Which special tests are included in a male GU physical examination?

• A. Hernia; Prostate/rectal; transillumination
• B. Cardiac auscultation; Respiratory exam; Abdomen palpation
• C. Hearing test; Eye exam; reflexes
• D. Neurological exam only

Answer: (A)

In a male GU physical examination, the focus is on elements specific to male reproductive and urinary health. You look for hernias in the inguinal region, which involves inspection and palpation to detect any protrusions that could indicate a weakness or opening in the abdominal wall. You also perform a prostate assessment via digital rectal examination to evaluate size, texture, and any nodules that might signal conditions like benign prostatic hyperplasia or prostate cancer. Transillumination of the scrotum is used to differentiate a fluid-filled swelling, such as a hydrocele, from a solid mass or a hernia, since fluid typically transmits light while solid or incarcerated contents do not. Together, these maneuvers comprise the specialized tests for the male GU exam. The other listed tests are part of broader or different systems (cardiac, respiratory, general neurological/ophthalmologic assessments), and do not constitute the GU-specific examination.