Alterations of Reproductive System

Question 1

What does copious, malodorous and possibly irritating vaginal discharge indicate?

Answer 1

Vaginitis-an infection of vagina caused by sexually transmitted bacteria cadida albicans

Question 2

What is the normal pH of a vagina?

Answer 2

4-4.5

Question 3

Where are ______ fibroids found?

1. Pendunculated
2. Intracavitary
3. Intramural
4. Submucous
5. Subserous

Answer 3

1. attached to uterine wall via stalk like growth (penduncle!)
2. a pedunculated fibroid within uterine cavity
3. within muscular uterine wall
4. bulge into uterine cavity
5. project outside wall of uterus

Question 4

Pt presents with abnormal uterine bleeding, pain and dysuria
Upon palpation, the HCP notes a hard and lumpy uterus
What does the HCP suspect is the cause?

Answer 4

Leiomyomas/Fibroids

Question 5

What is a myomectomy?

Answer 5

Surgical removal of fibroids

Question 6

In what condition is endometrial tissue spread through the vascular system leading to the presence of endometrial cells that respond to hormonal cycles outside of the uterus?

Answer 6

Endometriosis

Question 7

What are the S&S of endometriosis?

Answer 7

Infertility, pain, dysmenorrhea, dyschezia, dyspareunia

Question 8

What are the three stages of cervical cancer

Answer 8

Cervical epithelial neoplasia
Carcinoma in situ
Invasive carcinoma of the cervix

Question 9

What happens in invasive carcinoma of the cervix?

Answer 9

direct invasion into adjacent tissues

Affects uterus and pelvic wall, travels through lymph

Question 10

What are risks for ovarian cancer?

Answer 10

1st degree relatives with ovarian or breast cancer
Use of fertility drugs and hormone therapy or diet low in fruits and veg and high in fat
Early menarche, late menopause, nulliparity