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Pts 1 16 ans b paraphimosis is a condition in which

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PTS:116.ANS:BParaphimosis is a condition in which the foreskin has been retracted and cannot be
advanced forward to its normal position over the glans. It results from chronicinflammation under the foreskin and is commonly preceded by poor personal hygiene,chronic balanitis or balanoposthitis, or poor control of diabetes mellitus. Over time, atight ring of tissue forms when the foreskin is retracted, resulting in additional edema tothe glans with retraction of the foreskin. Paraphimosis is a urologic emergency; thepatient should be referred to a urologist for further evaluation and management becausearterial occlusion and necrosis of the glans and distal urethra may result.PTS:117.ANS:BCryptorchidism is the condition in which one or both testes have failed to descendnormally into the scrotum. Descent may have stopped at any point between the renal andscrotal areas, but most commonly, the undescended testes are found in the inguinal canal.In male infants with undescended testes, more than half will descend into the scrotumduring the first month after birth.PTS:118.ANS:DIn Klinefelter’s syndrome, patients present with the typical triad of small, firm testes;gynecomastia; and elevated urine gonadotropins. Variants of Klinefelter’s may also resultin increased height, diabetes mellitus, obesity, and decreased intelligence. Althoughtesticles are not absent, their small size may lead to lack of recognition as the testes.PTS:119.ANS:BIn males with Klinefelter’s syndrome, physical examination reveals a lack ofdevelopment of secondary sexual characteristics (small [less than 3 cm] atrophic testes,small phallus, diminished body hair, diminished muscle bulk), and feminine, or truncal,rather than male fat distribution that often includes gynecomastia. Patients will be tall dueto a delay in the fusion of the epiphyseal plates in the long bones. Karyotype analysis willshow 47 XXY or a mosaic 46 XY/47 XXY.PTS:120.ANS:CVascular disease is one of the most common causes of organic ED. Many epidemiologicstudies have shown not only that ED coexists with hypertension, but also that as theseverity of hypertension increases, so do reports of ED severity from patients.PTS:121.ANS:APriapism is often a condition of vaso-occlusive crisis in sickle cell anemia. Vascularcongestion of the penis can occur secondary to hypoxia, stressful event, or exertion inmales with SCA.PTS:1
22.ANS:CAlthough the precise cause of Peyronie’s disease is not known, current belief regardingits etiology is that plaque formation results after disordered wound healing, often withcalcium deposition in the plaque (Pendleton & Wang 2013). During regular sexualactivity, susceptible patients may suffer nonpainful minor trauma to the penis that leads toa decrease in the elasticity of the tissue and fibroblast formation, eventually resulting inplaque. The plaque is present in the tunica albuginea of the corpora cavernosa, whichleads to shortening and curvature of the shaft of the penis. The resulting curvature can bein any direction: lateral, ventral, or dorsal.

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