C HAPTER 20: M ALE G ENITALIA
Ball: Seidel’s Guide to Physical Examination, 9th Edition
MULTIPLE CHOICE
1. 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:
a. within normal limits.
b. suggestive of a skin fungus.
c. suggestive of psoriasis.
d. caused 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.
DIF: Cognitive Level: Understanding (Comprehension) OBJ: Nursing
process—assessment MSC: Physiologic Integrity: Physiologic
Adaptation
2. In an uncircumcised male, retraction of the foreskin may reveal a cheesy white
substance. This is usually:
a. evidence of a fungal infection.
b. a collection of sebaceous material.
, c. indicative of penile carcinoma.
d. suggestive 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.
DIF: Cognitive Level: Understanding (Comprehension) OBJ: Nursing
process—assessment MSC: Physiologic Integrity: Physiologic
Adaptation
3. Inspection of the scrotum should reveal:
a. lightly pigmented skin.
b. two testes per sac.
c. smooth scrotal sacs.
d. the 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.
, DIF: Cognitive Level: Understanding (Comprehension) OBJ: Nursing
process—assessment MSC: Physiologic Integrity: Physiologic
Adaptation
4. Expected genitalia changes that occur as men age include that:
a. the ejaculatory volume decreases with age.
b. erections develop more quickly.
c. the viability of sperm increases.
d. the 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.
DIF: Cognitive Level: Understanding (Comprehension) OBJ: Nursing
process—assessment MSC: Physiologic Integrity: Physiologic
Adaptation
5. Inspection of the male urethral orifice requires the examiner to:
a. ask the patient to bear down.
b. insert a small urethral speculum.
c. press the glans between the thumb and forefinger.
d. transilluminate the penile shaft.
ANS: C
Ball: Seidel’s Guide to Physical Examination, 9th Edition
MULTIPLE CHOICE
1. 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:
a. within normal limits.
b. suggestive of a skin fungus.
c. suggestive of psoriasis.
d. caused 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.
DIF: Cognitive Level: Understanding (Comprehension) OBJ: Nursing
process—assessment MSC: Physiologic Integrity: Physiologic
Adaptation
2. In an uncircumcised male, retraction of the foreskin may reveal a cheesy white
substance. This is usually:
a. evidence of a fungal infection.
b. a collection of sebaceous material.
, c. indicative of penile carcinoma.
d. suggestive 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.
DIF: Cognitive Level: Understanding (Comprehension) OBJ: Nursing
process—assessment MSC: Physiologic Integrity: Physiologic
Adaptation
3. Inspection of the scrotum should reveal:
a. lightly pigmented skin.
b. two testes per sac.
c. smooth scrotal sacs.
d. the 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.
, DIF: Cognitive Level: Understanding (Comprehension) OBJ: Nursing
process—assessment MSC: Physiologic Integrity: Physiologic
Adaptation
4. Expected genitalia changes that occur as men age include that:
a. the ejaculatory volume decreases with age.
b. erections develop more quickly.
c. the viability of sperm increases.
d. the 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.
DIF: Cognitive Level: Understanding (Comprehension) OBJ: Nursing
process—assessment MSC: Physiologic Integrity: Physiologic
Adaptation
5. Inspection of the male urethral orifice requires the examiner to:
a. ask the patient to bear down.
b. insert a small urethral speculum.
c. press the glans between the thumb and forefinger.
d. transilluminate the penile shaft.
ANS: C
