Chapter 19: Male Genitalia Test Bank Seidel’s Guide to Physical Examination-8th Edition-Jane W. Ball

Chapter 19: Male Genitalia Test Bank Seidel’s Guide to Physical Examination-8th Edition-Jane W. BallMULTIPLE CHOICE 1.The movement of the testes by muscular action regulates: latory flow. eous production. cular temperature. ry flow. ANS:C The cremasteric muscle contracts and relaxes the scrotum. This action alters the distance of the testes from the body to cool or warm the testes. 2.Which structure of the male genitalia travels through the inguinal canal and unites with the seminal vesicle to form the ejaculatory duct? a.Epididymis b.Prostate gland c.Testicles d.Vas deferens ANS:D The vas deferens begins at the end of the epididymis, travels the spermatic cord, goes through the inguinal canal, and then unites with the seminal vesicle to form the ejaculatory duct. 3.Normally, the male urethral orifice is located: a.2 mm ventral to the tip of the glans. the dorsal surface of the glans. lad to the dorsal vein. ent to the prostate. ANS:A The urethral orifice is located approximately 2 mm ventral to the tip of the glans. 4.A finding associated with recurrent male genital herpes is: minated lymphadenopathy. subsiding with scrotal elevation. , red papules on the prepuce. ficial penile vesicles. ANS:D Genital herpes presents as painful superficial vesicles on an erythematous base. 5.Mr. Johnson is a 43-year-old patient who presents for a routine physical examination. On examination, you note that the urethral meatus opens on the ventral surface of his penis. You determine that he has which condition? a.Epispadias b.Hydrocele c.Hypospadias d.Normal variation ANS:C The congenital defect in which the urethral meatus is located on the ventral surface of the glans is called hypospadias. This study source was downloaded by from CourseH on :04:28 GMT -05:00 TEST BANK CHAPTER 19: MALE GENITALIA 6.While examining an 18-year-old man, you note that his penis and testicles are more darkly pigmented than the body skin. You should consider this finding to be: n normal limits. stive of a skin fungus. stive of psoriasis. d by excessive progesterone. ANS:A Darker pigmentation on the penis and testicles, as compared with other body skin, is a normal finding and is not suggestive of a skin fungus, psoriasis, or excessive progesterone. 7.Testicular temperature must be maintained lower than 37° C for which of the following to occur? a.Penile erection b.Spermatogenesis c.Testosterone production d.Rugae to form ANS:B The production of sperm is dependent on the maintenance of testicular temperature below the normal body temperature of 37° C (98.6° F). 8.In an uncircumcised male, retraction of the foreskin may reveal a cheesy white substance. This is usually: nce of a fungal infection. b.a collection of sebaceous material. ative of penile carcinoma. stive of diabetes. ANS:B In the uncircumcised male, smegma is formed by the secretion of sebaceous material by the glans and the desquamation of epithelial cells from the prepuce. It appears as a cheesy white substance on the glans and in the fornix of the foreskin. Smegma lubricates the cavity between the foreskin of the penis and the glans, allowing smooth movement between them during intercourse. It is not usually evidence of a fungal infection, penile carcinoma, or diabetes. 9.Which of the following is the most accurate approximation of normal adult testicular size (in centimeters)? a.5 × 2 × 3 b.2 × 3 × 3 c.4 × 3 × 2 d.5 × 7 × 7 ANS:C The normal dimensions of the adult male testes are 4 × 3 × 2 cm. 10.The greatest contribution to the volume of ejaculate comes from the: ate. dymis. al vesicles. s cavernosa. ANS:A The major volume of ejaculatory fluid comes from the prostate gland. 11.Inspection of the scrotum should reveal: This study source was downloaded by from CourseH on :04:28 GMT -05:00 ly pigmented skin. testes per sac. h scrotal sacs. left scrotal sac lower than the right. ANS:D The left cord is longer than the right; consequently, the left testis hangs somewhat lower. The skin of the scrotum is more darkly pigmented. The scrotum has one testis per sac. The scrotum has small epidermoid cysts that give it a lumpy appearance. 12.How much blood usually engorges the two corpora cavernosa of the penis when it is erect? a.5 to 15 mL b.20 to 50 mL c.55 to 60 mL d.More than 100 mL ANS:B Penile erection occurs when 20 to 50 mL of blood is contained in the corpora cavernosa. 13.Expected genitalia changes that occur as men age include that: ejaculatory volume decreases with age. ions develop more quickly. viability of sperm increases. scrotum becomes more pendulous. ANS:D Ejaculatory volume increases with age, erections develop more slowly, sperm viability decreases, and the scrotum becomes more pendulous with age. 14.Which of the following is a risk factor for testicular cancer? a.Circumcision b.Condyloma acuminatum c.Cryptorchidism d.Poor hygiene ANS:C Cryptorchidism (testes that fail to descend by 12 months of age) is a risk factor for testicular cancer. 15.Which of the following hernias occurs more often in females and has the lowest incidence of occurrence? a.Indirect t al al ANS:C Femoral hernias are the least common type of hernia and occurs more often in females. Most common type of hernia is an indirect inguinal hernia. 16.Inspection of the male urethral orifice requires the examiner to: the patient to bear down. t a small urethral speculum. the glans between the thumb and forefinger. illuminate the penile shaft. This study source was downloaded by from CourseH on :04:28 GMT -05:00 ANS:C Inspection of the urethral orifice is accomplished by pressing the glans between the examiner’s thumb and forefinger. This maneuver opens the slitlike orifice for further inspection. 17.Which penile structure should be visible to inspection during the physical examination? a.Dorsal vein b.Proximal urethral c.Epididymis d.Corpus cavernosa ANS:A The dorsal vein of the penis should be evident. The others are internal structures and should not be visible. 18.You are inspecting the genitalia of an uncircumcised adult male. The foreskin is tight and cannot be easily retracted. You should: the finding as paraphimosis. re about previous penile infections. ct the foreskin firmly. illuminate the glans. ANS:B This condition is phimosis and is usually congenital, or it may be related to recurrent infections or poorly controlled diabetes. You should not chart this finding as paraphimosis. Retracting the foreskin forcibly would lead to further adhesion formation and worsening phimosis. Transillumination is indicated for masses of the scrotum. 19.Which technique is appropriate for detecting an inguinal hernia? a.Conduct percussion while the patient coughs. b.Have the patient strain as you pinch the testes. c.Inspect rectal areas as the patient bears down. d.Move your finger upward along the vas deferens