Quiz 1 - Male GU Flashcards Preview

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Flashcards in Quiz 1 - Male GU Deck (60)
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1

What questions should be asked in regard to male sexual function?

change in libido?
quality of erections
timing/situational problems

2

what are obstructive urinary symptoms?

hesitancy
forked stream
dribbling
straining

3

what are we inspecting for with an external genitalia exam?

lower abdomen (hair pattern), inguinal hernias
scrotum, prepuse (ask pt to retract foreskin for exam)
glans penis, meatus
shaft (lesions, d/c, induration)

4

what special test is used to evaluate a scrotal mass?

transillumination!!!!
it can help differentiate fluid vs solid structures

5

what is a normal prostate size?

4 cm

6

what will be palpated during a prostate exam if, prostatitis?

it will feel boggy and tender to palpation.

7

what will be palpated during a prostate exam if, benign prostatic hyperplasia?

enlargement, rubbery, nontender

8

what will be palpated during a prostate exam if, carcinoma?

hard nodules or areas

9

what does a scrotal ultrasound assess?

masses

10

when would you order a uroflowmetry?

when you are concerned the patient has an obstruction.

11

how do you assess night time erectile function?

Rigiscan for night time tumescence (erectile function)

12

what is TRUS? when is it used?

transrectal ultrasound - used for visualizing the size of the prostate and to see how efficient a patient is at voiding urine from the bladder

13

what is a red flag symptom of erectile dysfunction?

prolonged erection > 4 hrs/

14

what are red flag symptoms of hematospermia?

symptoms lasting > 1 mo
palpable mass
hematuria
obstructive sxs

15

what are red flags of urethral d/c?

pelvic pain
fever
chills
urinary retention

16

what are red flag symptoms of scrotal pain? what is important to rule out?

ACUTE ONSET
N/V
Abdominal pain

IMPORTANT ** r/o testicular torsion **

17

which penile condition affects the dorsal side of the penis and which affects the ventral side of the penis?

epispadias - congenital malformation of the urethral meatus on the UPPER DORSAL side of the penis

hypospadias - congenital malformation of the urethral meatus on the LOWER VENTRAL side of the penis

18

what is balanitis

inflammation of the glans penis

19

what is posthitis

inflammation of the foreskin

20

what is balanoposthitis

inflammation of both the glans penis and foreskin

21

what is balanitis xerotica obliterans (BXO)?

lichen sclerosis of penis
indurated
what area on glans penis

- generally due to chronic inflammation

22

what is the difference between phimosis and paraphimosis? What are key factors we should know regarding each of these?

phimosis: foreskin cannot be retracted
DO NOT FORCE RETRACTION

paraphimosis: foreskin stuck in retracted position
CAN LEAD TO GANGRENE or NECROSIS

23

list the causes of penile lesions?

genital herpes
genital warts
syphilitic chancre
chancroid
carcinoma in situ
squamous cell carcinoma of the penis
pearly penile papules
contact dermatitis

24

What causes genital herpes? What do they look like?
How do you DX?

HSV 1 & 2
lesion appearance - clusters of vesicles that erupt and form superficial ulcers with erythematous base

primary - outbreak is generally most painful eruption
recurrent - not as painful as first outbreak.

Diagnosed by clinical evaluation, TZANCK TEST, viral culture

25

what causes genital warts? what do they look like? what potential, though low, do they carry? what risk factors are associated with genital warts?

HPV (6 & 11 account for 90% of infections)

PAINLESS - can be bothersome due to location, soft, irregular surface ** may be dormant OR undetectable!!

*cancer causing potential

risk factors - associated with use of birth control due to increased sexual contact w/o the use of barriers, multiple sex partners and early sexual activity

26

what causes syphilitic cancres? how do they appear? what testing is done?

treponema pallidum

solitary PAINLESS lesion
NON-EXUDATIVE, INDURATED EDGE, NON-TENDER (key words!)

serological testing is done as well as lymph exam - region LA will be present, nontender

27

painless lesion of the penis is ____ until proven otherwise

Syphilis

28

what causes chancroid? how do they appear? what testing is done?

haemophilus ducreyi

PAINFUL, non-indurated ulcers, irregular edges, red borders. GRAY/YELLOW exudate.

PCR testing is done, as well as lymph exam - regional TENDER LA will be present

29

men who are uncircumcised are at greater risk for developing what conditions?

carcinoma in situ
squamous cell carcinoma

30

what virus plays a role in the development of SCC of the penis? how does the lesion appear? How would you DX?

HPV 16 & 18 (common for women's cervical cancer*)

non-painful, generally described as a
"sore that does not heal"

biopsy that shit.