18 Questions
What is the common passageway shared by the reproductive and urinary systems?
Urethra
During a male genital examination, what is the normal finding of the penile skin?
Intact and slightly wrinkled with varying color
What is a deviation from normal in pubic hair assessment?
Scant amount or absence of hair
What is the normal finding of the foreskin during a penis assessment?
Easily retractable from the glans penis
What is the purpose of assessing the presence of hernias during a male genital examination?
To identify any potential hernias
Why may a female practitioner require another individual to be present during a male genital examination?
For professionalism and to prevent any potential misinterpretation
What is the characteristic of a painless mass in vulvitis diagnosis?
Indicates malignancy
What is the technique used to assess the labia minora?
Using the dominant hand and index finger
During vaginal orifice assessment, what is the normal finding of the clitoris?
Is not more than 1 cm in width and 2 cm in length
What is clitoromegaly?
A deviation from the normal size of the clitoris
During urethral orifice examination, what should the examiner avoid?
Touching the urethral meatus
What is the difference between urethral caruncle and urethral prolapse?
Urethral caruncle only protrudes out on one edge, while urethral prolapse protrudes out on all edges
What is the normal finding of the introitus mucosa during vaginal orifice assessment?
Pink and moist
What would you do to assess the vaginal muscle tone?
Insert your dominant finger
What is a deviation from normal finding in the inguinal lymph nodes assessment?
Enlargement and tenderness
Why would you palpate the inguinal lymph nodes?
To check for enlargement or tenderness
What is the position of an infant during an examination?
Supine position on a parent’s lap
What is NOT a part of the examination of the internal genitals?
Examining the tongue
Study Notes
Genital Assessment
- Painless mass may indicate malignancy
- Painful mass may indicate hernia
Clitoris, Urethral Orifice, and Vaginal Orifice Assessment
- Normal clitoris: no larger than 1 cm in width and 2 cm in length
- Normal urethral orifice: small slit, same color as surrounding tissues, and midline
- Normal vaginal orifice: pink and moist, patent, and without bulging
- Normal vaginal discharge: white and free of foul odor
Deviations from Normal
- Clitoris: lesions, inflammation, swelling, or discharge
- Urethral orifice: discharge, swelling, urethral caruncle, or urethral carcinoma
- Vaginal orifice: pale color, dryness, tear, fissure, bulging, or foul odor
Inguinal Lymph Nodes Assessment
- Normal: no enlargement or tenderness
- Deviations from normal: enlargement and tenderness
Examination of Internal Genitals
- Involves assessing Skene's and Bartholin's glands, pelvic musculature, and inspecting the cervix and vagina using a vaginal speculum
- May include obtaining a Papanicolaou smear
Lifespan Considerations
- Infants: can be held in a supine position on the parent's lap for examination
Key Components of Genital Examination
- Complete examination: includes assessment of external genitals, prostate gland, and presence of hernias
- Practice settings: may focus on external genitals only
- Integration of systems: reproductive and urinary systems share the urethra
Female Practitioner Involvement
- Female practitioners are increasingly involved in male genital examinations
- Not all agencies permit female practitioners for male genital exams
- Presence of another individual may be required for professionalism
Hernia Screening, Prostate Cancer Awareness, and Testicular Cancer Examination Techniques
- Inspection and palpation are used for examination
Pubic Hair Assessment
- Normal: triangular distribution, often spreading up the abdomen
- Deviations from normal: scant amount or absence of hair, presence of nits and lice, or herpes simplex
Penis Assessment
- Normal: penile skin intact, appears slightly wrinkled, and varies in color
- Normal foreskin: easily retractable from the glans penis
- Normal smegma: small amount of thick white smegma between the glans and foreskin
- Deviations from normal: presence of lesions, nodules, swellings, or inflammation
This quiz assesses knowledge of normal findings and deviations in female genitalia, including the clitoris, urethral orifice, and vaginal orifice. Questions cover inspection of these areas and identify abnormal signs such as lesions, inflammation, swelling, or discharge.
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