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Flashcards in Male Lab Quiz 1 Deck (46):
1

Infants and children reach sexual differentiation by __ weeks

12

2

Complete separation of prepuce occurs at about _____ years

3 to 4

3

Should be inspected and palpated with infants

-Congenital abnormalities
-Incomplete development
-Sexual ambiguity
-Urethral placement
-Retractability of foreskin
-Descent of testicles
-Masses

4

What procedure should be done in an infant if a mass is palpated in the scrotum?

Transilluminate scrotum

5

Should be inspected and palpated with children

-Size
-Lesions
-Malformations
-Discharge
-Descent of testicles
-Masses

6

Functional maturation of reproductive organs. Causes in increase in size of the penis and testes and development of pubic hair

Puberty

7

When does puberty occur?

Adolescents

8

What should the review of related history involve in adolescents?

-Knowledge of reproduction and sexual function
-Nocturnal emissions
-Pubic hair and organ enlargements
-Sexual activity and barrier protection

9

Steps the clinician takes in examining an adolescent

-Allay anxiety
-Protect privacy
-Inspect and palpate the expected maturational changes

10

Control of external anal sphincter occurs by age __________

18-24 months

11

The prostate is undeveloped until ________

Puberty

12

Review of related history for infants and children

-Stool characteristics
-Bowel movements
-Feeding habits
-Bowel control and potty training
-Associated symptoms
-Congenital anomaly

13

What should the anus, perineum, and buttocks in infants and children be inspected for?

-Redness or irritation
-Masses
-Discharge or bleeding
-Perirectal protrusion
-Rectal abscesses
-Texture and tone
-Anal contraction

14

Examine ______ for patency of the anus

Newborn

15

T/F Rectal examination is routine for infants and children

FALSE.
It is NOT routine for infants and children

16

When should a clinician perform a rectal exam on a child or infant?

When child/infant presents with:
-Pain
-Bleeding
-Rectal protrusion or abscesses
-Stool abnormalities

17

T/F Rectal examination is routine for adolescents

True

18

Common abnormalities in children

-Ambiguous genitalia
-Enterobiasis
-Imperforate anus

19

The protrusion of a part or structure through the tissues normally containing it.

Hernia

20

Occurs when abdominal viscus pushes through a congenital or acquired defect in the lower abdominal wall

Inguinal hernia

21

Hernia that traverses the inguinal canal the same as the spermatic cord

Indirect hernia

22

Pathway of an indirect hernia

Enters the inguinal canal at the deep inguinal ring lateral to the inferior epigastric vessels, and passes obliquely through the abdominal wall

23

T/F Indirect hernias will never pass into the scrotum of labium majus

FALSE.
If the severity is large enough, an indirect hernia can travel into the scrotum or labium majus

24

Indirect hernias are more common in ___, and may be _______ or the result of an injury

Males
Congenital

25

Hernia that travels through the weaken fascia of the abdominal wall.

Direct hernia

26

Pathway of a direct hernia

Through the abdominal wall directly behind the superficial inguinal ring and medial to the inferior epigastric vessels. They penetrate the inguinal canal through its posterior wall medial to the deep inguinal ring

27

Direct inguinal hernias are more common in:

Elderly men with weak abdominal muscles

28

T/F Direct inguinal hernias rarely enter the scrotum or labium majus

True

29

An indirect inguinal hernia, when present, can be felt on the ____ of the finger while a direct inguinal hernia can be felt on the ____ of the finger

Indirect = tip of the finger
Direct = side of the finger

30

Spinal nerves responsible for the cremasteric reflex

T12, L1, L2

31

3 most common STD's

Herpes, HPV, and Chlamydia

32

Most common reproductive cancer in males under 35

Testicular

33

2nd leading cause of cancer death in males

Prostate

34

Failure to maintain good hygiene with the foreskin intact, HPV, and smoking all increase the risk of which male cancer?

Penile

35

Define cryptorchidism, List two associated concerns

-Undescended testicle(s)
-Testicular cancer and infertility

36

How do most men acquire HIV infections?

Sex with men

37

Define phimosis. At what age is this considered a normal finding?

-Foreskin cannot be fully retracted
-Normal 0-4 years of age

38

What might you recommend to a patient to decrease their risk of prostatic cancer?

Diet low in animal fat and physical activity

39

What might you recommend to a patient to decrease their risk of penile cancer?

-Maintain good hygiene (especially if foreskin is intact)
-Sexual abstinence/monogamy/condom use (avoid HPV exposure)
-Quit smoking

40

3 curable STD's

-Gonorrhea
-Syphilis
-Chlamydia

41

3 incurable STD's

-Herpes
-HPV
-HIV

42

Who should perform a self exam? How often?

-Anyone at risk for contracting an STI
-Self-screening for testicular cancer

43

Describe the male self exam

-Examine the head/glans
-Examine the shaft
-Examine the scrotum
-Other signs and symptoms of STI's

44

First part of the male examination

History questions

45

Steps of the male exam

1) History questions
2) Inspect hair pattern
3) Palpate the lymph nodes
4) Inspect penis (urethral meatus, palpate the penis, strip the urethra)
5) Inspect the scrotum and testicles
6) Transiluminate the testicles
7) Hernia Check
8) Cremasteric reflex
9) Posterior Scrotum check
10) DRE
11) Perineal area

46

DRE procedure

-Patient should turn and lie with their test on the table
-Inspect sacrococcygeal areas for any lesions, rashes, etc.
-Palpate the posterior aspect of the scrotum
-Palpate the perineal area and inspect the anal canal for any cracks, fissures, fistulas, or bleeding hemorrhoids
-Lubricate and insert the finger while asking the patient to bear down.
-Have patient squeeze around finger to test neurology and muscular control of the anal sphincter
-Ask patient to bear down again as you insert the finger deeper downward toward the prostate.
-Palpate the rectal walls
-Have patient bear down while you remove the finger
-Smear glove on a GUIAC test kit to assess for fecal blood.