioxidants properties such as Vit. E, Colchicine, corticosterioids and sometimes surgery

13

What are most cases of Epididymis in men under 35 caused by?

Chlamydia trachomatis or neisseris gonorrhoeae

14

What are most cases of Epididymis in men over 35 caused by?

Urinary tract pathogens such as E. Coli or pseudomonas

15

What is the function of the epididymis?

Transports and stores sperm

16

What are the symptoms of Epididymitis?

Unilateral pain & swelling
Erythema & edema of overlying scrotal skin
Tenderness over the groin and lower abdomen
Lower UTI symptoms

17

When is there discharge with Epididymitis?

When it is caused by an STD

18

What is important for diagnosing Epididymis?

Urinalysis and urine culture

19

What is the treatment for Epididymis?

Bed rest
Scrotal elevation & support
Analgesics
NSAIDS
Antibiotics

20

What are the risk factors for Epididymitis?

Sexual activity
Heavy physical exertion
Bicycle or motor riding
Urinary tract surgery
Prostate obstruction in older men

21

This is the first cancer linked to occupation (chimney sweeps)

Scrotal cancer

22

What is scrotal cancer linked to?

Poor hygiene
Chronic inflammation
PUCA
HPV

23

What age does scrotal cancer usually occur?

In men over 60 often preceded by 20 to 39 years of chronic irritation

24

What may appear in the early stages of scrotal cancer?

Small tumor or warlike growth that eventually ulcerates

25

What is the treatment for scrotal cancer?

Wide local excision of the tumor with inguinal and femoral dissection

26

Inflammatory disorder of the prostate gland

Prostatitis

27

What is Acute Bacterial Prostatitis caused by?

Ascending urethral infecting or reflux of infected urine into prostatic ducts (E. coli)

28

What are the symptoms if Acute bacterial prostatitis?

Fever, chills, malaise, arthralgia,
frequent and urgent urination
Dysuria
Urethral discharge
Urine may be cloudy and malodorous

29

What are the risk factors for acute bacterial prostatitis?

Diabetes
HIV
Recent catheterization
Urethral strictures

30

What does prostate massage produce in acute bacterial prostatitis?

A thick discharge with WBC's that grows large numbers of pathogens on culture

31

What is the treatment for acute bacterial prostatitis?

Antibiotic therapy continued for at least 4 weeks

32

Which Prostatitis is difficult to treat?

Chronic bacterial prostatitis

33

What are the symptoms of Chronic Bacterial Prostatitis?

Frequent and urgent urinations
Dysuria
Perineal discomfort
Low back pain

34

What is the treatment for Chronic Bacterial Prostatitis?

Long term therapy with an appropriate oral antimicrobial

35

More than 50% of men older than 60 have this

Benign prostatic hyperplasia

36

What is the treatment for Benign prostatic hyperplasia?

5a-reductase inhibitors or
a-adrenergic blocking drugs
Or a combination of both

37

What causes Benign Prostatic hyperplasia?

An imbalance between cell proliferation and cell death - decreased cell death leads to accumulation if senescent cells.

38

What are the symptoms of Benign prostatic hyperplasia?

Large, discrete lesions in the periurethral region of the prostate (the lesions compress the urethra and produce symptoms of dysuria, & difficulty urinating)

39

How is Benign prostatic hyperplasia diagnosed?

Digital rectal exam
Serum creatinine
Prostate-specific antigen
Urinalysis to detect Hematuria

40

What is the disease of aging?

Cancer of the prostate

41

Symptoms of prostate cancer

Urgency
Frequency
Nocturia
Hesitancy
Dysuria
Hematuria
Blood in the ejaculation
Prostate can be nodular or fixed

42

What needs to be taught to eat to help prevent prostate cancer?

Vitamin E & D
Selenium
Lycopene
Soy
Green tea

43

What has studies shown that increased risk for prostate cancer?

High dietary fats

44

What are the diagnosis for prostate cancer?

DRE, PSA testing, and transrectal ultrasonography

45

What is the treatment for cancer of the prostate?

Surgery
Radiation
Hormonal manipulations

46

One or both of the testicles fail to moved down into a scrotal sac

Cryptorchidism

47

What is Cryptorchidism directly related to?

Low Birth weight and small for gestational age

48

What needs to be taught about neoplasms of the penis (penile cancer?

To seek medical attention early on because its HIGHLY curable in early stages

Men should shield gentian area when tanning

49

What are most penile cancers origin?

Squamous epithelial cells

50

How is penile cancer diagnosed?

Physical exam
Biopsy
CT scan
MRI

51

What are the early signs of penile cancer?

Small lump or unclear in the glans or inner surface of prepuce

52

What are the risk factors of penile cancer?

Poor general hygiene
HPV
Ultrasound violet radiation exposure
Older age
Immunodeficiency states

53

What is the treatment for penile cancer?

Fluorouracil cream application
Laser treatments
Surgery for invasive carcinoma

54

What is chronic bacterial prostatitis caused by?

E. coli
Proteus
Klebsiela
Pseudomonas

55

This is an age related nonmalignant enlargement of the prostate gland, common in the US and Europe

Benign prostatic hyperplasia

56

When does spontaneous decent occur in Cryptorchidism?

In the first 3 months, rarely after the first

57

What procedure is done to locate a non palpable testes?

Laparoscopy

58

When must surgery take place with Cryptorchidism to maximize potential fertility?

Within the first year of age

59

What needs to be taught with boys who have Cryptorchidism?

They need a regular physical examination
Once they hit puberty, self testicular examination need to be taught