You are inspecting the genitalia of an uncircumcised adult male. The foreskin is tight and cannot be easily retracted. You should:
a. chart the finding as paraphimosis.
b. inquire about previous penile infections.
c. retract the foreskin firmly.
d. transilluminate the glans.
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.
Which penile structure should be visible to inspection during the physical examination?
a. Dorsal vein
b. Proximal urethral
d. Corpus cavernosa
Which genital virus infection is known to have a latent phase followed by the production of viral DNA capsids and particles?
a. Condyloma acuminatum
b. Molluscum contagiosum
c. Herpetic lesions
d. Lymphogranuloma venereum
The most common type of hernia occurring in young males is:
b. incarcerated femoral.
c. indirect inguinal.
The movement of the testes by muscular action regulates:
a. ejaculatory flow.
b. sebaceous production.
c. testicular temperature.
d. urinary flow.
Which of the following is a risk factor for testicular cancer?
b. Condyloma acuminatum
d. Poor hygiene
Which condition is a complication of mumps in the adolescent or adult?
Which of the following hernias occurs more often in females and has the lowest incidence of occurrence?
The most emergent cause of testicular pain in a young male is:
a. testicular torsion.
Which one of the following conditions is of minor consequence in an adult male?
a. Adhesions of the foreskin
b. Continuous penile erection
c. Lumps in the scrotal skin
d. Venous dilation in the spermatic cord
The greatest contribution to the volume of ejaculate comes from the:
c. seminal vesicles.
d. corpus cavernosa.
Which type of hernia lies within the inguinal canal?
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.
The most common cancer in young men aged 15 to 30 years is:
Which structure of the male genitalia travels through the inguinal canal and unites with the seminal vesicle to form the ejaculatory duct?
b. Prostate gland
d. Vas deferens
You palpate a soft, slightly tender mass in the right scrotum of an adult male. You attempt to reduce the size of the mass, and there is no change in the mass size. Your next assessment maneuver is to:
a. use two fingers to attempt to reduce the mass.
b. palpate the left scrotum simultaneously.
c. lift the right testicle and then compare pain level.
d. transilluminate the mass
When examining a small child, in which position should he be placed to help push the testicles into the scrotum?
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
The male with Peyronie disease will usually complain of:
a. painful, inflamed testicles.
b. deviation of the penis during erection.
c. lack of sexual interest.
d. painful lesions of the penis.
The pelvic joint that separates most appreciably during late pregnancy is the:
b. symphysis pubis
When collecting specimens, which sample should be obtained first?
a. Chlamydia swab
b. Gonococcal culture
c. Pap smear
d. Wet mount
The vaginal discharge of a woman with a typical Trichomonas vaginalis infection is:
a. homogeneous and gray with a low pH.
b. scant and curdy with a low pH.
c. profuse and frothy with a high pH.
d. profuse and curdy with a low pH VERIFY
The visualization of a large proportion of clue cells on your wet mount slide examination suggests:
a. trichomonal infection.
b. bacterial vaginosis.
The rectovaginal examination is an important component of the total pelvic examination because it:
a. is the most direct cervical examination route.
b. is a more comfortable examination for the posthysterectomy patient.
c. is an alternate source for cytology specimens.
d. allows the examiner to reach almost 2.5 cm higher into the pelvis.
When you plan to obtain cytologic studies, speculum introduction may be facilitated by:
a. lubrication with gel.
b. lubrication with warm water.
c. use of a plastic speculum.
d. opening the blades completely.
Which structure is located posteriorly on each side of the vaginal orifice?
a. Skene glands
d. Bartholin glands
The presence of cervical motion tenderness may indicate:
c. pelvic inflammatory disease.
Which of the following findings indicates a possible gonococcal infection?
a. Bulging of the anterior or posterior vaginal wall
b. Discharge from urethra or Skene glands
c. Irregular urethral orifice in midline
d. Irregular vaginal edges at introitus
The opening of the cervix is referred to as the:
pouch of Douglas.
Which of the following is a normal component of vaginal discharge seen on a wet mount?
a. Three to five white blood cells (WBCs)
b. Clue cells
c. Motile flagellates
d. Spores and hyphae
The presence of a fishy odor after adding potassium hydroxide to a wet mount slide containing vaginal mucus suggests:
a. bacterial vaginosis.
b. yeast infection.
c. chlamydial infection.
The vaginal mucosa of a woman of childbearing years should appear:
a. smooth and pink.
b. moist and excoriated.
c. dry and papular.
d. transversely rugated.
Young women who are not sexually active should have their first pelvic examination:
a. by age 15 years.
b. by age 18 years.
c. by age 21 years.
d. only after they become sexually active.
Which risk factor is associated with cervical cancer?
b. Low parity
c. Multiple sex partners
Which systemic feature is related to the effects of menopause?
a. Increased abdominal fat distribution
b. Decreased LDL levels
c. Cold intolerance
d. Decreased cholesterol levels
What accommodations should be used for the position of a hearing-impaired woman for a pelvic examination?
a. The patient should assume the M or V po-sition.
b. Her legs should be farther apart.
c. The head of the table should be elevated.
d. The lithotomy position with obstetric stir-rups should be used.