Unit 3 Module 2: Reproductive Flashcards
A woman needs to be tested for human papilloma virus. What test should be done?
A cell sample from the cervix and tested for HPV *. Remember HPV testing is not the same as a pap smear, but is an additional sample that is taken from the cervix.
In which stage of syphilis is this symptom found?
Painless chancre is present at site of exposure
Primary
What are the classic triad symptoms of endometriosis? (another damn select all that apply)?
- dysmenorrhea
- menorrhagia
- dyschezia
- infertility
- dyspareunia
- dysmenorrhea
- infertility
- dyspareunia
The others listed are symptoms of endometriosis, but not the classic triad.
T/F: Women with triple negative breast cancer are lucky since there is receptor targeted therapy that is quite effective.
False. No one with cancer is “lucky.” AND Triple negative means Estrogen receptor, progesterone and HER2 receptor negative. This type of cancer is usually receptive to chemo, but not therapy targeted at receptors. It tends to be a more aggressive cancer with a high relapse rate.
A patient comes into the clinic with suspected cold sores on his mouth. What action should the nurse take?
- Tell the patient he has herpes simplex virus infection.
- Put a surgical mask on the patient.
- Tell the patient that antibiotic therapy will cure his cold sores.
- Wear gloves when assessing the patient.
Wear gloves when assessing the patient.
HPV has been associated with other cancers in addition to cervical cancer. SELECT ALL THAT APPLY to indicate what other types of cancers have been associated with HPV.
- rectal
- oral
- breast
- penile
- vaginal
- rectal
- oral
- penile
- vaginal
Which two strains of HPV are associated with cervical cancer?
HPV type 16 & 18 cause 80% of all cervical cancer cases.
Which of the following are caused by the HPV virus?
- psoriasis
- impetigo
- plantar warts
- cold sores
- some rectal cancers
- genital warts
- plantar warts
- some rectal cancers
- genital warts
In which stage of syphilis is this symptom found?
Maculopapular rash on chest, palms of hands and feet present
Secondary
How does the body normally respond to HPV? This helps explain the change in the guidelines for Pap smears.
The body normally eradicates the virus on its own.
The screening guidelines changed to first pap at the age of 21 or 3 years after first intercourse due to many positive responses. The body normally clears HPV on its own. Delaying screening gives the body the chance to do this.
A woman is having a speculum exam with a specimen taken for a pap smear. The goal is to take a sample of which cervical cells for evaluation under a microscope to look for cervical cancer changes?
- outer ring of the cervix
- squamous epithelial cells
- columnar epithelium cells
- cells in the transformation zone
Cells in the transformation zone
What are some risk factors for prostate cancer? SATA:
- African American background
- diet high in meat and fat
- multiparity (fathered many kids)
- increasing age (Ex. over the age of 65)
- family history
- African American background
- diet high in meat and fat
- increasing age (Ex. over the age of 65)
- family history
Which of the following has been identified as a dietary addition that is protective against prostate cancer?
- Red meat
- Eating foods higher in fat like avocados and nuts
- Drinking green tea
- Diet high in supplements
Drinking green tea
What is the most typical scenario for a patient with Chlamydia?
- Patient comes to the clinic with complaints of profound vaginal itching.
- The infection was found incidentally during a vaginal swab exam.
- Patient comes to the clinic with complaints of profound vaginal itching.
- The patient reports having frequent outbreaks of this infection over the last 5 years.
The infection was found incidentally during a vaginal swab exam.
The nurse understands endometriosis to be:
- A condition that is very painful and is worse with constipation.
- Tissue that should be in the uterus is found in other areas and goes through changes with the menstrual cycle.
- A benign growth of ovarian tissue that responds to hormone stimulation.
- An inflammatory condition that is aggravated by hormonal changes with menses.
Tissue that should be in the uterus is found in other areas and goes through changes with the menstrual cycle.
A patient tells the nurse that she has adhesions from endometriosis. The nurse understands this to be:
Scar tissue
T/F: The symptoms of prostate cancer can look like the symptoms of benign prostatic hyperplasia.
True
Prostate cancer is usually asymptomatic in the early stages and then as it advances the symptoms are similar to BPH. Advanced disease can have symptoms from the metastasis.
Which STI am I?
Very painful or itching sensation occurs prior to the presence of lesions.
HSV
Which statement is characteristic of testicular cancer?
- Men at highest risk for testicular cancer are men over 50 years of age.
- Men are taught to do monthly testicular exams as a screening method.
- Testicular cancer masses should transilluminate when examined.
- Most patients seek treatment due to a painful mass in the testicle.
Men are taught to do monthly testicular exams as a screening method.
TSE is encouraged to young men (15-35), as they are most at risk. The mass is painless and does not trans-illuminate (like a fluid fill cyst would).
A 16-year old female starts to become sexually active for the first time and contracts HPV infection. What does the nurse expect to happen?
The patient’s body will most likely eradicate the virus on its own.
