Urology Clinical Examination Quiz

<p>A bulge in the groin area (B)</p> Signup and view all the answers

<p>Spermatic cord (A)</p> Signup and view all the answers

<p>At the anterior inferior margin of the scrotum (C)</p> Signup and view all the answers

<p>To identify and evaluate the lateral lobes of the prostate and the median sulcus (A)</p> Signup and view all the answers

<p>Valsalva maneuver (B)</p> Signup and view all the answers

<p>Painless palpable nodules on the prostate (B)</p> Signup and view all the answers

<p>Escherichia coli (B)</p> Signup and view all the answers

<p>Vas deferens (C)</p> Signup and view all the answers

<p>Rubbery and nontender (B)</p> Signup and view all the answers

<p>Pressure on the bladder from the examiner's finger (B)</p> Signup and view all the answers

<p>To assess the size and shape of the seminal vesicles (D)</p> Signup and view all the answers

<p>To determine the presence of any tumors or other masses (A)</p> Signup and view all the answers

<p>To identify any signs of blood or other abnormalities (A)</p> Signup and view all the answers

<p>Screening is not recommended. (C)</p> Signup and view all the answers

<p>TSE is not recommended for routine screening but men should be aware and seek medical attention for any concerns. (D)</p> Signup and view all the answers

<p>Prostatitis (C)</p> Signup and view all the answers

<p>2.5 cm long (A)</p> Signup and view all the answers

<p>Median sulcus (A)</p> Signup and view all the answers

<p>Median lobe (B)</p> Signup and view all the answers

<p>Rabbit ears (D)</p> Signup and view all the answers

<p>Discomfort (D)</p> Signup and view all the answers

<p>To present facts, discuss options, and elicit patient values (A)</p> Signup and view all the answers

<p>Guaranteed reduction in the number of prostate cancer screenings (D)</p> Signup and view all the answers

<p>The American Society of Clinical Oncology Decision Aid Tool (B)</p> Signup and view all the answers

<p>Outlining the steps of a physical examination (A)</p> Signup and view all the answers

<p>To describe a normal finding during a physical examination (B)</p> Signup and view all the answers

<p>Examination of the prostate (A)</p> Signup and view all the answers

<p>There is a suspicion of cancer in the left lateral lobe (A)</p> Signup and view all the answers

<p>This is a normal finding related to the examination. (D)</p> Signup and view all the answers

<p>Fungal infection (C)</p> Signup and view all the answers

<p>Palpation (D)</p> Signup and view all the answers

<p>Size, shape, consistency, and tenderness (B)</p> Signup and view all the answers

<p>Testicular cancer (D)</p> Signup and view all the answers

<p>Gently palpating the posterior surface (A)</p> Signup and view all the answers

<p>Epididymitis (C)</p> Signup and view all the answers

<p>Spermatocele and epididymal cyst (C)</p> Signup and view all the answers

<p>Presence of sperm (D)</p> Signup and view all the answers

<p>Cover the patient's chest and abdomen with a gown. (B)</p> Signup and view all the answers

<p>To make the patient feel more at ease and prepared. (B)</p> Signup and view all the answers

<p>Calmly explain it is a normal response and proceed with the examination. (D)</p> Signup and view all the answers

<p>Discharge or abnormal secretions. (A)</p> Signup and view all the answers

<p>Evaluating for the presence of groin hernias. (D)</p> Signup and view all the answers

<p>To look for any signs of infection, inflammation or lesions. (B)</p> Signup and view all the answers

<p>To identify any areas of induration, tenderness, or masses. (A)</p> Signup and view all the answers

<p>To track the patient's normal pubertal development. (A)</p> Signup and view all the answers

Basic structures including penis, scrotum, and testes.

Exam method to assess prostate health and abnormalities.

Patients can be seated or supine for comfort during exam.

Method to assess sexual maturity in younger patients.

Look for skin issues, discharge, and other abnormalities.

Feeling for abnormalities in penile shaft and testicles.

Explain procedures to reassure the patient during exams.

Inspect for any bulging in the groin area.

Signs that suggest a fungal infection in moist areas.

Firm, descended, symmetric, and nontender with no masses.

Raises suspicion for testicular cancer, particularly in ages 15-34.

Examine the epididymis without excess pressure; should be nodular and non-tender.

Characterized by induration, swelling, tenderness; can be mistaken for testis.

Technique to evaluate scrotal swelling by shining a light through it.

Common pathogens include Neisseria gonorrhoeae, Chlamydia, E. coli in different age groups.

A method to differentiate between cystic (light passes, red glow) and solid (light blocked) masses behind the scrotum.

Examining the spermatic cord between the thumb and fingers to assess for abnormalities.

A cystic structure in the spermatic cord, indicating fluid accumulation.

Enlarged, twisted veins in the spermatic cord, often described as feeling like 'a bag of worms'.

Checking varicocele's collapse and assessing potential left spermatic vein obstruction when the patient is lying down.

Palpation technique to detect groin hernias by feeling for bulges during patient examination.

An anatomical landmark at the groin where palpation can help detect hernias.

Patient coughs to create intra-abdominal pressure, helping to identify hernias by feeling movement against a stationary finger.

Educational tools that present information on prostate cancer screening and treatment options.

The process of testing for prostate cancer in asymptomatic patients to catch it early.

The involvement of patients in their own decision-making processes regarding treatment.

The positive outcomes that may result from screening or treatment options.

The negative effects or risks associated with screening or treatment options.

The process of understanding a patient's values and choices regarding their treatment options.

The enhancement of a patient's understanding about prostate cancer through educational tools.

The decrease in confusion or doubt a patient feels about their decisions after using decision aids.

The USPSTF advises against screening for testicular cancer in asymptomatic males (grade D).

The ACS does not recommend routine TSE, but suggests awareness of testicular cancer and seeing a clinician if a lump is found.

Factors increasing risk include cryptorchidism, family history, and past carcinoma in the other testicle.

The prostate has right and left lobes palpable through the rectal wall and is heart-shaped, about 2.5 cm long.

The shallow groove separating the right and left lobes of the prostate, palpable during examination.

The anterior and median lobes of the prostate cannot be examined rectally, as they do not contact the rectal wall.

While the prostate examination may cause discomfort, it is rarely painful, important to note for patient reassurance.

Normal findings include no discharge, lesions, scrotal swelling, smooth testes, and nontender epididymis.

Initial finger insertion into the anal canal, noting tenderness and masses.

Examining the prostate gland for size, shape, and consistency by palpation.

A normal prostate feels rubbery, nontender, and not fixed to tissues.

Identify any differences in firmness or size between prostate lobes during examination.

Presents with fever, urinary frequency, urgency, dysuria, and pain.

More than 80% of infections are from gram-negative bacteria.

Recurrent UTIs, may be asymptomatic or cause mild pelvic pain.

During examination, look for tenderness, nodules, and consistency.