NURS 807Chapter 13 - Male Genitalia and Hernias
NURS 807 Chapter 13 - Male Genitalia and Hernias
Bates’ Guide to Physical Examination and History Taking, 11th Edition
Chapter 13: Male Genitalia and Hernias
Multiple Choice
1. A 28-year-old musician comes to your clinic, complaining of a “spot” on his penis. He states
his partner noticed it 2 days ago and it hasn't gone away. He says it doesn't hurt. He has had no
burning with urination and no pain during intercourse. He has had several partners in the last
year and uses condoms occasionally. His past medical history consists of nongonococcal
urethritis from Chlamydia and prostatitis. He denies any surgeries. He smokes two packs of
cigarettes a day, drinks a case of beer a week, and smokes marijuana and occasionally crack. He
has injected IV drugs before but not in the last few years. He is single and currently unemployed.
His mother has rheumatoid arthritis and he doesn't know anything about his father. On
examination you see a young man appearing deconditioned but pleasant. His vital signs are
unremarkable. On visualization of his penis there is a 6-mm red, oval ulcer with an indurated
base just proximal to the corona. There is no prepuce because of neonatal circumcision. On
palpation the ulcer is nontender. In the inguinal region there is nontender lymphadenopathy.
What disorder of the penis is most likely the diagnosis?
A) Condylomata acuminata
B) Genital herpes
C) Syphilitic chancre
D) Penile carcinoma
Ans: C
Chapter: 13
Page and Header: 516, Table 13–2
Feedback: Primary syphilis causes a larger ulcer that is firm and painless. Syphilis is fairly
uncommon but does occur in the highly promiscuous population, especially when coupled with
illegal drug use. You should consider further questions and workup regarding HIV status.
, NURS 807Chapter 13 - Male Genitalia and Hernias
2. A 20-year-old part-time college student comes to your clinic, complaining of growths on his
penile shaft. They have been there for about 6 weeks and haven't gone away. In fact, he thinks
there may be more now. He denies any pain with intercourse or urination. He has had three
former partners and has been with his current girlfriend for 6 months. He says that because she is
on the pill they don't use condoms. He denies any fever, weight loss, or night sweats. His past
NURS 807 Chapter 13 - Male Genitalia and Hernias
Bates’ Guide to Physical Examination and History Taking, 11th Edition
Chapter 13: Male Genitalia and Hernias
Multiple Choice
1. A 28-year-old musician comes to your clinic, complaining of a “spot” on his penis. He states
his partner noticed it 2 days ago and it hasn't gone away. He says it doesn't hurt. He has had no
burning with urination and no pain during intercourse. He has had several partners in the last
year and uses condoms occasionally. His past medical history consists of nongonococcal
urethritis from Chlamydia and prostatitis. He denies any surgeries. He smokes two packs of
cigarettes a day, drinks a case of beer a week, and smokes marijuana and occasionally crack. He
has injected IV drugs before but not in the last few years. He is single and currently unemployed.
His mother has rheumatoid arthritis and he doesn't know anything about his father. On
examination you see a young man appearing deconditioned but pleasant. His vital signs are
unremarkable. On visualization of his penis there is a 6-mm red, oval ulcer with an indurated
base just proximal to the corona. There is no prepuce because of neonatal circumcision. On
palpation the ulcer is nontender. In the inguinal region there is nontender lymphadenopathy.
What disorder of the penis is most likely the diagnosis?
A) Condylomata acuminata
B) Genital herpes
C) Syphilitic chancre
D) Penile carcinoma
Ans: C
Chapter: 13
Page and Header: 516, Table 13–2
Feedback: Primary syphilis causes a larger ulcer that is firm and painless. Syphilis is fairly
uncommon but does occur in the highly promiscuous population, especially when coupled with
illegal drug use. You should consider further questions and workup regarding HIV status.
, NURS 807Chapter 13 - Male Genitalia and Hernias
2. A 20-year-old part-time college student comes to your clinic, complaining of growths on his
penile shaft. They have been there for about 6 weeks and haven't gone away. In fact, he thinks
there may be more now. He denies any pain with intercourse or urination. He has had three
former partners and has been with his current girlfriend for 6 months. He says that because she is
on the pill they don't use condoms. He denies any fever, weight loss, or night sweats. His past
