REPRODUCTIVE

Question 1

What are 3 symptoms of ectopic pregnancy?

Answer 1

1. Abdominal/pelvic pain
2. Vag bleeding
3. Referred shoulder pain (tubal rupture)

Question 2

What life threatening complication can result from PID?

Answer 2

Abscess formation leading to peritonitis and sepsis

Question 3

What imaging study is done to diagnose BPH?

Answer 3

Transrectal ultrasonography (TRUS)

Question 4

What are 2 classes of drugs used to treat BPH?

Answer 4

Alpha adrenergic receptor blockers (e.g. tamsulosin)

5a-reductase inhibitors (e.g. dutasteride)

Question 5

How do DRE findings differ for BPH, prostatitis, and prostate Ca?

Answer 5

1. BPH: symmetrically enlarged, firm, smooth
2. Prostatitis: swollen, tender, firm
3. Prostate Ca: hard, nodular, asymmetrical

Question 6

What type of hormone therapy is used for trans men (AFAB)?

Answer 6

Testosterone esters

Question 7

What type of hormone therapy is used for trans women (AMAB)?

Answer 7

17 beta-estradiol

Question 8

What is an adverse effect of hormone therapy?

Answer 8

Decreased fertility

Question 9

What is the action of GNRH agonist?

Answer 9

Inhibits the production of sex hormones for both trans men and women

Question 10

What is the purpose of OCP, DMPA, and IUD for trans men?

Answer 10

Hormone blockers: reduces menses

Question 11

What are 3 complications to monitor for with trans men who take hormone blockers?

Answer 11

1. Bone health
2. Cardiac rhythm
3. VTE

Question 12

What are 2 hormone blockers other than GNRH agonists used with trans women (AMAB)?

Answer 12

Spironolactone

Cyproterone acetate

Question 13

What are 2 complications to monitor for with hormone blockers in trans women (AMAB)?

Answer 13

1. Sexual dysfunction
2. Electrolyte imbalance

Question 14

What surgeries are performed in pelvic exenteration?

Answer 14

1. Hysterectomy
2. Vaginectomy
3. Cystectomy
4. Urinary diversion
5. Colon & rectum resection
6. Colostomy

Question 15

How is a TURP performed?

Answer 15

Scope inserted through urethra to access prostate

Question 16

What organs are removed in a radical prostatectomy?

Answer 16

1. Prostate
2. Seminal vesicles
3. Bladder neck (ampulla)

Question 17

How should CBI flow be managed?

Answer 17

1. Bright red output = clamp wide open
2. Pink/tea coloured output = moderate flow
3. Clear output = low flow

Question 18

What complications should be monitored for in patient with CBI?

Answer 18

1. Clot retention
2. Hemorrhage
3. Bladder spasm
4. Incontinence
5. UTI

Question 19

What patient teaching should be provided for patients after prostatectomy?

Answer 19

1. Pelvic floor exercises
2. Avoid straining
3. Limit caffeine, citrus, alcohol

Question 20

What is the HEEADSSS psychosocial assessment for trans patients?

Answer 20

Home
Education & employment
Eating
Activities
Drugs
Sexuality
Suicide
Safety

Question 21

What is important to monitor with phalloplasty, and why?

Answer 21

Fluid balance–graft prone to fluid loss

Question 22

What are 2 potential complications after reproductive surgeries, and why?

Answer 22

1. Infection: due to potential contact with stool
2. Ischemia: due to pressure from patient positioning

Question 23

Why are laxatives given to patients after reproductive surgeries?

Answer 23

Avoid bearing down

Question 24

If the nurse suspects a urine leak in the surgical drain, how can this be confirmed?

Answer 24

Send fluid for creatinine

Question 25

What is the term for dilutional hyponatremia due to continuous bladder irrigation?

Answer 25

TURP syndrome

Question 26

What graft problems with prevent the tissue taking to the new site?

Answer 26

Blood or pus buildup underneath the graft

Question 27

What is the most common tissue donor site for phalloplasty?

Answer 27

Skin of forearm and radial artery