Ch23: Alterations of the Reproductive Systems

Question 0

1. The cause of dysmenorrhea usually involves:
   a. excessive endometrial prostaglandin production
   b. failure of ovarian follicle maturation
   c. decreased myometrial contractions
   d. purulent material draining from the uterine tube

Answer 0

a. excessive endometrial prostaglandin production

Question 1

2. Secondary amenorrhea is:
   a. failure to begin menstruation by age 20
   b. menarche failure
   c. increased myometrial vasculature constriction
   d. the absence of menstruation following menarche

Answer 1

d. the absence of menstruation following menarche

Question 2

3. What is the LIKELY pathophysiology of PMS?
   a. elevated prolactin levels cause salt & h2o retention
   b. elevated aldosterone levels cause salt & h2o retention
   c. an abnormal nervous, immunologic, vascular, & GI response to the menstrual cycle is causative
   d. both a & b are correct

Answer 2

c. an abnormal nervous, immunologic, vascular, & GI response to the menstrual cycle is causative

Question 3

4. A yeast vaginitis may caused by:
   a. an overgrowth of Candida albicans
   b. a declining number of lactobacilli
   c. the chronic use of antibiotics
   d. a, b,&c are correct
   e. none of the above

Answer 3

d. a, b,&c are correct

Question 4

5. Vulvovestibulitis:
   a. is inflammation of cervix
   b. can be caused by contact w/ perfumed toilet paper/menstrual pads
   c. is an inflammation of the Bartholin gland
   d. is a vaginal infection that has spread to the labia
   e. both b & c are correct

Answer 4

e. both b & c are correct

Question 5

6. Ovarian cancer exhibits
   a. smooth muscle lesion features
   b. human papillomavirus infection
   c. ectopic endometrial functioning tissue
   d. increased serum levels of CA-125
   e. both b & c are correct

Answer 5

d. increased serum levels of CA-125

Question 6

7. Depressed T-cell function is associated w/:
   a. follicular cyst
   b. endometrial polyps
   c. leiomyomas
   d. adenomyosis
   e. endometriosis

Answer 6

e. endometriosis

Question 7

8. It is possible that repeated pregnancies cause:
   a. ovarian cysts
   b. endometriosis
   c. leiomyomas
   d. adenomyosis
   e. polyps

Answer 7

d. adenomyosis

Question 8

9. A 42 yo retired prostitute who became sexually active at 14 yo is at risk to develop:
   a. endometriosis
   b. cervical carcinoma
   c. breast cancer
   d. uterine carcinoma

Answer 8

b. cervical carcinoma

Question 9

10. Your neighbor’s obese grandmother has breast Ca. Your neighbor’s risk are greatest for which of the following types of Ca?
    a. cervical
    b. vaginal
    c. endometrial
    d. ovarian

Answer 9

c. endometrial

Question 10

11. Painful intercourse is:
    a. the inability to achieve orgasm
    b. inhibited sexual desire
    c. muscle spasm in response to attempted penetration
    d. dyspareunia

Answer 10

d. dyspareunia

Question 11

12. Female breast ca pathophysiology involves:
    a. BRCA1 & BRCA2 mutations
    b. reactive oxygen species
    c. endogenous & exogenous estrogens & their receptors
    d. Her-2/neu gene mutations
    e. all of the above

Answer 11

e. all of the above

Question 12

13. Phimosis
    a. a thickening of the fascia in the erectile tissue of the corpora cavernosa
    b. a condition in which a retracted foreskin cannot be forward
    c. a condition in which the foreskin cannot be retracted
    d. caused by poor hygiene & chronic infection
    e. both c & d are correct

Answer 12

b. a condition in which a retracted foreskin cannot be forward

Question 13

14. A varicocele is an intrascrotal disorder that:
    a. results in a collection of fluid w/in the tunica vaginalis
    b. occurs b/c of independent/congenially absent valves in the spermatic veins
    c. is located btw head of epididymis & testis
    d. does not interfere w/ spermatogenesis

Answer 13

d. does not interfere w/ spermatogenesis

Question 14

15. Cryptorchidism is:
    a. underdevelopment of testes
    b. absence of scrotal tissue
    c. relieved by scrotal support
    d. failure of testes to descend into the scrotum
    e. imbalance btw secreting & absorptive capacities of scrotal tissues

Answer 14

d. failure of testes to descend into the scrotum

Question 15

16. The infectious cause of orchitis is:
    a. streptococci
    b. gonococci
    c. chlamydial organisms
    d. mumps virus

Answer 15

d. mumps virus

Question 16

17. Which of the following organisms can cause epididymitis?
    a. Enterobacteriaceae
    b. Neisseria gonnorrhoeae
    c. Pseudomonas aeruginosa
    d. All of the above
    e. None of the above

Answer 16

d. All of the above

Question 17

18. In benign prostatic hyperplasia, enlargement of periurethral tissue of prostate causes:
    a. obstruction of urethra
    b. inflammation of testis
    c. decreased urinary outflow from the bladder
    d. abnormal dilation of a vein w/in the spermatic cord
    e. tension of the spermatic cord & testis

Answer 17

a. obstruction of urethra

Question 18

19. A major cause of recurrent UTI in male is:
    a. orchitis
    b. balanitis
    c. epididymitis
    d. chronic bacterial postatitis
    e. nonbacterial prostatitis

Answer 18

d. chronic bacterial postatitis

Question 19

20. A S/S of late-stage prostatic cancer is:
    a. a slo urinary system
    b. frequency of urination
    c. incomplete emptying of bladder
    d. mental confusion
    e. a,b,&c are correct

Answer 19

d. mental confusion

Question 20

21. Male sexual dysfn may be caused by:
    a. infection around introitus
    b. DM
    c. infected hymenal remnants
    d. None of the above

Answer 20

b. DM

Question 21

22. Which of the following is TRUE about acute pelvic inflammatory dz (PID):
    a. it primarily affects males
    b. it is usually caused by viruses
    c. it never causes peritonitis
    d. it involves the epididymis
    e. it may cause infertility/ tubular pregnancy

Answer 21

e. it may cause infertility/ tubular pregnancy

Question 22

23. Female breast disorders exhibiting proliferative lesions w/ atypia have:
    a. no added risk for cancer development
    b. similar risks for fibrocystic dz
    c. slightly increased risk for cancer development
    d. increased risk for cancer development

Answer 22

d. increased risk for cancer development

Question 23

24. Breast cancer:
    a. exhibits fluctuating lesion size
    b. pain increases as menstruation approaches
    c. exhibits painless lumps
    d. at age 50 yrs affects 1 in 200 females

Answer 23

c. exhibits painless lumps

Question 24

25. After metastasis, female breast manifest as:
    a. nipple puckering
    b. bone pain
    c. nipple discharge
    d. skin refraction over the lesion

Answer 24

b. bone pain