The skin of the glans penis contains no hair follicles but does have small glands and papillae that form into the epithelial cells to produce the cheesy wite material found on the glans called:

a) seamen

b) sperm

c) smegma

Absent rugae in the scrotum means:

a) the testes have descended

b) the testes have descended at least once

c) the testes are undescended

Ejaculation usually occurs at which tanner stage:

a) I

b) II

c) III

d) VI

e) V

Fertility is established by Tanner Stage:

a) I

b) II

c) III

d) IV

e) V

Name the Male tanner stage: No pubes, testes volume <1.5

a) I

b)II

c) III

d) IV

e) V

Name this male tanner stage:scrotum enlarged, reddened, skin taut and thinner, volume enlarged 1.6ml, slight amount of downy hair along base of scrotum

a) I

b) II

c)III

d) IV

e) V

Name this male tanner stage: testes and scrotum futher enlarged. volume 6-12 ml, penis incresed length and circumference, moderate amt of curly pigmented coarse puic hair extending over symphysis pubis, voice changes, body odor apears

a) I

b)II

c) III

d) IV

e) V

Name this male tanner stage: glans penis becomes broader and larger, scrotum enlarged and darker, volume 12-20, penis bigger and longer, abundant pubes

a) I

b)II

c) III

d) IV

e) V

Pubic hair extends to medial surface of thight,penis and scrotum adult size testes >20 ml

a) I

b)II

c) III

d) IV

e) V

Abnormal placement of the urethral meatus on teh ventral (underside) surface of the penis

a)hypospadias

b) epispadias

c) chordee

abnormal placement of the urethral meatus on the dorsal (upperside) of the penis

a) hypospadias

b) epispadias

c) chordee

fibrotic tissue cuasing ventral curvature of the erect penis, occurs as an isolated condition or with hypospadias.

a) hypospadias

b) epispadias

c) chordee

when should the uncircumcised foreskin be retractable

a) newborn

b) 1 year

c) 2 years

d) 5 years

A delayed separation of the  prepuce, or foreskin, from the glans penis and may be the result of an incomplete retraction of the foreskin persisting after 5 years of age or the result of inflammation

a) phimosis

b) paraphimosis

a) phimosis

surgical intervention is rarley indicated in resolving phimosi. do not forcibly retract! medical therapy with betamethasone ointment 0.05% applied 3xs a day to tip of penis is indicated.

Inability to retract foreskin of the head of the penis, occurs i the uncircumcised child or adolescent, and can cause extreme congestion of blood flow to the glans penis.

a) phimosis

b) secondary phimosis

c) paraphimosis

c) paraphimosis

medical therapy requries manual compression around the shaft of the penis to reduce swelling followed by reduction fo the foreskin by manual downward pressure of the foreskin over the glans penis

retraciton of the testes can be activated by cold, emotion, touch.

a) phimosis reflex

b) pseudoerection

c) cremasteric reflex

c) cremasteric reflex

trap the testes in scrotal sac before attempting palpation

undescended testis is refered to as:

a) monotesticular

b) pseudotestis

c) cryptochidism

c) cryptochidism

requires referral for evaluation between 6-9 months. an undescended testicle may be palpated along the inguinal canal.

Enlargment of the scrotum that can be taut or firm and non tender on palpation:

a) hernia

b) cryptorchidism

c) hydrocele

d) testicular torsion

swelling and tenderness of the scrotal sac, is a twisting of the tetis and spermatic cord that results in venous obstruciton, edema, and organ compromise, which causes testicular infarction. Accompained by acute onset of pain and absent cremasteric reflex.

 Decreased pain with elevation of the scrotum

a) cryptorchidism

b) hydrocele

c) testicular torsion

d) phren sign