Male Genitalia TEST 2

Question 1

What are the main anatomical structures of the penis?

Answer 1

Glans, shaft, urethral meatus, foreskin (if uncircumcised)

Question 2

What structures are part of the scrotum?

Answer 2

Testes, epididymides, vas deferens

Question 3

What should you inspect on the penis during a physical exam?

Answer 3

Color, smegma, urethral meatus location, discharge, lesions

Question 4

What should you palpate on the penis?

Answer 4

Tenderness, induration, lesions/masses, discharge by milking urethra

Question 5

What is the purpose of transillumination of scrotal masses?

Answer 5

To determine if the mass is fluid-filled (transilluminates) or solid (does not)

Question 6

How is the inguinal canal examined?

Answer 6

Palpation for direct and indirect hernias

Question 7

What is the cremasteric reflex?

Answer 7

Stroking the inner thigh should cause testicle elevation on that side

Question 8

What past history is relevant in a male GU exam?

Answer 8

Infertility, congenital anomalies, STI history, reproductive cancers, hernias, Peyronie disease

Question 9

What are male GU considerations in infants?

Answer 9

Circumcision, scrotal swelling, congenital anomalies, ambiguous genitalia

Question 10

What age-related changes occur in male genitalia?

Answer 10

Graying/less pubic hair, pendulous scrotum, changes in sexual response

Question 11

What is a direct inguinal hernia?

Answer 11

Protrusion through abdominal wall, bulges anteriorly

Question 12

What is an indirect inguinal hernia?

Answer 12

Protrudes through internal inguinal ring, into the scrotum

Question 13

What is a strangulated hernia?

Answer 13

Nonreducible hernia with compromised blood supply, surgical emergency

Question 14

What is phimosis/paraphimosis?

Answer 14

Inability to retract foreskin or return it to normal position/ Para= cuts off blood flow medical emergency

Question 15

What is a chancre?

Answer 15

Painless ulcer from primary syphilis

Question 16

What is a varicocele?

Answer 16

Dilated veins in the spermatic cord

Question 17

What is orchitis?

Answer 17

Acute testicular inflammation, often from infection

Question 18

What is Peyronie disease?

Answer 18

Fibrous plaque causing penile curvature

Question 19

What is a spermatocele?

Answer 19

Benign cyst on the epididymis

Question 20

What is testicular torsion?

Answer 20

Twisting of the testicle on the spermatic cord, surgical emergency

Question 21

What is Klinefelter syndrome?

Answer 21

XXY chromosomal anomaly causing hypogonadism and infertility

Question 22

What is considered a normal newborn finding?

Answer 22

Discoloration or swelling of the scrotal sac

Question 23

When is the HPV vaccine indicated for males?

Answer 23

CDC recommends routine use of HPV vaccine at 11-12; also reccommends HPV4 in males 13-26 who haven’t been vaccinated or didn’t finish the series

Question 24

Tanner staging of pubic hair

Answer 24

Stage 1: No pubic hair (pre-puberty) / Stage 2: Pubic “peach fuzz” (more testicular volume)/ Stage 3: Pubic hair extends laterally (Penis lengthens)/ Stage 4: Adult like pubic hair (circumference and length of peni increase)/ Stage 5: Pubic hair extends to thighs (Full grown penis)

Question 25

Which male genitalia variation would occur during 8–9 weeks of gestation?

Answer 25

Major anomaly to external genitalia (Any fetal insult during 8–9 weeks gestation can lead to major anomalies of the external genitalia)

Question 26

Which additional anatomical part would be assessed during the male genitalia examination?

Answer 26

Rectum

Question 27

Which potential risk factor would be associated with penile cancer?

Answer 27

Infection with HPV, UV treatment for psoriasis, smoking

Question 28

Which complaint by a male child would warrant further assessment by the nurse?

Answer 28

Swelling in the scrotum when crying (can be an indication of a hernia or other condition that needs to be assessed. The swelling may be associated with pain and require medical intervention)

Question 29

Which method would be included when examining for evidence of a hernia?

Answer 29

Ask the patient to bear down (The patient should be asked to bear down during examination for evidence of a hernia, and the inguinal area should be inspected)

Question 30

Which statement about penile cancer would be correct?

Answer 30

Almost all cases of penile cancer are squamous cell carcinoma.

Question 31

Which condition would predispose an infant for undescended testicles?

Answer 31

Hypospadias

Question 32

Which Testicular Workup for Ischemia and Suspected Torsion (TWIST) score would be applied to a patient with testis swelling, vomiting, and an absent cremasteric reflex?

Answer 32

4-- The (TWIST) score for this patient is 4. The patient gets 2 points for testis swelling, 1 point for vomiting and 1 point for an absent cremasteric reflex.

Question 33

Which patient would be likely to have epididymitis, not testicular torsion?

Answer 33

A patient complaining of gradual pain and urethral discharge

Question 34

Which disease would be asymptomatic and typically found incidentally?

Answer 34

Spermatocele, varicocele