Flashcards in Male Lab Quiz 1 Deck (46):
Infants and children reach sexual differentiation by __ weeks
Complete separation of prepuce occurs at about _____ years
3 to 4
Should be inspected and palpated with infants
-Retractability of foreskin
-Descent of testicles
What procedure should be done in an infant if a mass is palpated in the scrotum?
Should be inspected and palpated with children
-Descent of testicles
Functional maturation of reproductive organs. Causes in increase in size of the penis and testes and development of pubic hair
When does puberty occur?
What should the review of related history involve in adolescents?
-Knowledge of reproduction and sexual function
-Pubic hair and organ enlargements
-Sexual activity and barrier protection
Steps the clinician takes in examining an adolescent
-Inspect and palpate the expected maturational changes
Control of external anal sphincter occurs by age __________
The prostate is undeveloped until ________
Review of related history for infants and children
-Bowel control and potty training
What should the anus, perineum, and buttocks in infants and children be inspected for?
-Redness or irritation
-Discharge or bleeding
-Texture and tone
Examine ______ for patency of the anus
T/F Rectal examination is routine for infants and children
It is NOT routine for infants and children
When should a clinician perform a rectal exam on a child or infant?
When child/infant presents with:
-Rectal protrusion or abscesses
T/F Rectal examination is routine for adolescents
Common abnormalities in children
The protrusion of a part or structure through the tissues normally containing it.
Occurs when abdominal viscus pushes through a congenital or acquired defect in the lower abdominal wall
Hernia that traverses the inguinal canal the same as the spermatic cord
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
T/F Indirect hernias will never pass into the scrotum of labium majus
If the severity is large enough, an indirect hernia can travel into the scrotum or labium majus
Indirect hernias are more common in ___, and may be _______ or the result of an injury
Hernia that travels through the weaken fascia of the abdominal wall.
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
Direct inguinal hernias are more common in:
Elderly men with weak abdominal muscles
T/F Direct inguinal hernias rarely enter the scrotum or labium majus
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
Spinal nerves responsible for the cremasteric reflex
T12, L1, L2
3 most common STD's
Herpes, HPV, and Chlamydia
Most common reproductive cancer in males under 35
2nd leading cause of cancer death in males
Failure to maintain good hygiene with the foreskin intact, HPV, and smoking all increase the risk of which male cancer?
Define cryptorchidism, List two associated concerns
-Testicular cancer and infertility
How do most men acquire HIV infections?
Sex with men
Define phimosis. At what age is this considered a normal finding?
-Foreskin cannot be fully retracted
-Normal 0-4 years of age
What might you recommend to a patient to decrease their risk of prostatic cancer?
Diet low in animal fat and physical activity
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)
3 curable STD's
3 incurable STD's
Who should perform a self exam? How often?
-Anyone at risk for contracting an STI
-Self-screening for testicular cancer
Describe the male self exam
-Examine the head/glans
-Examine the shaft
-Examine the scrotum
-Other signs and symptoms of STI's
First part of the male examination
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
11) Perineal area