Busy. Please wait.
Log in with Clever

show password
Forgot Password?

Don't have an account?  Sign up 
Sign up using Clever

Username is available taken
show password

Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account.
Your email address is only used to allow you to reset your password. See our Privacy Policy and Terms of Service.

Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.
Didn't know it?
click below
Knew it?
click below
Don't Know
Remaining cards (0)
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how

male genetal exam

WVSOM -- CS1 Male genetalia exam

Which veins of the tesitcle are most likely to become varicosed? left
Which testicle hangs lower? left
Urinary stream is more like to be involved with? benign prostatic hypertrophy
What is testicular torsion? twisting of the spermatocord which cuts of venous return. Venous engorgement leads to backpressure thru the capillaries which prevents arterial blood delivery. SURGICAL EMERGENCY
What are the characteristics of the testicle? ovoid and approximately 4x3x2 cm
What is cryptorchidism absense of one or both testicles in the scrotum due to failure of descent. Associated with a 20-40% increased risk of testicular cancer
What is H and P of testicular torsion? acute onset, nausea, vomiting, orchalgia, scrotal discoloration and swelling. Absent cremasteric reflex
What is cremasteric reflex? This reflex is elicited by lightly stroking the superior and medial part of the thigh. The normal response is a contraction of the cremaster muscle that pulls up the scrotum and testis on the side stroked.
When do testicles descend? by 6 months. By age of 1 it is a problem
What is epididymitis? inflammation of the epididymis usually associated with bacterial infection.
What is H and P of epididymitis? gradual onset, Hx of recent urinary tract or sexually transmitted infection. Pyruia or bacteria with fever. Pain is relieved by elevation of the scrotum
A mother is concerned because she c an’t find 1 month olds right testicle and his foreskin doesn’t retract. Should she be concerned? no
A patient eats a diet high in animal fat. That puts him at risk for? colon and prostate cancer as well as heart disease
A patient presents with sudden onset of suprapubic pain. What is the most likely cause? Urinary tract infection
What is priapism? due ot thrombosis of the corpora cavernosa. Think Sickle Cell and leukemia.
What is pyuria? pus in urine
What is polyuria? >2 liters a day
A 23 yr old male presents with a painful 3 cm mass below the right inguinal ligament. What test will be most helpful? auscultation of the mass
What is tensesmus? painful, continued ineffective straining at the stool caused by inflammation
What are varicoceles? testicular veins that are prone to backpressure buildup leading to dilation and varicosities
What is a good description of varicoceles? bag of worms
What may cause scrotal enlargement? testicular torsion, varicocele, hydrocele, spermatocele, hernia and tumor
What is hydrocele? Fluid accumulation in the tunica vaginalis, fluid is confied to the scrotum. It is transilluminate
What is spermatocele? cystic swelling in the epididymis. Not as large hydrocele
What is hypospadias? congenital defect where the urethral opening lies too far ventral on the glans, shaft or perineal area
What is prepuce? retractable covering for the genitals such as the foreskin or clitoral hood
What is phimosis? inability to retract the foreskin from the glans penis
What is balanitis? inflammation of the glans only
What is balanoposthitis? inflamation of glans and prepuce
What is clear/white discharge indicate? chlamydia
What does yellow-green discharge indicate? gonococcal
What is dysuria? painful urination usually associated with UTI
What is nocturia increased frequency at night (2 or more times)
How many lobes in the prostate? 5
What is the normal texture of the prostate? firm, smooth, slightly movable and should be symmetric.
How far should the prostate protrude into the rectum? <1cm
What is benign prostatic hyperplasia? enlargement of the prostate throughout life that becomes symptomatic
What is pneumaturia? air bubbles or gas in the urine stream
What is fecaluria? fecal material in the urine
A twelve year old with right testicular pain presents with his left testicle being lower than his right. What does he most likely have? torsion of the right testicle
What is most common site of prostate cancer? posterior lobe
Whathich lobes generally hypertrophy? middle and lateral lobes
What is PSA? Prostate specific antigen which is a protein produced by all prostate cells. It increases greatly with prostate cancer
What is a grade 1 enlargement of the prostate? 1-2 cm (3fingers)
What is a grade 2 enlargement of the prostate? 2-3 cm (4 fingers)
What si a grade 3 enlargement of the prostate? 3-4 cm (>4 fingers wide)
What is a grade 4 enlargement of theprostate? >4 cm (most anterior pelvic outlet)
What are internal hemorrhoids varicosities above the ano-rectal junction. Not palpable on rectal exam. No discomfort uless prolapsed, thrombosed, or infected. Bleeding with or without defecation.
What are external hemorrhoids? varicosities below the anorectal junction. Causes itching and bleeding with defecation. Protrude with straining
What are fissures? tears in the anal mucosa, usually in the posterior midline. Caused by traumatic passage of large hard stool. Painful with itching and bleeding
What are fistulas? tract running between the anus and other tissues caused by the drainage of an abscess. The external opening ois often surrounded by granulation tissue and ay have purulent drainage.
What is puritus Ani? perianal burning and irritation caused by chronic inflammation
What do excoriation and pigmentation changes indicate? fungal infections or parasites
What is an indirect hernia? viscera passes thru deep and superficial inguinal rings. May enter the scrotum. Feel against the tip of finger on palpation
What is direct hernia? passes thru the superficial ring only. Normally does not enter the scrotum. Feel against side of finger on palpation thru hasselbach’s triangle
What is a femoral hernia? passes thru the fossa ovalis and enters the femoral canal (most common in women)
What should be considered with the fetus? sexual differentiation of the male external genetialia occurs starting the 8th week of gestation.
What should be considered with infant/child? a physiologic form of phimosis may be present in an infat. Between 3-6 y/o the forskin becomes separable from the glans
What happens in puberty? penis and testicles grow; scrotum reddens and becomes more pendulous. Pubic hair becomes curly, dark, dense, and distributed in a diamond shaped pattern.
What changes occur in elderly? pubic hair thins, scrotum even more pendulous, and ejactulatory volume may incrase
Pain occurs with sudden distention of: renal pelvis, ureter and bladder
What causes renal pelvis pain? kidney stones…occurs in the flank
What causes ureter pain? kidney stones or bladder obstruction.
Where does upper ureter pain present? flank
Where does lower ureter pain present? scrotum and lower abdomen
What is associated with bladder pain? bladder stones and infection
Where is bladder pain? suprapubic pain
What causes testicular pain? orchitis, hydrocele, spermatic cord, epididymis, tumor, torsion and referred pain from ureter
What is hematuria? blood in urine
What is the three glass test? glass 1 is initiation of urine stream, glass 2 is midstream urine and glass 3 is termination of urine stream
What does glass 3 test indication? a source above the bladder neck indicating renal and prostate.
What causes hematuria? infections, stones, cancer, drug-induced, trauma
What does hematuria in all glasses suggest? a renal, diffuse source or massive bleeding
What are risk factors for penile risk factors? not circumcised and condyloma accuminatum
What is condyloma accuminatum? genetal wards
What are testicular cancer risk factors? cryptochidsm
What are prostate risk factors? age > 50, African American and high fat diet
What are colorectal cancer risk factors? age > 40, family Hx of polyp disease, personal Hx of polyp disease or inflammatory bowel disease, personal Hx of breast, ovar, or endometrial cancer, high fat, low fiber diet, and environmental exposures
Created by: tjamrose
Popular Clinical Skills sets




Use these flashcards to help memorize information. Look at the large card and try to recall what is on the other side. Then click the card to flip it. If you knew the answer, click the green Know box. Otherwise, click the red Don't know box.

When you've placed seven or more cards in the Don't know box, click "retry" to try those cards again.

If you've accidentally put the card in the wrong box, just click on the card to take it out of the box.

You can also use your keyboard to move the cards as follows:

If you are logged in to your account, this website will remember which cards you know and don't know so that they are in the same box the next time you log in.

When you need a break, try one of the other activities listed below the flashcards like Matching, Snowman, or Hungry Bug. Although it may feel like you're playing a game, your brain is still making more connections with the information to help you out.

To see how well you know the information, try the Quiz or Test activity.

Pass complete!
"Know" box contains:
Time elapsed:
restart all cards