Ca - Male Genitalia And Hernias

Front 1

What are the three columns of vascular erectile tissue of the penis?

Back 1

corpus spongiosum, two corpora cavernosum

Front 2

THe ____ formsthe bulb of the penis, ending in the glans

Back 2

corpus pongiosum

Front 3

The ____ is the column of tissue that contains the urethra.

Back 3

Corpus spongiosum

Front 4

____ are secretions of the glans penis

Back 4

smegma

Front 5

Covering the testes, except posteriorly, is the ____

Back 5

tunica vaginalis

Front 6

On the posterolateral surface of each testis is the comma-shaped ____

Back 6

Epididymis

Front 7

The ___ contains tightly coild spermatic ducts that provide a reservoir for maturation and transport of sperm. From this, the sperm move to the ____

Back 7

1. epididymis
2. vas deferens

Front 8

Lymphatics from the penile and scrotal surfaces drain into the ____ nodes.

Back 8

Inguinal

Front 9

Sexual function depends on what 3 things?

Back 9

1. normal levels of testosterone
2. adequate arterial blood flow
3. intact neural innervation

Front 10

The lymphatics of the testes drain to_____

Back 10

The abdomen

Front 11

The ____ forms a tunnel for the vas deferens through the abdominal muscles.

Back 11

Inguinal canal

Front 12

What are inguinal hernias?

Back 12

When loops of bowel force their way through weak areas of the inguinal canal

Front 13

____ may accompany gonococcal and nongonococcal urethritis

Back 13

Penile discharge (yellowish in gonococcal, white in non-gonococcal)

Front 14

Which infections can be acquired from oral-penile transmission?

Back 14

Gonorrhea
Chlamydia
Syphilis
Herpes

Front 15

How often should men between 15-35 be encouraged to perform testicular self-exams?

Back 15

Monthly

Front 16

___ is a tight prepuce that cannot be retracted over the glans.

Back 16

Phimosis

Front 17

What is paraphimosis?

Back 17

A tight prepuce that once retracted over the glans cannot return.

Front 18

Inflammation of the glans is called ___. Usually secondary to ___

Back 18

balanitis

poor hygiene

Front 19

___ is inflammation of the glans and prepuce.

Back 19

Balanoposthitis

Front 20

Pubic or genital excoriations suggest the possibility of ___

Back 20

pubic lice (crabs), or sometimes scabies

Front 21

What is hypospadias?

Back 21

Congenital, ventral displacement of the meatus on the penis

Front 22

Upon compressing the glans between your fingers, there is a profuse, yellow discharge. You suspect

Back 22

Gonococcal urethritis

Front 23

Normally, compression of the glans produces (White/Clear/yellow/no) discharge

Back 23

None

White/Clear = non-gonococcal urethritis

Front 24

Induration along the ventral surface of the penis suggests ___

Back 24

urethral stricture, possibly carcinoma

Front 25

What is cryptorchidism

Back 25

An undescended testicle

Front 26

What are common scrotal swellings?

Back 26

- indirect inguinal hernias
- hydroceles
- scrotal edema

Front 27

Dome-shaped white or yellow papules or nodules on teh scrotum are called ____ and are formed by ___

Back 27

epidermoid cysts, formed by occluded follicles filled with keratin debris of follicular epithellium

Front 28

A poorly developed scrotum on one or both sides suggests?

Back 28

Cryptorchidism

Front 29

_____raises possibility of testicular cancer

Back 29

Any painless nodule in the testis

Front 30

___ is a potentially curable cancer with peak incidence between age 15-35

Back 30

Testicular cancer

Front 31

Tortuous veins noted to the left when palpating the spermatic cord suggests ___

Back 31

varicocele

Front 32

A cystic structure in the spermatic corde suggests ___

Back 32

hydrocele of the cord

Front 33

Swelling in the scrotum other than testicles can be evaluated by ____

Back 33

transillumination

Front 34

In transillumination, ____ light up with a red glow, while ____ do not

Back 34

1. swellings containing serous fluid (hydroceles)
2. those containing blood or tissue (testis, tumor, hernias)

Front 35

A bulge that appears on straining suggests ___

Back 35

hernia

Front 36

A bulge near the external inguinal ring suggests a ___

Back 36

DIRECT inguinal hernia

Front 37

A bulge near the internal inguinal ring suggests ___

Back 37

INDIRECT inguinal hernia

Front 38

What defines an "incarcerated" hernia?

Back 38

It's contents cannot be returned to the abdominal cavity

Front 39

What is a strangulated hernia?

Back 39

Blood supply to the entrapped contents is compromised.

Front 40

A congenital displacement of the urethral meatus to the inferior surface of the penis is a ___

Back 40

hypospadias

Front 41

Scrotal edema may suggest what disease process(es)

Back 41

CHF or nephrotic syndrome

Front 42

___ is identified by palpable, non-tender, hard plaques found just beneath the skin along the dorsum of the penis.

Back 42

Peyronie's Disease

Front 43

A male presents with complaints of a crooked, painful erection and you note plaques beneath the skin along the dorsum of the penis. You suspect

Back 43

Peyronie's disease

Front 44

A ___ is a non-tender, fluid-filled mass within the tunica vaginalis. It transilluminates and the examining fingers can get above the mass within the scrotum.

Back 44

Hydrocele

Front 45

___ can be identified by an indurated nodule or ulcer, usually nontender. It is usually found in men who are not circumcised, making it less

Back 45

Carcinoma of the Penis

Front 46

Usually an indirect inguinal hernia that comes through the internal inguinal ring so fingers cannot get above the mass in a ____

Back 46

scrotal hernia

Front 47

Condylomata acuminata is another term for ____, and is caused by what?

Back 47

Genital warts, caused by HPV subtypes 6 or 11

Front 48

Identify the condition:

single or multiple papules or plaques of variable shapes; may be round, pointed, or thin and slender. May be raised, flat, or cauliflower like. May disappear without treatment, but can arise on penis, scrotum groin thighs...

Back 48

Condylomata Acuminata

Front 49

A patient presents with small, scattered or grouped vesicles on glans or shaft of penis, and can appear as erosions if vesicular membrane breaks.

Back 49

Genital herpes simplex

Front 50

In an older patient presenting with apparent genital herpes, you should be sure to distinguish it from what?

Back 50

Genital herpes zoster, candidiasis

Front 51

Pt presents with small red papule that becomes a painless erosion up to 2cm. The erosion is clean, red, smooth, and glistening. It heals within 3-8 weeks.

Back 51

Primary Syphillis

Front 52

The term used to describe the painless erosion of syphillis is ___

Back 52

Chancre

Front 53

The organism that causes syphilis is ___

Back 53

treponema pallidum

Front 54

___ is a red papule or pustule initially, then forms a painful deep ulcer with a ragged non-indurated margin. It contains necrotic exudate.

Back 54

Chancroid

Front 55

The organism responsible for chancroid is ___

Back 55

Haemophilus ducreyi

Front 56

In ___ the testis is arophied and may lie within the inguinal canal or abdomen resulting in an unfilled scrotum.

Back 56

Cryptorchidism

Front 57

The risk of testicular cancer is ____ in patients wit cryptorchidism.

Back 57

Increased

Front 58

In adults, testicular length is usually ____

Back 58

3.5-5cm

Front 59

The testicles of a pt with Klinefelter's syndrome are usually ____cm

Back 59

<2cm

Front 60

___ is an acute inflammation of the testis. Testis is painful, tender, and swollen. Scrotum may also be reddened

Back 60

Acute orchitis

Front 61

Acute orchitis is usually (bilateral/unilateral), and is seen in ____

Back 61

unilateral, seen in mumps and other viral infections

Front 62

A painless, movable cystic mass just above the testis suggests a ____.

Back 62

Spermatocele or epididymal cyst.

Front 63

What is the difference between a spermatocele and an epididymal cyst?

Back 63

Spermatocele contains sperm. Epididymal cyst does not. Otherwise clinically indistinguishable

Front 64

___ refers to varicose veins of the spermatic cord, usually on the left.

Back 64

Varicocele of the Spermatic cord

Front 65

Pt presents with a Left testicle that feels like there is a soft "bag of worms above it". You suspect

Back 65

Varicocele

Front 66

In ___ the epididymis is tender and swollen and may not be distinguishable from the testis. Scrtum may be reddened and vas deferens inflamed.

Back 66

Acute epididymitis

Front 67

A patient presents with painful and swollen genitalia. He was also diagnosed with a urinary tract infection. THe scrotum and vas deferens are inflamed and the scrotum is red. You suspect.

Back 67

Acute epididymitis

Front 68

____ produces a firm enalargement of the epididymis, sometimes tender, with thickening or beding of the vas deferens

Back 68

Chronic inflammation of Tuberculous epididymitis (in pts with tuberculosis)

Front 69

___ is a twisting of the testicle on its spermatic cord.

Back 69

Torsion

Front 70

A 15 y/o male presents with acute onset of severe pain in his scrotum. Scrotum is red and edematous, without a hx of infection or injury.

Back 70

Testicular torsion

Front 71

What is the most common type of inguinal hernia?

Back 71

Indirect

Front 72

____ originate above the inguinal ligament, near it's midpoint (internal inguinal ring)

Back 72

Indirect inguinal hernias

Front 73

A ____ inguinal hernia commonly travels into the scrotum.

Back 73

Indirect

Front 74

____ inguinal hernias are usually found in men older than 40 and are rare in women

Back 74

Direct inguinal hernias

Front 75

___ originate above the inguinal ligament, close to the pubic tubercle (near external inguinal ring.

Back 75

Direct inguinal hernias

Front 76

A direct inguinal hernia _____ travels into the scrotum

Back 76

Rarely

Front 77

During a hernia exam, the hernia comes down and touches the fingertip if it is a ____

Back 77

Indirect inguinal hernia

Front 78

During a hernia exam, the hernia bulges anteriorly and pushes the side of the finger forward if it is a _____

Back 78

direct inguinal hernia

Front 79

___ are the least common type of hernia, and are more common in ____(gender)

Back 79

Femoral, women

Front 80

A femoral hernia originates _____ the inguinal ligament.

Back 80

Below and more laterally

Front 81

Femoral hernia may be confused for ___

Back 81

swollen lymph nodes

Front 82

A femoral hernia _____ travels into the scrotum

Back 82

Never

Front 83

During hernia exam, the inguinal canal is empty if it is a ____

Back 83

femoral hernia.

Front 84

____ is more commonly known as "jock itch"

Back 84

Tinea cruris

Front 85

What is peyronie's disease?

Back 85

Causes curvature of the penis caused by inflammation of the tunica albiguinea of the penis resulting in a fibrous plaque

Front 86

___ is a prolonged erection

Back 86

priapism

Front 87

What is the treatment for priapism

Back 87

needle aspiration and occasionally phenylephrine

Front 88

What does prostatic fluid do?

Back 88

it is alkaline so it helps counteract acidity of vaginal canal so sperm can live longer

Front 89

BOO refers to ____
AUR refers to ____

Back 89

BOO = bladder outlet obstruction
AUR = acute urinary retention