Male GU exam

Question 1

what makes up the penis

Answer 1

corpus spongiosum - containing urethra
two copora cavernosa
corona - head of the penis

Question 2

what is prepuce

Answer 2

foreskin

Question 3

what is the foreskin

Answer 3

loose, hood-like fold of skin covering the glands in uncircumscribed men

Question 4

what is the unical vaginalis

Answer 4

serous membrane covering the testis, except posteriorly

Question 5

what is the epididymis

Answer 5

posterolateral surface of each testis
reservoir for storage, maturation and transport of sperm

Question 6

what is the vas deferens

Answer 6

a cordlike structure, beginning at the tail of the epididymis
ascents within scrotal sac and passes through external inguinal ring on its way to abdomen and pelvis

Question 7

where is the inguinal canal located

Answer 7

lies above and parallel to the inguinal ligament
forms a tunnel for the vas deferens

Question 8

what is the anorectal junction

Answer 8

boundary between somatic and visceral nerve supplies

Question 9

where does the prostate lie in regards to the rectal wall

Answer 9

anterior

Question 10

when is sexual history important to discuss

Answer 10

annual check - new patient
patient with chronic illness/meds
major life cycle events (puberty, pregnancy, menopause)
major surgical procedures

Question 11

what are the 5Ps of sexual history

Answer 11

Partners: number
Practices: Risk assessment
Protection from STIs
Past history of STIs
Prevention of pregnancy

Question 12

what is a hernia

Answer 12

protrusion, bulge or projection of an organ or a part of an organ through the body wall that normally contains it

Question 13

what are the common sites for hernias

Answer 13

umbilical
groin: inguinal (males) and femoral (female)

Question 14

what is incarcerated

Answer 14

organ or part of the organ is trapped and cant be pushed back (irreducible)

Question 15

what is strangulated

Answer 15

loss of blood supply to the trapped part of the organ

Question 16

what hernias have more complications

Answer 16

femoral hernias

Question 17

what is the least common hernia

Answer 17

femoral hernias

Question 18

What is a direct inguinal hernia

Answer 18

less common, usually in men >40
begin above inguinal ligament near pubic tubercle and external inguinal ring
often due to a weakness in floor of inguinal canal

Question 19

what is indirect inguinal hernias

Answer 19

most common, occurs in all ages, both genders
begin above inguinal ligament near its midpoint (internal inguinal ring)
travel through the inguinal canal and into the scrotum

Question 20

how do you examine for a hernia

Answer 20

usually done with pt standing
first: inspection
palpitation (one side than the other)
if scrotal mass is found - ask pt to lie down