Deck 33: Alterations of the Female Reproductive System

Question 1

A 21-year-old female is infected with human papillomavirus (HPV) following unprotected sexual intercourse with a male she recently met. She is now at higher risk of developing which of the following cancers?

A) Cervical
B) Ovarian
C) Endometrial
D) Vulvar

Answer 1

Cervical

Question 2

A 30-year-old female with newly diagnosed polycystic ovary syndrome (PCOS) is being counselled by her OB-GYN. The physician indicates that this condition often results in:

A) ovarian cancer.
B) infertility.
C) early menopause.
D) pelvic inflammatory disease.

Answer 2

infertility.

Question 3

An 18-year-old female is diagnosed with dysmenorrhea. Which of the following symptoms will she most likely experience?

A) Absence of menstruation
B) Painful menstruation
C) Unusually long menstrual period
D) Menstrual irregularity

Answer 3

Painful menstruation

Question 4

The most commonly occurring cancer of the female reproductive tract is _____ cancer.

A) cervical.
B) ovarian.
C) endometrial.
D) fallopian.

Question 5

During a routine pelvic examination, a 34-year-old female is found to have an ovarian cyst containing skin, hair, cartilage, and bone. This cyst is classified as a _____ cyst.

A) follicular
B) dermoid
C) corpus luteal
D) micro

Question 6

A 35-year-old nonpregnant female presents with breast discharge and is diagnosed with galactorrhea. The condition is most likely caused by:

A) infection.
B) prolactin imbalance.
C) tissue injury.
D) cancer.

Question 7

A 38-year-old female was recently diagnosed with cancer. She learns that her mother almost miscarried while pregnant with her and was given diethylstilbestrol (DES) to prevent it. Which of the following cancers does she most likely have?

A) Endometrial
B) Vaginal
C) Cervical
D) Uterine

Question 8

A 20-year-old female presents with pelvic and back pain severe enough to miss work beginning with the onset of menses. Physical examination supports the diagnosis of primary dysmenorrhea. What is the most likely cause of her condition?

A) Lack of estrogen
B) Stress
C) Elevated prostaglandins
D) Poor nutrition

Question 9

The nurse would anticipate the treatment for pelvic organ prolapse to be:

A) insertion of a urinary catheter.
B) a pessary.
C) dietary fibre.
D) urinary antispasmodics.

Question 10

Which of the following signs is usually the first clinical manifestation of breast cancer?

A) Dimpling
B) Nipple discharge
C) Chest pain
D) A painless lump

Question 11

A 35-year-old female is diagnosed with endometriosis. Suppressing which of the following would be the most appropriate medical treatment for this disease?

A) Infection
B) Ovulation
C) Prostaglandins
D) Fertilization

Question 12

A 40-year-old female presents with cramping and excessive vaginal bleeding. Ultrasound reveals benign uterine tumours in the smooth muscle cells of the myometrium. These tumours are commonly called:

A) adenomyosis.
B) endometriosis.
C) leiomyomas.
D) adenomas.

Question 13

A 23-year-old sexually active female presents with white copious discharge and itch and is diagnosed with yeast vaginitis. This condition is caused by overgrowth of which micro-organism?

A) Escherichia coli
B) Lactobacillus acidophilus
C) Candida albicans
D) Neisseria gonorrhoeae

Question 14

Which of the following conditions contribute to dysfunctional uterine bleeding (DUB)? (Select all that apply.)

A) Polycystic ovarian syndrome (PCOS)
B) Obesity
C) Thyroid disease
D) Hepatitis
E) Excessive exercise

Question 15

A 35-year-old female is diagnosed with ovarian cancer. CT scan reveals that the cancer is limited to the ovaries. It would be classified as stage:

A) I.
B) II.
C) III.
D) IV.

Question 16

What is the descent of the bladder and the anterior vaginal wall into the vaginal canal called?

A) Rectocele
B) Varicocele
C) Cystocele
D) Urethrocele

Question 17

A 25-year-old female presents with amenorrhea and hirsutism and is diagnosed with polycystic ovary syndrome (PCOS). What will laboratory testing most likely reveal?

A) Estrogen deficit
B) Genetic cancerous mutations
C) Cortisol excess
D) Hyperinsulinemia