Pathophysiology Ch 19 Reproductive System

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Pathophysiology Ch 19 Reproductive System - Quiz

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Questions and Answers
  • 1. 
    All of the following women would be considered at high risk of developing breast cancer except...
    • A. 

      Whose grandmother had breast cancer

    • B. 

      Who has 7 children

    • C. 

      Who started her period at 9 years of age

    • D. 

      Whose first pregnancy was at 42 years old

  • 2. 
    Which of the following sexually transmitted diseases have been linked to the development of cervical cancer?
    • A. 

      Syphillis

    • B. 

      Human papillomavirus

    • C. 

      Herpes simplex 2

    • D. 

      Chlamydia

    • E. 

      Gonorrhea

  • 3. 
    Which of the following factors predispose a woman to the development of endometrial cancer?
    • A. 

      Fibroids

    • B. 

      Irregular menstral periods

    • C. 

      Increased estrogen levels

    • D. 

      Exposure to sexually transmitted infections

  • 4. 
    Which of the following apply to benign prostatic hyperplasia?
    • A. 

      Positive psa (prostatic specific antigen) test

    • B. 

      It is a benign growth that might become malignant

    • C. 

      The gland becomes small, nodular, and firm.

    • D. 

      Complaints of hesitancy and decreased urinary stream

  • 5. 
    Which statement about the testes is TRUE?
    • A. 

      Each testis contains the ductus deferens.

    • B. 

      The testes are suspended by the spermatic cord.

    • C. 

      Each testis has its own scrotal sac and seminal vesicle.

    • D. 

      The testes must be kept at a temperature slightly above body temperature.

  • 6. 
    Which statement about spermatogenesis is TRUE?
    • A. 

      The complete process takes about 28 days.

    • B. 

      Maturation of sperm takes place in the seminal vesicles.

    • C. 

      It is controlled by FSH and testosterone.

    • D. 

      The process is initiated after each ejaculation.

  • 7. 
    Which of the following may result from cryptorchidism?
    • A. 

      A. Infertility

    • B. 

      B. Testicular cancer

    • C. 

      Both A and B

    • D. 

      Neither A or B

  • 8. 
    Which term refers to excessive fluid collecting between the layers of the tunica vaginalis?
    • A. 

      Varicocele

    • B. 

      Hypospadias

    • C. 

      Spermatocele

    • D. 

      Hydrocele

  • 9. 
    Which of the following are common early significant signs of acute prostatitis?
    • A. 

      A hard nodule in the gland and pelvic pain

    • B. 

      Soft, tender, enlarged gland and dysuria

    • C. 

      Hesitancy and increased urinary output

    • D. 

      Mild fever, vomiting, and leucopenia

  • 10. 
    Which of the following applies to benign prostatic hypertrophy?
    • A. 

      The tumor usually becomes malignant in time

    • B. 

      The gland becomes small, nodular, and firm

    • C. 

      Manifestations include hesitancy, dribbling, and frequency

    • D. 

      Lower abdominal or pelvic pain develops

  • 11. 
    Why does frequency occur with benign prostatic hypertrophy?
    • A. 

      Increased volume of dilute urine

    • B. 

      Irritation of the bladder and urethra

    • C. 

      Impaired micturitaion reflex

    • D. 

      Incomplete emptying of the bladder

  • 12. 
    Which of the following is the common first site for metastasis from prostatic cancer?
    • A. 

      Bone

    • B. 

      Lungs

    • C. 

      Liver

    • D. 

      Testes

  • 13. 
    Which of the following is NOT a characteristic of leukorrhea during the reproductive years?
    • A. 

      It is clear or whiteish

    • B. 

      It has a pH of 4 to 5

    • C. 

      It does not contain any cells

    • D. 

      It contains mucus

  • 14. 
    Which of the following applies to the corpus luteum?
    • A. 

      It forms a mature ovarian follicle

    • B. 

      It secretes hCG

    • C. 

      It secretes estrogen and progesterone during the last half of the menstrual cycle.

    • D. 

      It produces gonadotropins for the next cycle.

  • 15. 
    Why does severe pain occur with each menstrual cycle in endometriosis?
    • A. 

      Obstruction in the fallopian tubes

    • B. 

      Inflammation around ectopic endometrial tissue

    • C. 

      Hormonal imbalance causing uterine contractions

    • D. 

      Fibrous tissue responding to hormonal changes

  • 16. 
    With pelvic inflammatory disease, why does infection spread easily into the peritoneal cavity?
    • A. 

      The fallopian tubes are obstructed, and purulent exudate cannot drain into the uterus.

    • B. 

      The uterus is perforated because of infection, allowing bacteria to leak out.

    • C. 

      Most of the primary infections do not respond to antimicrobial drugs.

    • D. 

      Microbes are highly virulent

  • 17. 
    Which of the following is a common complication of leiomyomas?
    • A. 

      Development of malignancy

    • B. 

      Irregular menstral cycles

    • C. 

      Interference with ovulation

    • D. 

      Abnormal bleeding such as menorrhagia

  • 18. 
    Which of the following refers to fibrocystic breast disease?
    • A. 

      Progressive development of fluid-filled cysts and fibrous tissue

    • B. 

      Proliferation of atypical cells with high risk of malignancy

    • C. 

      Benign tumors that develop after menopause

    • D. 

      Any tissue changes other than the normal response to hormonal changes

  • 19. 
    Which of the following applies to carcinoma of the breast?
    • A. 

      It presents as a tender, painful, firm nodule.

    • B. 

      Tumor cells may demonstrate estrogen receptors on the membrane.

    • C. 

      Occasionally, a genetic factor may have a small role in tumor development.

    • D. 

      The tumor is invasive but does not metastasize until very late.

  • 20. 
    Which is considered to be the stage of carcinoma in situ in cervical cancer?
    • A. 

      The invasive stage

    • B. 

      The stage of mild dysplasia

    • C. 

      The time before it can be detected by a Pap test

    • D. 

      Noninvasive severe dysplaisa

  • 21. 
    What is a major predisposing factor to cervical cancer?
    • A. 

      High estrogen levels

    • B. 

      Familial incidence

    • C. 

      Infection with HPV

    • D. 

      Early age of onset for menstral cycles

  • 22. 
    What is a significant early sign of endometrial carcinoma?
    • A. 

      A positive Pap test

    • B. 

      Minor vaginal bleeding or spotting

    • C. 

      Infection resistance to treatment

    • D. 

      Painful intercourse

  • 23. 
    Which is/are sexually transmitted infection(s) usually considered asymptomatic in women?
    • A. 

      Chlamydia

    • B. 

      Gonorrhea

    • C. 

      Syphilis

    • D. 

      All of the above

  • 24. 
    Which of the following frequently causes PID and subsequent infertility?
    • A. 

      Chlamydia

    • B. 

      Genital warts

    • C. 

      Trichomoniasis

    • D. 

      Herpes simplex

  • 25. 
    Which of the following causes inflammation of the vagina with a copious yellow discharge and foul odor?
    • A. 

      Candidiasis

    • B. 

      Trichomoniasis

    • C. 

      Syphilis

    • D. 

      Gonorrhea

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