Deck 20: Male Genitalia

Question 1

Which genital virus infection is known to have a latent phase followed by the production of viral DNA capsids and particles?

A) Condyloma acuminatum
B) Molluscum contagiosum
C) Herpetic lesions
D) Lymphogranuloma venereum

Answer 1

Condyloma acuminatum

Question 2

Difficulty replacing the retracted foreskin of the penis to its normal position is called:

A) paraphimosis.
B) Peyronie disease.
C) phimosis.
D) priapism.

Answer 2

paraphimosis.

Question 3

Inspection of the male urethral orifice requires the examiner to:

A) ask the patient to bear down.
B) insert a small urethral speculum.
C) press the glans between the thumb and forefinger.
D) transilluminate the penile shaft.

Answer 3

press the glans between the thumb and forefinger.

Question 4

Inspection of the scrotum should reveal:

A) lightly pigmented skin.
B) two testes per sac.
C) smooth scrotal sacs.
D) the left scrotal sac lower than the right.

Question 5

An adolescent male is being seen for acute onset of left testicular pain. The pain started 3 hours ago. He complains of nausea and denies dysuria or fever. Your priority action should be to:

A) obtain urine and DNA probe urethral samples.
B) lift the left scrotum to confirm epididymitis.
C) establish absent cremasteric reflex.
D) transilluminate the left and right scrotum.

Question 6

While examining an 18-year-old man, you note that his penis and testicles are more darkly pigmented than the body skin. You should consider this finding to be:

A) within normal limits.
B) suggestive of a skin fungus.
C) suggestive of psoriasis.
D) caused by excessive progesterone.

Question 7

A characteristic related to syphilis or diabetic neuropathy is testicular:

A) dropping, with asymmetry.
B) enlargement.
C) insensitivity to painful stimulation.
D) recession into the abdomen.

Question 8

Which type of hernia lies within the inguinal canal?

A) Umbilical
B) Direct
C) Indirect
D) Femoral

Question 9

A premature infant's scrotum will appear:

A) bifid.
B) loose.
C) ridged.
D) smooth.

Question 10

You palpate a soft, slightly tender mass in the right scrotum of an adult male. You attempt to reduce the size of the mass, and there is no change in the mass size. Your next assessment maneuver is to:

A) use two fingers to attempt to reduce the mass.
B) palpate the left scrotum simultaneously.
C) lift the right testicle and then compare pain level.
D) transilluminate the mass.

Question 11

Mr. L has an unusually thick scrotum, with edema and pitting. He has a history of cardiac problems. The appearance of his scrotum is most likely a(n):

A) congenital defect that has worsened.
B) indication of general fluid retention.
C) normal consequence of aging.
D) complication of the development of mumps.

Question 12

In an uncircumcised male, retraction of the foreskin may reveal a cheesy white substance. This is usually:

A) evidence of a fungal infection.
B) a collection of sebaceous material.
C) indicative of penile carcinoma.
D) suggestive of diabetes.

Question 13

The most emergent cause of testicular pain in a young male is:

A) testicular torsion.
B) epididymitis.
C) tumor.
D) hydrocele.

Question 14

Which condition is of minor consequence in an adult male?

A) Adhesions of the foreskin
B) Continuous penile erection
C) Lumps in the scrotal skin
D) Venous dilation in the spermatic cord

Question 15

You are inspecting the genitalia of an uncircumcised adult male. The foreskin is tight and cannot be easily retracted. You should:

A) chart the finding as paraphimosis.
B) inquire about previous penile infections.
C) retract the foreskin firmly.
D) transilluminate the glans.

Question 16

On palpation, a normal vas deferens should feel:

A) beaded.
B) smooth.
C) ridged.
D) spongy.

Question 17

The most common type of hernia occurring in young males is:

A) hiatal.
B) incarcerated femoral.
C) indirect inguinal.
D) umbilical.

Question 18

Expected genitalia changes that occur as men age include that:

A) the ejaculatory volume decreases with age.
B) erections develop more quickly.
C) the viability of sperm increases.
D) the scrotum becomes more pendulous.

Question 19

An enlarged painless testicle in an adolescent or adult male may indicate:

A) epididymitis.
B) testicular torsion.
C) a tumor.
D) an undescended testicle.

Question 20

The most common cancer in young men ages 15 to 30 years is:

A) testicular.
B) penile.
C) prostate.
D) anal.

Question 21

The male with Peyronie disease will usually complain of:

A) painful, inflamed testicles.
B) deviation of the penis during erection.
C) lack of sexual interest.
D) painful lesions of the penis.

Question 22

Parents of a 6-year-old boy should be asked if he has:

A) erections.
B) nocturnal emissions.
C) rapid detumescence.
D) scrotal swelling.

Question 23

A cremasteric reflex should result in:

A) testicular and scrotal rise on the stroked side.
B) penile deviation to the left side.
C) bilateral elevation of the scrotum.
D) immediate erection of the penis.

Question 24

A 12-year-old boy relates that his left scrotum has a soft swollen mass. The scrotum is not painful on palpation. The left inguinal canal is without masses. The mass transilluminates with a penlight. This collection of symptoms is consistent with:

A) orchitis.
B) a hydrocele.
C) a rectocele.
D) a scrotal hernia.

Question 25

Which condition is a complication of mumps in the adolescent or adult?

A) Cystitis
B) Epididymitis
C) Orchitis
D) Paraphimosis

Question 26

Pearly gray, smooth, dome-shaped, often umbilicated lesions of the glans penis are probably:

A) herpetic lesions.
B) condylomata.
C) molluscum contagiosum.
D) chancres.