Male Genitalia

Question 1

What are the two erectile tissues in the penis?

Answer 1

Corpus cavernosum

Question 2

What is the corpus spongiosum?

Answer 2

Body that carries the urethra

Question 3

What is the structure that is felt at the back of the testes?

Answer 3

Epididymitis

Question 4

Where does lymphatics from the penis drain? The testes?

Answer 4

Penis = superfifical inguinal nodes

Testes = abdominal lymph nodes

Question 5

When is a standing exam when performing a male genitalia exam absolutely necessary?

Answer 5

Hernias or varioceles

Question 6

What is smegma? When does it appear problematic (but isn’t actually)?

Answer 6

Waxy secretions that are secreted by the glans of the penis.

May appear problematic if circumcised and adhesions form

Question 7

What are you assessing for when compressing the glans of the penis?

Answer 7

Nodules, plaques, or scarring

Question 8

What is hydrospadias? What are the complications from this?

Answer 8

incomplete closure of the urethra

Loss of sperm
UTIs

Question 9

What is the appropriate technique used to palpate the glans of the penis?

Answer 9

Thumb and first two fingers

Question 10

What is the balanitis?

Answer 10

Remnant of the foreskin gets infected with yeast

Question 11

What is peyronie’s disease?

Answer 11

Scarring around the tunica of the penis

Question 12

What should you consider when a pt has bloody penile discharge?

Answer 12

Neoplasm or urethritis

Question 13

What should you consider when a pt has purulent penile discharge?

Answer 13

STIs or prostatitis

Question 14

What is the giveaway for UTIs/STDs?

Answer 14

Dysuria

Question 15

What is the sign for prostatitis?

Answer 15

Tender in the perineal area, and no dysuria

Question 16

Why should you not try and manipulate the prostate if you suspect infection?

Answer 16

Spread the infection

Question 17

Painless lesions are indicative of what?

Answer 17

Syphilis

Question 18

Vesicular lesions are indicative of what?

Answer 18

Herpes virus

Question 19

What is the most common cause of genital warts?

Answer 19

HPV

Question 20

What are the signs of herpes?

Answer 20

Painful vesicular lesions on the penis

Question 21

What is the best way to identify herpes lesions as such?

Answer 21

Seeing multinucleated cells on a Giemsa stain

Question 22

Are syphilis lesions painful?

Answer 22

No

Question 23

What is chancroid?

Answer 23

Haemophilus Ducreyi STI characterized by painful sores on the genitalia. Chancroid is known to spread from one individual to another solely through sexual contact.

Question 24

What is the causative agent of syphilis?

Answer 24

Treponema pallidum

Question 25

What is the treatment for syphilis?

Answer 25

Penicillin

Question 26

What is the diagnostic technique for a hydrocele? What is the treatment? What does this differentiate against?

Answer 26

Transillumination of the scrotum. Self limiting. Differentiates against scrotal hernia

Question 27

What is the sign of scrotal edema as opposed to a hydrocele or hernia?

Answer 27

Crosses both sides of the scrotum

Question 28

What is the treatment for epidermoid cysts?

Answer 28

Self-limiting. Leave alone

Question 29

Why are spermatoceles usually found in pts who have had a vasectomy?

Answer 29

Sperm have no where to go

Question 30

What differentiates a spermatocele vs testicular CA?

Answer 30

Bump is on the epididymis Also, transilluminates

Question 31

Where is pain felt with acute epididymitis?

Answer 31

Behind the testicle

Question 32

How much time is there to diagnose and treat a testicular torsion before loss of the testicle?

Answer 32

6 hours

Question 33

What are the signs of testicular torsion versus acute epididymitis?

Answer 33

Loss of cremaster reflex Sudden onset

Question 34

Generally, how long do infectious processes take to develop, as opposed to vascular ones?

Answer 34

vascular = sudden Infectious = slow

Question 35

Which way do testicles tend to torse?

Answer 35

Medially

Question 36

Where do direct hernias occur?

Answer 36

Directly through the abdomen

Question 37

Where do indirect hernias occur?

Answer 37

Through the spermatic cord

Question 38

Where do femoral hernia occur?

Answer 38

Below the inguinal ligament, and lateral to the inguinal canal

Question 39

What are the borders of Hasselbach's triangle?

Answer 39

Inguinal ligament Rectus abdominis Inferior epigastric artery

Question 40

True or false: femoral hernia rarely enter the scrotum

Answer 40

False-they never enter the scrotum

Question 41

Who are more likely to develop femoral hernias, men or women? How about to indirect hernias?

Answer 41

Femoral, women more likely Inguinal, men

Question 42

If your finger is hit on the pad when in the inguinal canal, what type of hernia? What about just the tip?

Answer 42

Pad = direct tip = indirect

Question 43

What are the ages that testicular CA usually develops?

Answer 43

15-34 yo

Question 44

Who is more likely to get testicular CA, white or black men?

Answer 44

White (x4)

Question 45

What are the two risk factors for testicular CA?

Answer 45

family hx | Cryptorchidism

Question 46

Should you screen for testicular CA?

Answer 46

no