male genetal exam Word Scramble
|
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
Normal Size Small Size show me how
| Question | Answer |
| 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