Deck 19: Male Genitalia

Question 1

What structure of the male genitalia travels through the inguinal canal and unites with the seminal vesicle to form the ejaculatory duct?

A)Epididymis
B)Corpus cavernosum
C)Urethra
D)Vas deferens
E)Ureter

Answer 1

Vas deferens

Question 2

The greatest contribution to the volume of ejaculate comes from the

A)prostate.
B)epididymis.
C)seminal vesicles.
D)corpus cavernosa.
E)testes.

Answer 2

prostate.

Question 3

Which one of the following conditions is of minor consequence on the adult male genitalia?

A)A viscus felt medial to the external canal
B)Continuous penile erection
C)Lumps in scrotal skin
D)Venous dilation in spermatic cord
E)Adhesions of the foreskin

Answer 3

Lumps in scrotal skin

Question 4

Which technique is appropriate to detect an inguinal hernia?

A)Conduct percussion while the patient coughs.
B)Have the patient strain as you pinch the testes.
C)Inspect rectal areas as the patient bears down.
D)Conduct the examination only in the supine position.
E)Move your finger upward along the vas deferens.

Question 5

You are inspecting the genitalia of an uncircumcised man. 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.
E)chart the finding as balanitis.

Question 6

Expected genitalia changes that occur as men age include

A)that ejaculatory volume decreases with age.
B)that erections develop more quickly.
C)that the viability of sperm increases.
D)that the scrotum becomes more pendulous.
E)an increase in time for mature sperm to develop.

Question 7

Which of the following is a risk factor for testicular cancer?

A)Circumcision
B)Condyloma acuminatum
C)Cryptorchidism
D)Poor hygiene
E)Multiple sexual partners

Question 8

Gloves are used for examination of male genitalia to

A)facilitate grasp of external organs.
B)make masses easier to detect.
C)prevent spread of unsuspected infection.
D)protect the patient from embarrassment.
E)decrease the incidence of erections.

Question 9

Which type of hernia lies within the inguinal canal?

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

Question 10

Inspection of the scrotum should reveal

A)no epidermoid cysts.
B)two testes per sac.
C)smooth scrotal sacs.
D)left scrotal sac lower than the right.
E)lightly pigmented skin.

Question 11

Testicular temperature must be maintained lower than 37° C for which of the following to occur?

A)Penile erection
B)Spermatogenesis
C)Testosterone production
D)Ejaculatory duct to function
E)Sperm to ascend in the vas deferens

Question 12

How much blood usually engorges the two corpora cavernosa of the penis when it is erect?

A)5 to 15 mL
B)20 to 50 mL
C)60 to 80 mL
D)70 to 90 mL
E)Over 100 mL

Question 13

The movement of the testes by cremasteric muscular action regulates

A)ejaculatory flow.
B)sebaceous material production.
C)testicular temperature.
D)urinary flow.
E)prostate gland secretion.

Question 14

Which penile structure should be visible to inspection during the physical examination?

A)Cowper glands
B)Proximal urethral
C)Epididymis
D)Corpus cavernosa
E)Dorsal vein

Question 15

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

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

Question 16

Sexual differentiation in the fetus has occurred by _____ weeks' gestation.

A)8
B)12
C)16
D)20
E)30

Question 17

Normally, the male urethral orifice is located

A)2 mm ventral to the tip of the glans.
B)on the dorsal surface of the glans.
C)cephalad to the dorsal vein.
D)adjacent to the prostate.
E)on the ventral surface of the corpus spongiosum.

Question 18

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

A)erections.
B)nocturnal emissions.
C)rapid detumescence.
D)scrotal swelling.
E)a more pendulous scrotum.

Question 19

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 thumb and forefinger.
D)transilluminate the penile shaft.
E)apply a lubricant to the meatus.

Question 20

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

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

Question 21

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

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

Question 22

Self-examination of the male genitalia

A)should be restricted to adults with prior cryptorchidism.
B)should be performed while bathing.
C)starts with palpation and then inspection.
D)should be performed yearly.
E)cannot be adequately performed due to poor visualization of the scrotum.

Question 23

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

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

Question 24

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

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

Question 25

You palpate a soft, slightly tender mass in the right scrotum of a man. 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, then compare pain level.
D)transilluminate the mass.
E)culture the meatus for gonococcal infection.

Question 26

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

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

Question 27

A man 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.
E)a painless ulceration on the penile shaft.

Question 28

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 and fever. Your prioritized assessment 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.
E)have the patient stand and observe the scrotum for a "bag of worms."

Question 29

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

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

Question 30

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

A)orchitis.
B)hydrocele.
C)rectocele.
D)scrotal hernia.
E)epididymitis.

Question 31

A premature infant's scrotum will be

A)bifid.
B)loose.
C)rugated.
D)smooth.
E)enlarged.

Question 32

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

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

Question 33

A finding associated with male genital herpes is

A)disseminated lymphadenopathy.
B)pain subsiding with scrotal elevation.
C)soft, red papules on the prepuce.
D)painful superficial penile vesicles.
E)pearly gray, dome-shaped lesions.

Question 34

An enlarged, painless testicle in an adolescent or adult may indicate

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

Question 35

A normal vas deferens should feel

A)tender.
B)smooth.
C)rugated.
D)spongy.
E)beaded.

Question 36

A male whose urethral meatus opens on the ventral surface of his penis has which condition?

A)Peyronie disease
B)Hydrocele
C)Hypospadias
D)Normal variation
E)Epispadias

Question 37

The most common type of hernia occurring in young males is

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

Question 38

When examining a small child, in which position should he be placed to help push the testicles into the scrotum?

A)Trendelenburg
B)Tailor
C)Standing
D)Prone
E)Supine

Question 39

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.
E)nodularity.

Question 40

The finding of a painless indurated lesion on the glans penis is most consistent with

A)herpes simplex.
B)herpes zoster.
C)warts.
D)chancre.
E)molluscum contagiosum.

Question 41

A cremasteric reflex should result in

A)the scrotum appear to contain a "bag of worms."
B)penile deviation to the left side.
C)scrotum to elevate bilaterally.
D)immediate erection of the penis.
E)testicle and scrotal rise on the stroked side.