Physical Examination 19-3 Flashcards

1
Q

What are the components of a male GU examination?

A
  • penis
  • testicles
  • epididymis
  • scrotum
  • prostate gland
  • seminal vesicles
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2
Q

What is the function of the penis?

A
  • to excrete urine and introduce semen into the vagina
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3
Q

Describe the urethral orifice

A
  • a slit like opening about 2mm ventral to the tip of glans
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4
Q

What covers the glans at birth?

A
  • foreskin aka prepuce
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5
Q

What temperature is required in the scrotum for spermatogenesis to take place?

A
  • temperatures lower than 37 degrees C
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6
Q

What is inside each scrotum?

A
  • testis
  • epididymis
  • spermatic cord
  • muscle layer
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7
Q

What produces spermatozoa and testosterone?

A
  • testicles
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8
Q

What surrounds the urethra at the bladder neck?

A
  • prostate gland
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9
Q

What produces the major volume of ejaculatory fluid?

A
  • prostate
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10
Q

What enzyme is found in ejaculatory fluid that is responsible for liquifying coagulated semen?

A
  • fibrinolysin
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11
Q

How much blood must the corpora cavernosa be engorged with for an erection to take place?

A
  • 20 to 50 mL
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12
Q

What type of reflex is an erection?

A
  • neurovascular reflex induced by psychogenic or local reflex mechanism
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13
Q

What is an orgasm?

A
  • the emission of secretions from the vas deferens, epididymis, prostate, and seminal vesicles
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14
Q

External genitalia are the same for males and females up to when?

A
  • 8 weeks of gestation
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15
Q

When does differentiation between male and female external genitalia occur?

A
  • by 12 weeks of gestation
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16
Q

When does the testes descend into the scrotum?

A
  • 3rd trimester
17
Q

Separation of the prepuce from the glans is usually incomplete at birth. How many years after birth may this remain in uncircumcised males?

A
  • 3 to 4 years of age
18
Q

What type of hair is at the base of the penis in adolescents at puberty?

A
  • straight
19
Q

When does the pubic hair in adolescents become curly, course, and dense?

A
  • by the completion of puberty
20
Q

In what age group does pubic hair become finer and less abundant?

A
  • older adults
21
Q

What is the preferred position for male patients during GU physical examination?

A
  • standing
22
Q

What does the examination of the male genitalia involves?

A
  • inspection
  • palpation
  • transilluminating any masses found
23
Q

What is being inspected during GU physical examination of a male?

A
  • hair distribution and characteristics
  • presence of dorsal vein
  • retraction of the foreskin
  • smegma over the glans
24
Q

What is being palpated during GU physical examination of a male?

A
  • shaft of the penis for tenderness and induration
  • strip the urethra for any discharge
25
Q

What is balanoposthitis?

A
  • inflammation of the glans and foreskin
26
Q

What is balanitis?

A
  • inflammation of the glans penis ONLY
27
Q

what does beaded or lumpy vas deferens suggest

A

diabetes

tuberculosis

inflammatory changes

28
Q

what age does separation of prepuce from glans occur

A

3 to 4

29
Q

when is foreskin of noncircumcised males fully retractable

A

3 to 6

30
Q

what is the inability to replace the foreskin to its usual position over the glans

A

paraphimosis

31
Q

what is priapism

A

prolonged and often painful penile erection

greater than 4 hours

32
Q
A
33
Q

what congenital defect cause the urethral meatus to be located on the ventral surface of the glans

A

hypospadias

34
Q

when does syphilitic chancer lesion occur

A

2 weeks after exposure

35
Q

describe syphilitic lesions

A

painless lesion with indurate borders with a clear base

36
Q

what is a viral infection that appears as superficial vesicles

A

herpes