HPD Male GU/Rectal Exam and Prescribing
1. What are the 3 columns of vascular erectile tissue?: - corpus spongiousum (contains
urethra)
- 2 corpora cavernosa
2. Where does the corpus spongiosum extend to?: - extends from bulb/base of penis to
cone-shaped glans with its expanded base/corona
3. What is smegma?: - glans secretions that may collect in the foreskin
- very normal in uncircumsized men
4. What is the scrotum?: - a loose, wrinkled pouch of skin divided into 2 compartments, each containing a
testis or testicle
5. Where is the epididymis located and what does it become?: - located on posterolateral
surface of each testis
- becomes the vas deferens
6. What is the function of the vas deferens?: - transports sperm for epididymis tail to the urethra
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,7. Where is the vas deferens located?: - ascends from scrotal sac into pelvic cavity through inguinal
canal and over the ureter to the prostate
8. What does the urethra open into?: - opens into the urethral meatus at the tip of the glands at the
penis shaft's ventral midline
9. What is in the spermatic cord?: - formed by the vas deferens
- contains blood vessels, nerves, and muscle fibers
- runs deep in inguinal ring down to each testicle
10. What are the landmarks of the groin?: - ASIS
- pubic tubercle of pubic bone superior ramus
- inguinal ligament
11. What is the inguinal canal?: - tunnel the vas deferens passes through the abdominal muscles
12. Are the internal and external inguinal rings palpable?: - Internal inguinal ring: non-pal-
pable, above 1 cm above inguinal ligament
- External inguinal ring: triangular slit-like structure that is palpable just above and lateral to the pubic tubercle
13. Where is the femoral canal?: - below the inguinal ligament and contains femoral artery and vein
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, 14. How to palpate the femoral canal?: - place index finger on femoral artery, middle finger will be
over femoral vein and 3rd finger on femoral canal
15. Where is a femoral hernia?: - protrudes at femoral canal
3/8
1. What are the 3 columns of vascular erectile tissue?: - corpus spongiousum (contains
urethra)
- 2 corpora cavernosa
2. Where does the corpus spongiosum extend to?: - extends from bulb/base of penis to
cone-shaped glans with its expanded base/corona
3. What is smegma?: - glans secretions that may collect in the foreskin
- very normal in uncircumsized men
4. What is the scrotum?: - a loose, wrinkled pouch of skin divided into 2 compartments, each containing a
testis or testicle
5. Where is the epididymis located and what does it become?: - located on posterolateral
surface of each testis
- becomes the vas deferens
6. What is the function of the vas deferens?: - transports sperm for epididymis tail to the urethra
1/8
,7. Where is the vas deferens located?: - ascends from scrotal sac into pelvic cavity through inguinal
canal and over the ureter to the prostate
8. What does the urethra open into?: - opens into the urethral meatus at the tip of the glands at the
penis shaft's ventral midline
9. What is in the spermatic cord?: - formed by the vas deferens
- contains blood vessels, nerves, and muscle fibers
- runs deep in inguinal ring down to each testicle
10. What are the landmarks of the groin?: - ASIS
- pubic tubercle of pubic bone superior ramus
- inguinal ligament
11. What is the inguinal canal?: - tunnel the vas deferens passes through the abdominal muscles
12. Are the internal and external inguinal rings palpable?: - Internal inguinal ring: non-pal-
pable, above 1 cm above inguinal ligament
- External inguinal ring: triangular slit-like structure that is palpable just above and lateral to the pubic tubercle
13. Where is the femoral canal?: - below the inguinal ligament and contains femoral artery and vein
2/8
, 14. How to palpate the femoral canal?: - place index finger on femoral artery, middle finger will be
over femoral vein and 3rd finger on femoral canal
15. Where is a femoral hernia?: - protrudes at femoral canal
3/8
