In males, which of the following structure(s) can NOT be palpated during digital rectal examination?
pelvic floor muscles
seminal vesicles
anterior surface of the sacrum
median lobe of the prostate
Correct Answer :
D. median lobe of the prostate
the median lobe, in particular, is engulfed by the lateral lobes and is not accessible for examination per rectum.
Related Questions
Where is the gene sex-determining region (SRY) located at?
long arm of X chromosome
long arm of Y chromosome
short arm of Y chromosome
short arm of X chromosome
Between which 2 fascial planes does the prostatic neurovascular bundle travel?
prostatic fascia and levator fascia
prostate capsule and prostatic fascia
Denonvilliers fascia and prostate capsule
Denonvilliers fascia and endopelvic fascia
Which of the following conditions could result in white urine?
chyluria
bacteriuria
phosphaturia
all of the above
Which statement is NOT related to Klinefelter syndrome?
sterility is the rule
has a considerable short life span
treatment requires testicular microdissection and sperm extraction
47 XXY karyotype
In males, which of the following structure(s) can NOT be palpated during digital rectal examination?
pelvic floor muscles
seminal vesicles
anterior surface of the sacrum
median lobe of the prostate
Which of the following is false regarding zona glomeruloza?
the most superficial layer of the adrenal cortex
responses to increased potassium levels, renin or decreased renal blood flow
it causes pheochromocytoma
secretes aldosterone
Which action of thigh muscles could be impaired if the obturator nerve was injured during endoscopic resection of bladder tumors?
adduction
abduction
flexion
extension
What causes pure testicular feminization is:
over estrogen synthesis
defective end-organ androgen response
extra X chromosome (XXY)
failure of genital ridge regression
Which statement is true about the female urethra?
harder to catheterize when compared to the male urethra
4 inch long
opens into the vestibule below the clitoris
gets wider at the post-menopausal age
What increases blood volume and pressure in corpora cavernosa during erection is:
increase in sympathetic discharge
contraction of ischiocavernosa and bulbocavernosa muscles
increase arterial flow and closure of emissary veins
shunting of blood from the dorsal to the central cavernosal artery
Which part of the male urethra is the narrowest?
the membranous
the bladder neck
the bulbous
the external urethral meatus
Which type of renal stone crystals is known as coffin lid?
oxalate
struvite
urate
cystine
How many days does spermatogenesis take in the man?
16
32
64
90
Where is Santorini plexus located?
at either side of the prostate
in the pubo-prostatic space
anterior to the seminal vesicles
posterior to the vaso-epididymal junction
What is the creatinine clearance in ml/min for a 70 kg man aging 50 yrs. with 1.1 mg/dL serum creatinine?
79.54
44.19
84.15
94.25
Which lab results indicate poor prognosis of male infertility?
azoospermia; normal FSH; increase LH
azoospermia; decrease FSH; normal LH
oligospermia; increase FSH; normal LH
oligospermia; normal FSH; decrease LH
What antibiotic could result in red man syndrome?
vancomycin
clindamycin
streptomycin
tobramycin
What is false about purple urine bag syndrome?
occurs due to the interaction between the chemical components of the urine and polyvinyl chloride material in the urine bag
it is commonly symptomless
more common in female nursing home residents
commonly implicated bacteria are K. pneumoniae, P. mirabilis, E. coli
To which region does pain, from the left mid ureter, refer to?
the loin region
the inguinal region
the umbilical region
the penis or clitoris
What is the nerve supply of the adrenal gland?
sympathetic to the medulla
parasympathetic to the medulla
sympathetic to the cortex
parasympathetic to the cortex
What are the posterior relations of the kidneys?
quadratus lumborum and diaphragm
psoas and diaphragm
psoas and latissimus dorsi
transversus abdominus and paraspinous
Which of the following is NOT related to von Hippel-Lindau disease?
retinal hemangioblastoma
ureteral atresia
pheochromocytomas
multiple cysts in the pancreas and kidneys
What vessels are located in the prostate neurovascular bundle?
Watson plexus
capsular arteries and veins
inferior vesical and midrectal vessels
Santorini plexus
What is true regarding hematospermia?
should be investigated thoroughly like hematuria
is rarely associated with significant urologic pathology
carries a risk of infertility
mandates testicular biopsy
In which body tissue(s) are creatine and phosphocreatine converted to creatinine?
bone marrow
skeletal muscles
brown fat
liver
Which class of the following diuretics could cause erectile dysfunction?
loop diuretics
thiazide diuretics
potassium sparing diuretics
osmotic diuretics
What could render red urine workup, false positive for hematuria?
dehydration
myoglobinuria
high doses of vitamin C
all of the above
The manifestations of autonomic dysreflexia include:
hypotension and tachycardia
hypotension and bradycardia
hypertension and tachycardia
hypertension and bradycardia
When should a 70 yrs. man with 40 ml prostate volume, and total PSA of 2.0 ng/ml, go for a prostate biopsy?
if PSA reading had exceeded 2.7 ng/ml over 12 months
if free PSA reading was less than 0.4 ng/ml
if total PSA reading was greater than 8 ng/ml
any of the above
How long post bilateral orchiectomy, will patients be functionally castrated?
immediately
after 2 hrs.
after 12 hrs.
after 24 hrs.