PBL Lab 1/4 Actual Real Practice Exam Updated Questions And Detailed Answers.
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Course
PBL
Institution
PBL
exam - correct answer GU exam can be done standing or supine, when eval for varicocele-have pt stand
Step 1 of exam - correct answer with pt standing, inspect the genitals for hair dist, rash/inflamm. and lesions
Male T...
uncircumsized penis - correct answer retract foreskin to examine glans. NEVER
attempt to retract skin in child, it is normal for foreskin to be adhesed to the glans. always replace
foreskin at the end of the exam.
, smegma - correct answer dead skin cells from foreskin, THIS IS NORMAL. Resembles
pus
recurrent balanoposthitis - correct answer inflamm of glans and foreskin, can lead
to pathologic phimosis, consider circumcision for child/adult in this case.
Phimosis - correct answer tight/unable to retract foreskin. Ballooning during
urination, erythema/itching.
pathologic phimosis from scarring and can l/t recurr balanoposthitits, BXO
Physiologic phimosis - correct answer normal for uncircumcised infant/child,
resolves around 5-7yo
Penile CA - correct answer males that are not circumsised as infants. Resembles skin
inf, does not respond to antibacterial/fungal creams. Look for lumps, thick skin, red/velvet rash,
bleeding ulcer, crusty bumps, blush/brown growth, malodorous discharge under skin, swelling.
Penis with paraphimosis - correct answer swollen foreskin cannot be unretracted--
glans cannot be covered.
Paraphimosis reduction - correct answer slow persistant traction on foreskin
distally, may need lidocaine
BXO - correct answer lichen sclerosis, coukd be foreskin, itchu, hyperkeratosis,
epidermal atrophy, assoc w/ DM, clinical dx is good but biopsy is def. Tx=corticosteroids with stretching
circumcision/dorsal slit.
Dorsal slit - correct answer alt to circumcision for tx of phimosis that perserves
foreskin
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