Male Genitalia (Abnormal)

Question 1

• Initially a small, silvery-white papule that develops a red, oval ulceration.
• Painless

-A sign of primary syphilis (an STI) that spontaneously regresses
- May be misdiagnosed as herpes

Answer 1

SYPHILITIC CHANCRE

Question 2

• Clusters of pimplelike, clear vesicles that erupt and become ulcers.
• Painful
• Initial lesions of this STI—typically caused by HSV-1 or HSV-2—disappear, and the infection remains dormant for varying periods of time. Recurrences can be frequent or minimally episodic.

Answer 2

HERPES PROGENITALIS

Question 3

• Single or multiple, moist, fleshy papules
• Painless
• STI caused by the HPV.

Answer 3

GENITAL WARTS

Question 4

• Appears as hardened nodule or ulcer on the glans - Painless
• Occurs primarily in uncircumcised men

Answer 4

CANCER OF THE GLANS PENIS

Question 5

_____ With phimosis, the foreskin cannot be retracted over the penis tip.

_____ A foreskin that is left in a retracted position leads to venous congestion and edema of the foreskin.

Answer 5

PHIMOSIS
PARAPHIMOSIS

Question 6

• Urethral meatus is located underneath the glans (ventral side).
• This condition is a congenital defect.
• A groove extends from the meatus to the normal location of the urethral meatus.

Answer 6

HYPOSPADIAS

Question 7

• A loop of bowel protrudes into the scrotum to create what is known as an indirect inguinal hernia.
• Hernia appears as swelling in the scrotum.
• Palpable as a soft mass and fingers cannot get above the mass.

Answer 7

SCROTAL HERNIA

Question 8

• Collection of serous fluid in the scrotum, outside the testes, within the tunica vaginalis.
• Appears as swelling in the scrotum and is usually painless.
• Will transilluminate (if there is blood in the scrotum, it will not transilluminate and is called a hematocele).

Answer 8

HYDROCELE

Question 9

Initially a small, firm, nontender nodule on the testis.

Answer 9

TESTICULAR TUMOR

Question 10

Failure of one or both testicles to descend into scrotum.

Scrotum appears undeveloped and testis cannot be palpated.

Causes increased risk of testicular cancer

Answer 10

CRYPTORCHIDISM

Question 11

_____ Infection of the epididymis.

_____ Inflammation of the testes, associated frequently with mumps.

Answer 11

EPIDIDYMITIS
ORCHITIS

Question 12

_____ Abnormal dilation of veins in the spermatic cord.

_____ Sperm-filled cystic mass located on epididymis

Answer 12

VARICOCELE
SPERMATOCELE

Question 13

_____ are usually painless papules caused by varicose veins. This contains clotted blood, is very painful and swollen, and itches and bleeds with bowel movements.

Answer 13

EXTERNAL HEMORRHOID

Question 14

_____ is a cavity of pus, caused by infection in the skin around the anal opening. It causes throbbing pain and is red, swollen, hard, and tender.

Answer 14

Perianal abscess

Question 15

These splits in the tissue of the anal canal are caused by trauma. A swollen skin tag (“sentinel tag”) is often present below the fissure on the anal margin. They cause intense pain, itching, and bleeding.

Answer 15

ANAL FISSURE

Question 16

This is evidenced by a small, round opening in the skin that surrounds the anal opening. It suggests an inflammatory tract from the anus or rectum out to the skin. A previous abscess may have preceded the fistula.

Answer 16

ANORECTAL FISTULA

Question 17

This occurs when the mucosa of the rectum protrudes out through the anal opening. It may involve only the mucosa or the mucosa and the rectal wall. It appears as a red, doughnutlike mass with radiating folds.

Answer 17

RECTAL PROLAPSE

Question 18

These soft structures are rather common and occur in varying sizes and numbers. There are two types: pedunculated (on a stalk) and sessile (on the mucosal surface).

Answer 18

RECTAL POLYPS

Question 19

A _____ is usually asymptomatic until it is quite advanced. Thus, routine rectal palpation is essential. It may feel like a firm nodule, an ulcerated nodule with rolled edges, or, as it grows, a large, irregularly shaped, fixed, hard nodule.

Answer 19

RECTAL CANCERz

Question 20

_____ The prostate is swollen, tender, firm, and warm to the touch. Prostatitis is caused by a bacterial infection.

_____ The prostate is enlarged, smooth, firm, and slightly elastic. The median sulcus may not be palpable. It is common in men older than 50 years

_____ A hard area on the prostate or hard, fixed, irregular nodules on the prostate suggest cancer. The median sulcus may not be palpable.

Answer 20

ACUTE PROSTATITIS

BENIGN PROSTATIC HYPERTROPHY

CANCER OF THE PROSTATE