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Safe Paediatric Male Circumcision Simulator/Quiz on knowledge overview

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Choose only one (1) correct answer for each question.

A score of 100% (38 0ut of 38) is required for successful completion of this module.

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38 questions
Section: Anatomy of the Male External Genitalia

1

The male external genitalia include which of the following structures?

a) Bladder, scrotum, testes
b) Penis, bladder, scrotum
c) Penis, scrotum, testes
d) Scrotum, urethra, testes

2

The dorsal aspect of the penis refers to:

a) The lower plane from the penoscrotal junction to the tip
b) The upper plane from the pubic bone to the base
c) The upper plane from the penopubic junction to the tip
d) The lower plane from the pubic bone to the tip

3

The corpus of the penis is composed of:

a) Two corpora spongiosum
b) Three corpora spongiosum
c) One corpus spongiosum and two corpora cavernosa
d) One corpus cavernosum and two corpora spongiosum

4

Which fascia binds the spongy layers together from root to coronal sulcus?

a) Dartos fascia
b) Superficial fascia
c) Deep dorsal fascia
d) Buck’s fascia

5

The coronal sulcus is located:

a) At the base of the penis
b) Between the glans and the penile shaft
c) Within the foreskin
d) Between the urethra and glans

6

In circumcision, the foreskin is excised up to:

a) The glans
b) The prepuce
c) The coronal sulcus
d) The dorsal aspect

7

The prepuce has how many layers?

a) One layer
b) Two layers
c) Three layers
d) Four layers

8

Which structure is attached to the prepuce along the ventral raphe?

a. The corpus
b. The glans
c. The frenulum
d. The urethra

9

The primary arteries supplying the penis are branches of the:

a. Femoral artery
b. Pudendal artery
c. Iliac artery
d. Renal artery

10

Which vein drains into the prostatic venous plexus?

a. Superficial dorsal vein
b. Deep dorsal vein
c. Lateral dorsal vein
d. Inferior dorsal vein

11

he nerve supply to the penis primarily originates from which spinal segments?

a) S1-S3
b) S2-S4
c) L1-L3
d) T12-L2

12

The dorsal nerve of the penis is a terminal branch of the:

a) Sciatic nerve
b) Pudendal nerve
c) Femoral nerve
d) Splanchnic nerve
Section: Benefits of Circumcision

13

Which of the following is a documented benefit of circumcision?

a) Prevention of lung infections
b) Improved eyesight
c) Prevention of urinary tract infections
d) Increased muscle strength

14

Circumcision has been shown to reduce the risk of:

a) Common cold
b) Skin cancer
c) HIV infection
d) Bone fractures
Section: Indications

15

Which of the following is a medical indication for circumcision?

a) Ear infections
b) Dental problems
c) Respiratory issues
d) Phimosis

16

Circumcision may be performed for which of these reasons?

a) Religious and cultural preferences
b) High blood pressure
c) Nutritional deficiencies
d) Muscle pain
Section: Contraindications

17

Which condition is a contraindication for circumcision?

a) Epispadias
b) Asthma
c) Frequent headaches
d) Mild anemia

18

Circumcision should be avoided in a child with:

a) Low grade fever
b) Mild dehydration
c) Micropenis
d) Toothache
Section: Analgesia for Circumcision

19

Which method of pain relief is commonly used during circumcision?

a) Oral ibuprofen
b) Dorsal penile nerve block
c) Muscle relaxants
d) General anesthesia

20

What is the recommended analgesic for post-circumcision care?

a) Aspirin
b) Ibuprofen injection
c) Lidocaine injection
d) Acetaminophen (paracetamol)

21

The dorsal penile nerve block is administered at which position on the penis?

a) 12 O’clock
b) 6 O’clock
c) 2 O’clock and 10 O’clock
d) 3 O’clock and 9 O’clock

22

22. Which substance is typically used in a dorsal penile nerve block?

a) 1% plain lidocaine
b) 0.5% bupivacaine
c) Epinephrine
d) Local steroid injection

23

EMLA cream used for circumcision analgesia contains:

a) Lidocaine and prilocaine
b) Lidocaine and epinephrine
c) Bupivacaine and lidocaine
d) Prilocaine and epinephrine

24

How long before the circumcision should EMLA cream be applied?

a) 15 minutes
b) 30 minutes
c) 60 minutes
d) 90 minutes
Section: Types of Circumcision

25

Which of the following is a device used in circumcision?

a) Scalpel
b) Plastibell
c) Sutures
d) Forceps

26

In a Gomco circumcision, the device is:

a) Left in place permanently
b) Left in place for several weeks
c) Attached to a catheter
d) Removed immediately after excision
Section: Post Circumcision (post procedure) Care

27

After a circumcision, parents are advised to:

a) Forcefully remove the dressing if it doesn’t fall off
b) Avoid feeding the child
c) Allow the Plastibell to fall off naturally
d) Restrict the child’s movement

28

Parents should contact the doctor if they notice:

a) Slight redness around the incision
b) Plastibell falls off within one day
c) The child is feeding normally
d) Bleeding that doesn’t stop with pressure
Section: Complications of Circumcision

29

Which is a potential intra-operative complication of circumcision?

a) Haemorrhage
b) Infection
c) Fever
d) Constipation

30

A retained Plastibell after circumcision is classified as:

a) An early post-operative complication
b) A desired outcome
c) A late post-operative complication
d) A harmless occurrence

31

Which of the following is a common cause of post-circumcision bleeding?

a) Trauma to the foreskin
b) Injury to the frenula artery
c) Poor suturing technique
d) Use of non-absorbable sutures

32

Haematoma after circumcision is most commonly caused by:

a) Infection
b) Excessive use of anesthesia
c) Needle puncture of a vessel

33

Which complication involves partial or complete removal of the glans or penile tissue?

a) Haematoma
b) Adhesions
c) Penile amputation
d) Infection

34

What is the recommended action if a child develops a glans laceration during circumcision?

a) Apply a firm bandage and discharge the patient
b) Apply simple interrupted sutures and refer if severe
c) Administer antibiotics immediately
d) Do nothing, as it will heal on its own

35

A severe post-circumcision infection that can be life-threatening is known as:

a) Necrotizing fasciitis
b) Phimosis
c) Urethral fistula
d) Cicatrix

36

Retained Plastibell can lead to serious complications such as:

a) Complete healing of the foreskin
b) Proximal migration and loss of penile skin
c) Increased risk of urinary tract infections
d) Improved cosmetic outcome

37

Which late complication of circumcision involves the formation of a small cyst under the skin?

a) Adhesion
b) Urethro-cutaneous fistula
c) Implantation dermoid cyst
d) Glans necrosis

38

Urethro-cutaneous fistula may occur as a result of:

a) Improper hygiene post-procedure
b) Skin irritation from sutures
c) Insufficient use of anesthetic
d) Accidental ligature of part of the urethra


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Authors SAFE PAEDIATRIC MALE CIRCUMCISION SIMULATOR
License CC-BY-SA-4.0
Language English (en)
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Created March 16, 2025 by SAFE PAEDIATRIC MALE CIRCUMCISION SIMULATOR
Last edit December 17, 2025 by Felipe Schenone
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