Chapter 31: Alterations in Male Genital and Reproductive Function

Chapter 31: Alterations in Male Genital and Reproductive Function

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. A patient diagnosed with a micropenis must be evaluated for

ANS:  A

Penile development and growth are both testosterone-dependent. Patients with micropenis must be evaluated for endocrine abnormalities. Micropenis has been shown to be related to vascular disorders. Female sex assignment is considered only after treatment failure. Epispadias is an abnormality of the urethral opening and unrelated to micropenis.

REF:   Pg. 640

2. Sexual impotence is rarely due to

ANS:  C

Primary impotence is rare and refers to the inability to attain an erection throughout life. Impotence has been determined to be a side effect of certain medications. Several psychological factors may be manifested as problems of low desire, erectile failure, or premature ejaculation. Peripheral vascular disease and arterial insufficiency of the penis are recognized causes of impotency.

REF:   Pg. 643

3. Phimosis is a disorder of the penis characterized by

ANS:  B

Phimosis is a disorder of the foreskin, associated with chronic inflammation, and results in a foreskin that cannot be retracted. A sustained, painful erection is known as priapism. Impotence is the inability to achieve an erection. Malpositioning of the urinary meatus (hypospadias) is a congenital anomaly, while phimosis is an acquired anomaly.

REF:   Pg. 642

4. Cryptorchidism is

ANS:  A

Several studies have revealed an increased prevalence of testicular tumors in subjects with a history of cryptorchidism. The incidence of cryptorchidism is about 0.7% to 1.0% of male infants at 1 year of age. Because of the increased risk of malignancy and infertility, treatment at an early age to bring the testis into a normal scrotal position is recommended. The cause of the condition is uncertain but may be related to an intrinsic testicular defect or a subtle hormonal deficiency.

REF:   Pg. 646