Chapter 28 Penile Discharge
Multiple Choice
Identify the choice that best completes the statement or answers the question.
Examination of the male patient is best done in a warm room in order to avoid:
1.
A. Exaggeration of the cremasteric reflex
B. Discomfort during digital rectal exam (DRE)
C. Retraction of the testes into the abdomen
D. Concealment of an inguinal hernia
A 12-year-old boy accompanied by his mother reports sudden severe pain in the right lower abdomen and scrotum.
2.
There is no history of trauma. Upon physical examination, the right scrotum is extremely tender to touch. These are signs of:
A. Fournier’s disease
B. Testicular cancer
C. Testicular torsion
D. Varicocele of the testes
Which of the following is a risk factor for testicular cancer?
3.
A. Fournier’s disease
B. Testicular torsion
C. Varicocele of the testes
D. Cryptorchidism
A 22-year-old male patient recently noticed swelling of the right testicle. He reports a feeling of heaviness and a dull
4.
ache in the testicle. There is no history of recent trauma. Physical examination reveals enlargement of the affected testicle, which is firm. The
right scrotum is erythematous, and inguinal lymph nodes are palpable. It is important to recognize these are signs and symptoms of:
A. Varicocele of the testes
B. Testicular cancer
C. Hematocele of the testes
D. Torsion of the testes
A 35-year-old male patient recently noticed a nodular growth on the right testicle. He reports a feeling of pain and
5.
heaviness in the testicle. Physical examination reveals a smooth, firm nodule of 5 to 6 cm on the right testicle. The right scrotum is
erythematous, and inguinal lymph nodes are palpable. The clinician should order a(n) to evaluate this finding.
A. Ultrasound of the scrotum
B. CT scan of the pelvis
C. Pelvic x-ray
D. Digital rectal exam
Which of the following is a biochemical marker for testicular cancer?
6.
A. Carcinogenic antigen 125 (CA-125)
B. Alpha-fetoprotein (AFP)
C. Carcinoembryonic antigen (CEA)
D. Tumor necrosis factor (TNF)
In heterosexual men, the most common cause of epididymitis is (are):
7.
A. E. coli
B. Neisseria gonorrhoeae
C. Chlamydia trachomatis
D. B&C
A 26-year-old male admits to unprotected sexual activity with men. He complains of pain in the left scrotal region and
8.
burning on urination that started 2 days ago. The scrotum is swollen and tender to palpation. A urethral discharge is evident. Pain decreases with
elevation of the left scrotum. There is no pain on DRE. These are signs of:
A. Testicular torsion
B. Testicular cancer
C. Epididymitis
D. Prostatitis
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, A 7-year-old male presents with fever and swollen parotid glands. He is diagnosed with mumps. A complication that
9.
can occur with mumps in a male patient is:
A. Orchitis
B. Prostatitis
C. Testicular torsion
D. Varicocele
In order for the clinician to diagnose a varicocele, the patient needs to:
10.
A. Lie in the left lateral recumbent position
B. Stand and bear down
C. Lean over for digital rectal exam
D. Lie in the supine position
Which of the following male reproductive disorders resembles a “bag of worms” on inspection?
11.
A. Spermatocele
B. Hydrocele
C. Varicocele
D. None of the above
Which of the following is considered a risk factor for penile cancer?
12.
A. Chlamydia infection
B. Condyloma acuminata
C. Epispadius
D. Circumcision
Which of the following most commonly causes balanitis?
13.
A. Tinea
B. Syphilis
C. Candida
D. Gonorrhoea
Balanitis Xerotica Obliterans (BXO) is painful condition most common in:
14.
A. Adolescent males
B. Young adult males
C. Middle-aged males
D. Males less than 10 years old
The condition of the penis termed “phimosis” is:
15.
A. Difficulty separating the foreskin from the penis
B. Curvature of the penis when erect
C. Inability of the penis to attain erection
D. Inability of detumescence of the penis
Which of the following conditions is considered a urologic emergency?
16.
A. Balanitis
B. Paraphimosis
C. Phimosis
D. None of the above
The majority of male newborns born with cryptorchidism usually attain testicular descent by:
17.
A. 1 week old
B. 1 month old
C. 6 months old
D. 1 year old
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Multiple Choice
Identify the choice that best completes the statement or answers the question.
Examination of the male patient is best done in a warm room in order to avoid:
1.
A. Exaggeration of the cremasteric reflex
B. Discomfort during digital rectal exam (DRE)
C. Retraction of the testes into the abdomen
D. Concealment of an inguinal hernia
A 12-year-old boy accompanied by his mother reports sudden severe pain in the right lower abdomen and scrotum.
2.
There is no history of trauma. Upon physical examination, the right scrotum is extremely tender to touch. These are signs of:
A. Fournier’s disease
B. Testicular cancer
C. Testicular torsion
D. Varicocele of the testes
Which of the following is a risk factor for testicular cancer?
3.
A. Fournier’s disease
B. Testicular torsion
C. Varicocele of the testes
D. Cryptorchidism
A 22-year-old male patient recently noticed swelling of the right testicle. He reports a feeling of heaviness and a dull
4.
ache in the testicle. There is no history of recent trauma. Physical examination reveals enlargement of the affected testicle, which is firm. The
right scrotum is erythematous, and inguinal lymph nodes are palpable. It is important to recognize these are signs and symptoms of:
A. Varicocele of the testes
B. Testicular cancer
C. Hematocele of the testes
D. Torsion of the testes
A 35-year-old male patient recently noticed a nodular growth on the right testicle. He reports a feeling of pain and
5.
heaviness in the testicle. Physical examination reveals a smooth, firm nodule of 5 to 6 cm on the right testicle. The right scrotum is
erythematous, and inguinal lymph nodes are palpable. The clinician should order a(n) to evaluate this finding.
A. Ultrasound of the scrotum
B. CT scan of the pelvis
C. Pelvic x-ray
D. Digital rectal exam
Which of the following is a biochemical marker for testicular cancer?
6.
A. Carcinogenic antigen 125 (CA-125)
B. Alpha-fetoprotein (AFP)
C. Carcinoembryonic antigen (CEA)
D. Tumor necrosis factor (TNF)
In heterosexual men, the most common cause of epididymitis is (are):
7.
A. E. coli
B. Neisseria gonorrhoeae
C. Chlamydia trachomatis
D. B&C
A 26-year-old male admits to unprotected sexual activity with men. He complains of pain in the left scrotal region and
8.
burning on urination that started 2 days ago. The scrotum is swollen and tender to palpation. A urethral discharge is evident. Pain decreases with
elevation of the left scrotum. There is no pain on DRE. These are signs of:
A. Testicular torsion
B. Testicular cancer
C. Epididymitis
D. Prostatitis
Downloaded by Ce Co ()
, A 7-year-old male presents with fever and swollen parotid glands. He is diagnosed with mumps. A complication that
9.
can occur with mumps in a male patient is:
A. Orchitis
B. Prostatitis
C. Testicular torsion
D. Varicocele
In order for the clinician to diagnose a varicocele, the patient needs to:
10.
A. Lie in the left lateral recumbent position
B. Stand and bear down
C. Lean over for digital rectal exam
D. Lie in the supine position
Which of the following male reproductive disorders resembles a “bag of worms” on inspection?
11.
A. Spermatocele
B. Hydrocele
C. Varicocele
D. None of the above
Which of the following is considered a risk factor for penile cancer?
12.
A. Chlamydia infection
B. Condyloma acuminata
C. Epispadius
D. Circumcision
Which of the following most commonly causes balanitis?
13.
A. Tinea
B. Syphilis
C. Candida
D. Gonorrhoea
Balanitis Xerotica Obliterans (BXO) is painful condition most common in:
14.
A. Adolescent males
B. Young adult males
C. Middle-aged males
D. Males less than 10 years old
The condition of the penis termed “phimosis” is:
15.
A. Difficulty separating the foreskin from the penis
B. Curvature of the penis when erect
C. Inability of the penis to attain erection
D. Inability of detumescence of the penis
Which of the following conditions is considered a urologic emergency?
16.
A. Balanitis
B. Paraphimosis
C. Phimosis
D. None of the above
The majority of male newborns born with cryptorchidism usually attain testicular descent by:
17.
A. 1 week old
B. 1 month old
C. 6 months old
D. 1 year old
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