Bates Chapter 13- Male genitalia (complete review) Questions With 100% Correct Answers.
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Bates Chapter 13- Male genitalia
Institution
Bates Chapter 13- Male Genitalia
American Cancer Society recomends testicular self-examinations for___________ - ages of 15 and
34, monthly
Disseminated gonorrhea may present as? - Rash, tenosynovitis, monoarticular arthritis, even
meningitis
Erection from venous engorgement of the corpora cavernosa
results from two types of ...
Bates Chapter 13 -Male genitalia (complete review) American Cancer Society recomends testicular self -examinations for___________ - ages of 15 and 34, monthly Disseminated gonorrhea may present as? - Rash, tenosynovitis, monoarticular arthritis, even meningitis Erection from venous engorgement of the corpora cavernosa results from two types of stimuli, Which are? - 1- Visual, auditory, or erotic cues that trigger sympathetic outflow from higher brain centers to the T11 through L2 levels of the spinal cord. 2- Tactile stimulation initiates sensory impulses from the genitalia to S2 to S4 reflex arcs and parasympathetic pathways through the pudendal nerve. Frank but tactful questions about sexual practices - patient's sexual orientation, the number of partners in the past month, and any history of past STIs , alcohol and drug use, especially injection drugs How to do palpation of Penis - Palpate any abnormality of the penis, noting any tenderness or induration, shaft of the penis between your thumb and first two fingers, noting any induration. Palpation of the shaft may be omitted in a young, asymptomatic male patient. How to inspect for hernias? - Sitin front of the standing pt and an assistant present, inspect the inguinal regions and genitalia for bulging areas and asymmetry. As you observe, ask the patient to strain and bear down (the Valsalva maneuver) to increase intra -abdominal pressure, makin g it easier to detect hernias How to Palpate each testis and epididymis - Btw Thumb and first two fingers (feels nodular and cord -like . Note size, shape, consistency, and tenderness; feel for any nodules. Pressure on the testis normally produces a deep visceral pain. If penile discharge is present, what should you ask the pt next? - amount, color, and any fever, chills, rash, or associated symptoms. If you detect a hernia of any type, what does this warrant? - surgical evaluation If you detect a large scrotal mass and upon auscultation of the mass you do not hear bowel sounds, what does this suggest? - hydrocele If you detect a large scrotal mass and upon auscultation of the mass you hear bowel sounds, what does this suggest? - hernia If you detect a large scrotal mass that does not return to the abdomen when the patient is supine but you are able to get your fingers above the mass in the scrotum, what does this suggest? - hydrocele If you suspect hernia and you can you get your fingers above the mass in the scrotum, this indicates - hydrocele Increase Nitric oxide and cyclic GMP levels due to stimulation, resulting in? - local vasodilation. Inspecting the scrotum - skin, scrotal contours, Note dome -shaped white or yellow papules or nodules formed by occluded follicles filled with keratin debris of desquamated follicular epithelium. (there are common, frequently multiple, and benign) Lack of orgasm with ejaculation is usually - psychogenic Listen to the mass with a stethoscope for bowel sounds. If present its ---- - not hydrocele. Risk factors for Testicular Carcinoma - cryptorchidism
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