Male GU Exam

Question 1

Prostate Palpation

Answer 1

You can feel the posterior lobe through the rectum, this is useful because this is where cancer most commonly occurs

Question 2

Which type of hernia is the most common?

Answer 2

Indirect- for both sexes.

Question 3

Which type of hernia can extend into the scrotum?

Answer 3

Indirect

Question 4

Which type of hernia is more common in men then in women (comparatively)

Answer 4

direct

Question 5

Which type of hernia is more common in women then in men? (comparatively)

Answer 5

femoral

Question 6

Penile discharge findings: chlamydia

Answer 6

WBC’s

Question 7

Penile discharge findings: gonorrhea

Answer 7

WBC’s w/ Gm(-) intracellular diplococcic

Question 8

Penile discharge findings: trichomonas

Answer 8

WBC’s w/ moving organisms

Question 9

What does a GEN probe look for?

Answer 9

Chlamydia and GC

Question 10

What is the most common non-skin cancer in men?

Answer 10

Prostate CA- is also the 2nd leading cause of death

Question 11

What are the 2 screening tests for prostate cancer?

Answer 11

Direct Rectal Exam and PSA

Question 12

Hypospasias

Answer 12

congenital displacement of the urethral meatus on the inferior surface of the penis along the urethral groove
Associated with congenital renal abnormalities

Question 13

Phimosis

Answer 13

The foreskin cannot be retracted over the penis. Arises from poor hygiene. Very painful errections

Question 14

Paraphimosis

Answer 14

Foreskin cannot be brought back over the glans-
treatment is circumcision
“foreskin is around- para”

Question 15

Hydrocele

Answer 15

Fluid in the tunica vaginalis- transilluminates with light

Question 16

Cryptorchisism

Answer 16

undescended testicle- usually atrophied. Increased risk for testicular cancer

Question 17

What organism causes syphilis?

Answer 17

Treponema Pallidum

Question 18

Primary Syphilis hallmark finding?

Answer 18

syphilitic chancre: painless round/oval erosion or lesion

Question 19

Tests for syphilis?

Answer 19

(+) RPR and VDRL (screening tests)

FTA-ABS (+), TP-PA (+) or dark field microscopy (look for spirochetes) is confirmatory

Question 20

Secondary Syphilis hallmark findinings?

Answer 20

Any unexplained rash on the body, palms of hands, soles of the feet

Question 21

Genital Herpes hallmark finding?

Answer 21

cluster of small vesicles that are burning &/or painful. These will progress to ulcers that are on top of an area of erythema (redness)

Question 22

Genital Herpes DX finding?

Answer 22

viral culture of fluid in vesicle, tzanck smear

Question 23

Genital Herpes causitive organism?

Answer 23

herpes simplex virus 1 and 2

Question 24

Venereal Warts AKA?

Answer 24

condyloma acuminatum

Question 25

Venereal Warts causitive organism?

Answer 25

HPV

Question 26

HPV hallmark findings?

Answer 26

genital warts that grow in clusters

Question 27

Genital Scabies causative organism?

Answer 27

sarcoptes scabiei

Question 28

Genital Scabies hallmark symptom/ finding?

Answer 28

nocturnal pruritis with linear curved or u-shaped burrows

Question 29

Genital Scabies diagnosis

Answer 29

clinical suspicion, slide mount preperation

Question 30

Genital Scabies treatment?

Answer 30

permethrin cream, linden, oral steroids and antihistamines for itching

Question 31

Non-gonococcal urethritis is caused by?

Answer 31

chlamydia

Question 32

Gonococcal urethritis hallmark finding?

Answer 32

purulent penile discharge that has WBC’s (neutrophils) and gram stain (-) intracellular diplococci