Deck 2: Womens Bodies

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Question
The scientific term used to describe the entire female external genital area is

A) mons.
B) labia.
C) vulva.
D) vagina.
E) perineum.
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Question
A slim woman complains of external pain during intercourse when her partner lies on top of her. This may be due to very little fatty tissue of the

A) perineum.
B) mons.
C) clitoris.
D) labia minora.
E) labia majora.
Question
A woman who shaves off all of her public hair

A) increases the chance that sperm will penetrate the vagina.
B) decreases the risk of sexually transmitted diseases.
C) may be inadvertently lowering her fertility.
D) eliminates the mons.
E) reduces vaporizing odors that act as pheromones.
Question
Which response lists the parts of a woman's vulva from outermost to innermost?

A) Labia minora, clitoris, vaginal opening, mons
B) Clitoris, vaginal opening, labia majora, mons
C) Vaginal opening, labia minora, mons, clitoris
D) Labia majora, mons, clitoris, vaginal opening
E) Mons, labia majora, labia minora, vaginal opening
Question
At puberty, a young woman shows signs of menstruation but produces no visible menstrual blood. She is experiencing abdominal pain. A doctor would likely check her for

A) a urethral blockage.
B) an imperforate hymen.
C) a torn perineum.
D) candidiasis.
E) a sealed pelvic floor.
Question
Refer to the figure.
<strong>Refer to the figure.   The correct labels for the lettered structures are</strong> A) A: clitoral glans; B: vagina; C: anus; D: clitoral crura B) A: clitoral glans; B: anus; C: vagina; D: inner labia C) A: clitoral hood; B: urethra; C: vagina; D: corpora cavernosa D) A: clitoral shaft; B: urethra; C: vagina; D: clitoral crura E) A: clitoral shaft; B: urethra; C: vulva; D: perineum <div style=padding-top: 35px> The correct labels for the lettered structures are

A) A: clitoral glans; B: vagina; C: anus; D: clitoral crura
B) A: clitoral glans; B: anus; C: vagina; D: inner labia
C) A: clitoral hood; B: urethra; C: vagina; D: corpora cavernosa
D) A: clitoral shaft; B: urethra; C: vagina; D: clitoral crura
E) A: clitoral shaft; B: urethra; C: vulva; D: perineum
Question
A key function of the clitoris is to

A) provide sexual pleasure for the female.
B) aid in the retention of sperm.
C) enhance excitement for the male.
D) provide lubrication to facilitate coitus.
E) facilitate female ejaculation.
Question
During sexual arousal, erection of the _______ helps to lengthen and stiffen the vagina.

A) outer labia
B) glans
C) Bartholin's glands
D) birth canal
E) vestibular bulbs
Question
Which statement correctly describes the clitoris?

A) It is made up of only a tiny, pearl-size structure called the glans.
B) It is located deep within the vaginal wall.
C) It is absent from birth in many women.
D) It becomes larger and firmer with sexual arousal.
E) It cannot be seen or felt.
Question
The glans of the clitoris is typically visible in a non-aroused state but often disappears with sexual arousal. What physical changes during arousal would explain this?

A) The clitoral hood enlarges as it fills with blood.
B) The glans stiffens and enlarges during arousal.
C) The glans releases smegma during arousal.
D) The corpora cavernosa empties.
E) The vestibular bulbs shrink.
Question
A woman's _______ shows the most structural and functional similarity to a man's penis.

A) vagina
B) clitoris
C) outer labia
D) inner labia
E) mons
Question
Piercing the clitoral hood or labia

A) is losing popularity in the United States.
B) is illegal in the United States.
C) may increase sexual stimulation.
D) indicates deep psychological problems.
E) is considered a form of female circumcision.
Question
The type of female circumcision called infibulation involves removal of the

A) cervix.
B) entire labia majora.
C) entire labia minora.
D) crura.
E) vestibule.
Question
Female circumcision (or female genital cutting) is illegal in the United States. Given that, why might the American Academy of Pediatrics have once considered recommending the legalization of the least invasive form of the practice?

A) To reduce the incentive for parents to send their daughters to their native countries for more invasive and risky procedures.
B) To stop families in other countries from practicing infibulation
C) To reduce the harsh criminal penalties for all forms of female circumcision
D) To make proper hygiene possible
E) To emphasize an ethical difference between harmless and harmful forms of female circumcision.
Question
Why might a young girl in the United States choose genital cutting, even though the practice is against U.S. law?

A) It may reduce the risk of rape.
B) It may be an important part of her culture.
C) It will protect her from sexually transmitted diseases.
D) It is an effective form of birth control.
E) It establishes that she is sexually off limits to men.
Question
A yeast infection, or candidiasis, is the result of

A) overreliance on vaginal lubricants.
B) unprotected sex.
C) overactive mucosa.
D) a mildly acidic vagina.
E) an overgrowth of fungal organisms.
Question
An anxious teenager consistently notices increased vaginal discharge about a week after her period. She is not experiencing pain, itching, or unusual odor. Her doctor is likely to tell her that

A) changes in cervical mucus are normal during the menstrual cycle.
B) changes in cervical mucus are unusual in healthy women.
C) her symptoms suggest an easily treatable yeast infection.
D) she should be tested for cancer with a Pap smear.
E) the increased discharge suggests endometriosis.
Question
A woman visits her doctor because urine leaks when she sneezes and she has had difficulty attaining orgasm since the birth of her child. Her doctor is likely to diagnose

A) a swollen paraurethral gland.
B) cervical cancer.
C) infibulation.
D) weak pelvic floor muscles.
E) a septate hymen.
Question
Which portion of the female reproductive tract is likely to become stretched during childbirth?

A) Paraurethral gland
B) Clitoris
C) Vagina
D) Bladder
E) Urethral opening
Question
The _______ is a controversial area of heightened sensitivity on the front wall of the vagina.

A) glans
B) perineum
C) Gräfenberg spot (G-spot)
D) urethra
E) hymen
Question
A possible anatomical basis for the G-spot is the

A) paraurethral glands.
B) internal sphincter muscles.
C) external sphincter muscles.
D) pubococcygeus muscle.
E) perineum.
Question
A woman who wants to have anal sex is having difficulty relaxing her anus enough to make penetration comfortable. Which technique is likely to be the most effective solution?

A) Squeezing and releasing her external sphincter each day to build strength
B) Squeezing and releasing her internal sphincter each day to build strength
C) Lubricating her rectum
D) Practicing penetration with narrow objects to develop voluntary control over her external sphincter
E) Practicing penetration with narrow objects to develop voluntary control over her internal sphincter
Question
Why do most women need a lubricant in order to engage in anal sex comfortably?

A) Because women in general do not find anal sex arousing.
B) Because this woman in particular does not find anal sex arousing.
C) Because she has not yet learned how to relax her external sphincter.
D) Because the anal mucosa does not produce much lubrication.
E) Because her vagina is producing a below-average amount of lubrication.
Question
Which statement about anal sex is true?

A) Only homosexual men engage in anal penetration.
B) Anal stimulation is pleasurable for men but not for women.
C) Condoms do not offer protection against STIs during anal sex.
D) The internal sphincter muscles open easily during anal sex.
E) Anal sex typically requires use of a lubricant.
Question
Jane is in labor but her uterine contractions are too weak for a successful delivery. Her doctor gives her the drug Pitocin, which increases contraction strength. To have this effect, Pitocin must stimulate the

A) myometrium.
B) endometrium.
C) perimetrium.
D) pubococcygeus muscles.
E) cervix.
Question
Many pregnant women find themselves needing to urinate frequently. One reason for this is that

A) the uterus becomes too weak to support the bladder during pregnancy.
B) the uterus sits on top of the bladder.
C) the bladder is connected to the vestibule.
D) the urethra originates in the uterus.
E) the perineum becomes heavier during pregnancy.
Question
Refer to the figure
<strong>Refer to the figure   The correct labels for the lettered structures are</strong> A) A: fimbria; B: ovaries; C: vagina; D: rectum B) A: oviducts; B: ovaries; C: cervix; D: vagina C) A: oviducts; B: fibroids; C: endometrium; D: perimetrium D) A: fimbria; B: fibroids; C: vagina; D: cervix E) A: endometrium; B: fimbria; C: cervix; D: rectum <div style=padding-top: 35px> The correct labels for the lettered structures are

A) A: fimbria; B: ovaries; C: vagina; D: rectum
B) A: oviducts; B: ovaries; C: cervix; D: vagina
C) A: oviducts; B: fibroids; C: endometrium; D: perimetrium
D) A: fimbria; B: fibroids; C: vagina; D: cervix
E) A: endometrium; B: fimbria; C: cervix; D: rectum
Question
Tubal ligation involves cutting or blocking a woman's fallopian tubes. Why would this procedure prevent pregnancy?

A) It stops the release of sex hormones.
B) It prevents the release of eggs during ovulation.
C) It inhibits the thickening of the endometrium.
D) It keeps sperm from reaching eggs.
E) It blocks entry of sperm into the uterus.
Question
The fimbria, the flared opening to the oviduct,

A) is the route by which sperm enter the oviduct.
B) produces mucus in the cervix.
C) hinders migration of disease-causing organisms.
D) helps draw the ovum into the oviduct.
E) releases ova during ovulation.
Question
Tiffany is a 22-year-old woman who has had the HPV vaccine. How will this change her medical needs?

A) She now has a lower risk of cervical cancer risk and will never need a Pap test.
B) She now has a lower risk of cervical cancer but will still need Pap tests starting at age 65.
C) She now has a lower risk of cervical cancer but will still need a Pap test every three years.
D) She faces a higher risk of cervical cancer and will need an annual Pap test.
E) She faces a higher risk of cervical cancer and will need an annual colposcopy.
Question
A 30-year-old woman experiences intense abdominal pain. It is worst during her period but also occurs during ovulation. She has been unable to conceive a child despite several years of trying. The most likely diagnosis is

A) cervical cancer.
B) ovarian cancer.
C) fibroids.
D) endometriosis.
E) uterine prolapse.
Question
A gynecologist believes that an overweight 40-year-old mother of three is at risk of uterine prolapse. What treatment is the doctor likely to recommend?

A) Colposcopy
B) Hysterectomy
C) Cervical exercises
D) Kegel exercises
E) Estrogen injections
Question
A woman is considering a hysterectomy due to severe endometrial bleeding that has resisted other treatment options. Which option would be the most likely to solve the problem while also preserving her enjoyment of sex and minimizing the risk of osteoporosis?

A) Removal of the uterus, cervix, and ovaries
B) Removal of the cervix and ovaries
C) Removal of the uterus and cervix
D) Removal of the uterus and ovaries
E) Removal of the uterus only
Question
Which statement correctly describes ovarian structure and function?

A) Females are born with about a million undeveloped ova in each ovary.
B) Ova are first formed during puberty.
C) Most women release approximately 250,000 ova during their lifetimes.
D) Ova are stored in follicles until puberty.
E) Both ovaries release an egg cell during each menstrual cycle.
Question
A young woman has had both of her ovaries removed. Which outcome is most likely?

A) She will develop polycystic ovary syndrome.
B) She will menstruate more frequently than before the surgery.
C) Her doctor will prescribe hormones to replace those she can no longer produce.
D) Her doctor will prescribe birth control pills to prevent pregnancy.
E) She will experience early menarche.
Question
Refer to the figure.
<strong>Refer to the figure.   This is a microscopic view of an ovarian follicle. The correct labels for the lettered structures are</strong> A) A: ovum; B: supporting cells; C: cavity B) A: cavity; B: ovary; C: ovum C) A: ovum; B: oviduct; C: os D) A: ovary; B: supporting cells; C: ovum E) A: os; B: ovum; C: fimbria <div style=padding-top: 35px> This is a microscopic view of an ovarian follicle. The correct labels for the lettered structures are

A) A: ovum; B: supporting cells; C: cavity
B) A: cavity; B: ovary; C: ovum
C) A: ovum; B: oviduct; C: os
D) A: ovary; B: supporting cells; C: ovum
E) A: os; B: ovum; C: fimbria
Question
A woman is experiencing painful ovarian cysts. What is the most likely cause of this problem?

A) Her ova have expanded beyond their normal size.
B) Her ovarian follicles each contain a large number of ova.
C) She is not secreting enough androgens.
D) Her ovarian follicles have grown larger than usual.
E) She has ovarian cancer.
Question
A seven-year-old girl is showing signs of early puberty. She may have abnormally high levels of

A) androgens.
B) estrogens.
C) progestins.
D) testosterone.
E) oxytocin.
Question
A primary function of progesterone is

A) promoting pubertal development.
B) increasing sexual desire.
C) preparing the body for lactation.
D) controlling the release of estrogen.
E) maintaining pregnancy.
Question
Which woman is at the greatest risk for developing ovarian cancer?

A) A 35-year-old who has given birth to three children
B) A 45-year-old who used oral contraceptives for a decade
C) A 55-year-old with lower-than-average body weight
D) A 65-year-old with no children and a family history of breast cancer
E) A 70-year-old who entered puberty late and began menopause early
Question
Women with polycystic ovary syndrome have abnormally high levels of androgens. In addition to fertility difficulties and male-like patterns of body hair, which other symptom might you expect?

A) Decreased sex drive
B) Early onset of menarche
C) Greater likelihood of becoming pregnant with twins
D) Male pattern baldness
E) Increased breast size
Question
Refer to the figure.
<strong>Refer to the figure.   This diagram is of the feedback loop that controls female hormone production. The correct labels for the lettered structures and hormones are</strong> A) A: hypothalamus; B: oxytocin; C: ovary; D: gonadotropins B) A: thalamus; B: releasing hormones; C: ovary; D: gonadotropins C) A: posterior pituitary gland; B: oxytocin; C: ovum; D: releasing hormones D) A: posterior pituitary gland; B: testosterone; C: ovum; D: releasing hormones E) A: hypothalamus; B: follicle-stimulating hormone (FSH); C: ovary; D: estrogens <div style=padding-top: 35px> This diagram is of the feedback loop that controls female hormone production. The correct labels for the lettered structures and hormones are

A) A: hypothalamus; B: oxytocin; C: ovary; D: gonadotropins
B) A: thalamus; B: releasing hormones; C: ovary; D: gonadotropins
C) A: posterior pituitary gland; B: oxytocin; C: ovum; D: releasing hormones
D) A: posterior pituitary gland; B: testosterone; C: ovum; D: releasing hormones
E) A: hypothalamus; B: follicle-stimulating hormone (FSH); C: ovary; D: estrogens
Question
Which is the most likely consequence of a decline in production of gonadotropin-releasing hormone?

A) Over-stimulation of the anterior pituitary gland
B) Increased production of follicle-stimulating hormone
C) Decreased production of luteinizing hormone
D) More frequent ovulation
E) Higher levels of androgens in the bloodstream
Question
Which statement correctly describes menstruation?

A) Some women menstruate while pregnant.
B) The uterus sheds endometrial tissue during menstruation.
C) A woman's menstrual cycle rarely varies.
D) Breastfeeding women cannot menstruate.
E) Menstrual cycles are more regular during the teen years than the young adult years.
Question
Kayla hopes to get pregnant and has been monitoring cervical secretions to predict ovulation. On which days is she most fertile?

A) On days with no secretions
B) On days with cloudy, sticky secretions
C) On days with thin, stretchy, and abundant secretions
D) On days with thick, white secretions
E) On days with secretions of any type
Question
Which answer places the phases of the menstrual cycle in the correct order, with the correct approximate durations?

A) Menstrual (5 days), luteal (5 days), follicular (18 days)
B) Menstrual (2 days), luteal (16 days), follicular (10 days)
C) Menstrual (4 days), luteal (14 days), follicular (18 days)
D) Menstrual (2 days), follicular (18 days), luteal (8 days)
E) Menstrual (5 days), follicular (9 days), luteal (14 days)
Question
During the preovulatory phase of the menstrual cycle,

A) follicles mature in the ovaries.
B) the uterus sheds the endometrium.
C) levels of progesterone and estrogen drop.
D) the corpus luteum rapidly degenerates.
E) menstruation occurs.
Question
For a few days each month, Destiny feels more sexual desire than usual. This likely occurs when

A) her androgen levels peak.
B) her progesterone levels peak.
C) her follicle stimulating hormone peaks.
D) her pituitary gonadotropins fall to their lowest levels.
E) her estradiol falls to its lowest level.
Question
For the last two days, Ashley has had high levels of estrogen, luteinizing hormone, and follicle-stimulating hormone, suggesting

A) she is about to menstruate.
B) she is currently menstruating.
C) she is about to ovulate.
D) her progesterone levels should also be peaking.
E) her testosterone levels should be especially low.
Question
A non-profit organization wants to make it easier for girls from a rural African community to attend school while menstruating. Which approach is most likely to be effective?

A) They should encourage girls to use freely available items, such as corn cobs, to block menstrual flow.
B) They should encourage girls to use tampons, as that is typically the cheapest option.
C) They should educate girls about the benefits of disposable sanitary napkins.
D) They should increase access to reusable liners.
E) They should encourage free-bleeding, which is more acceptable in many cultures than the use of menstrual supplies.
Question
A woman experiencing high fever, vomiting, diarrhea, and rash after a recent use of tampons should be checked for

A) toxoplasmosis.
B) toxic shock syndrome.
C) dysmenorrhea.
D) candidiasis.
E) amenorrhea.
Question
What treatment would be most likely to reduce pain from primary dysmenorrhea?

A) Taking oral contraceptives
B) Having an IUD inserted
C) Decreasing calcium intake
D) Minimizing physical activity
E) Switching from pads to tampons
Question
A 28-year-old woman with two children has been suffering from severe menstrual pain for six months despite never having painful periods in the past. This condition is called

A) amenorrhea.
B) premenstrual syndrome.
C) secondary dysmenorrhea.
D) primary dysmenorrhea.
E) premenstrual dysphoric disorder.
Question
Premenstrual syndrome is

A) likely to affect about five percent of women.
B) associated with intense anger.
C) less intense than media portrayals suggest.
D) less common than premenstrual dysphoric disorder.
E) not a real syndrome.
Question
A woman suffering from anorexia nervosa may stop menstruating because

A) she no longer produces androgens.
B) she has so little body fat.
C) she has developed dysmenorrhea.
D) she is not drinking enough fluids.
E) her reproductive organs have been damaged.
Question
What information would be most important for a doctor to share with a breastfeeding woman?

A) She will not get her period and cannot become pregnant until she stops breastfeeding.
B) She may get her period but cannot become pregnant until she stops breastfeeding.
C) She may become pregnant before her period returns.
D) Her period will not return until she returns to her pre-pregnancy level of body fat.
E) She is likely to experience heavier menstrual bleeding than usual.
Question
Which statement about women's breasts is true?

A) Producing milk is the only function of breasts.
B) Breasts vary in size from woman to woman due mostly to the number of alveoli present.
C) Women with large breasts experience more pleasure during sexual stimulation.
D) Women sometimes have extra nipples or even extra breasts.
E) Women who have very small breasts generally cannot produce enough milk for a baby.
Question
Milk is produced in microscopic sacs called _______ and travels down _______ to the nipple.

A) milk ducts; alveoli
B) milk ducts; lobules
C) areola; alveoli
D) alveoli; lobules
E) alveoli; milk ducts
Question
How many American women will be diagnosed with breast cancer during their lifetime?

A) 1 in 2
B) 1 in 8
C) 1 in 50
D) 1 in 100
E) 1 in 1000
Question
The leading cause of death for women in the United States is

A) breast cancer.
B) lung cancer.
C) heart disease.
D) childbirth.
E) cervical cancer.
Question
A woman's risk of developing breast cancer is reduced if she

A) drinks two glasses of red wine daily.
B) has children in her twenties.
C) uses oral contraceptives.
D) avoids strenuous exercise.
E) has dense breast tissue.
Question
A woman's social media feed includes many contradictory articles about breast cancer.
Which headline accurately highlights what women can do to decrease their risk of developing breast cancer?

A) No Way to Reduce Risk: Focus on Mammograms
B) Only One Way to Reduce Risk: Get a Double Mastectomy
C) It's All in Your Hands: Change Your Life Completely to Erase Risk
D) Two Ways to Reduce Risk: Exercise and Lose Weight
E) Birth Control Pills and Wine: Two Surprising Ways to Prevent Breast Cancer
Question
Which woman's health behaviors are most in line with the American Cancer Society's recommendations for breast cancer screening?

A) A 35-year old woman with average risk who gets a mammogram each year
B) A 35-year old woman who does a breast self-examination each month but has never had a mammogram
C) A 45-year old woman who gets mammograms twice a year
D) A 45-year old woman who does breast self-exams monthly and gets mammograms every other year
E) A 55-year old woman who does not do breast self-examinations and plans to get mammograms every other year
Question
Describe the structure and function of the clitoris, including changes during sexual arousal.
Question
Name and describe the three principal types of female circumcision. Make a case for whether any form of female circumcision should be legal.
Question
A 22-year-old woman is very afraid she will die of cervical cancer. What advice should her doctor give her about rates of cervical cancer and ways to reduce her risk?
Question
Describe the pathway sperm follow to fertilize an egg and the pathway the fertilized egg takes to reach the uterus.
Question
A woman has come to her doctor due to frequent pelvic pain and bleeding between periods. Describe the conditions that could be responsible for these symptoms and discuss possible treatments for those conditions.
Question
Describe the three main classes of sex steroid hormones and their major functions in women.
Question
Discuss the three phases of the menstrual cycle, including the length of each phase and the hormonal events that trigger changes in each case.
Question
A college student asks her doctor for help with painful periods plus physical discomfort and emotional distress that often occurs in the week before her period. Identify diagnoses the doctor should consider and explain how the doctor could distinguish between those possibilities.
Question
A woman who is not sexually active has not had her period in three months. What would you need to know to understand whether this is cause for concern?
Question
A health insurance company has decided to reduce costs in two ways. First, they will stop mailing new members a brochure about how to conduct breast self-examinations. Second, for women over the age of 55 with no specific risk factors, they will only cover mammograms every other year. Make a case for whether or not this is an ethical approach to women's health coverage.
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Deck 2: Womens Bodies
1
The scientific term used to describe the entire female external genital area is

A) mons.
B) labia.
C) vulva.
D) vagina.
E) perineum.
C
2
A slim woman complains of external pain during intercourse when her partner lies on top of her. This may be due to very little fatty tissue of the

A) perineum.
B) mons.
C) clitoris.
D) labia minora.
E) labia majora.
B
3
A woman who shaves off all of her public hair

A) increases the chance that sperm will penetrate the vagina.
B) decreases the risk of sexually transmitted diseases.
C) may be inadvertently lowering her fertility.
D) eliminates the mons.
E) reduces vaporizing odors that act as pheromones.
E
4
Which response lists the parts of a woman's vulva from outermost to innermost?

A) Labia minora, clitoris, vaginal opening, mons
B) Clitoris, vaginal opening, labia majora, mons
C) Vaginal opening, labia minora, mons, clitoris
D) Labia majora, mons, clitoris, vaginal opening
E) Mons, labia majora, labia minora, vaginal opening
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5
At puberty, a young woman shows signs of menstruation but produces no visible menstrual blood. She is experiencing abdominal pain. A doctor would likely check her for

A) a urethral blockage.
B) an imperforate hymen.
C) a torn perineum.
D) candidiasis.
E) a sealed pelvic floor.
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6
Refer to the figure.
<strong>Refer to the figure.   The correct labels for the lettered structures are</strong> A) A: clitoral glans; B: vagina; C: anus; D: clitoral crura B) A: clitoral glans; B: anus; C: vagina; D: inner labia C) A: clitoral hood; B: urethra; C: vagina; D: corpora cavernosa D) A: clitoral shaft; B: urethra; C: vagina; D: clitoral crura E) A: clitoral shaft; B: urethra; C: vulva; D: perineum The correct labels for the lettered structures are

A) A: clitoral glans; B: vagina; C: anus; D: clitoral crura
B) A: clitoral glans; B: anus; C: vagina; D: inner labia
C) A: clitoral hood; B: urethra; C: vagina; D: corpora cavernosa
D) A: clitoral shaft; B: urethra; C: vagina; D: clitoral crura
E) A: clitoral shaft; B: urethra; C: vulva; D: perineum
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7
A key function of the clitoris is to

A) provide sexual pleasure for the female.
B) aid in the retention of sperm.
C) enhance excitement for the male.
D) provide lubrication to facilitate coitus.
E) facilitate female ejaculation.
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8
During sexual arousal, erection of the _______ helps to lengthen and stiffen the vagina.

A) outer labia
B) glans
C) Bartholin's glands
D) birth canal
E) vestibular bulbs
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9
Which statement correctly describes the clitoris?

A) It is made up of only a tiny, pearl-size structure called the glans.
B) It is located deep within the vaginal wall.
C) It is absent from birth in many women.
D) It becomes larger and firmer with sexual arousal.
E) It cannot be seen or felt.
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10
The glans of the clitoris is typically visible in a non-aroused state but often disappears with sexual arousal. What physical changes during arousal would explain this?

A) The clitoral hood enlarges as it fills with blood.
B) The glans stiffens and enlarges during arousal.
C) The glans releases smegma during arousal.
D) The corpora cavernosa empties.
E) The vestibular bulbs shrink.
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11
A woman's _______ shows the most structural and functional similarity to a man's penis.

A) vagina
B) clitoris
C) outer labia
D) inner labia
E) mons
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12
Piercing the clitoral hood or labia

A) is losing popularity in the United States.
B) is illegal in the United States.
C) may increase sexual stimulation.
D) indicates deep psychological problems.
E) is considered a form of female circumcision.
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13
The type of female circumcision called infibulation involves removal of the

A) cervix.
B) entire labia majora.
C) entire labia minora.
D) crura.
E) vestibule.
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14
Female circumcision (or female genital cutting) is illegal in the United States. Given that, why might the American Academy of Pediatrics have once considered recommending the legalization of the least invasive form of the practice?

A) To reduce the incentive for parents to send their daughters to their native countries for more invasive and risky procedures.
B) To stop families in other countries from practicing infibulation
C) To reduce the harsh criminal penalties for all forms of female circumcision
D) To make proper hygiene possible
E) To emphasize an ethical difference between harmless and harmful forms of female circumcision.
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15
Why might a young girl in the United States choose genital cutting, even though the practice is against U.S. law?

A) It may reduce the risk of rape.
B) It may be an important part of her culture.
C) It will protect her from sexually transmitted diseases.
D) It is an effective form of birth control.
E) It establishes that she is sexually off limits to men.
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16
A yeast infection, or candidiasis, is the result of

A) overreliance on vaginal lubricants.
B) unprotected sex.
C) overactive mucosa.
D) a mildly acidic vagina.
E) an overgrowth of fungal organisms.
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17
An anxious teenager consistently notices increased vaginal discharge about a week after her period. She is not experiencing pain, itching, or unusual odor. Her doctor is likely to tell her that

A) changes in cervical mucus are normal during the menstrual cycle.
B) changes in cervical mucus are unusual in healthy women.
C) her symptoms suggest an easily treatable yeast infection.
D) she should be tested for cancer with a Pap smear.
E) the increased discharge suggests endometriosis.
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18
A woman visits her doctor because urine leaks when she sneezes and she has had difficulty attaining orgasm since the birth of her child. Her doctor is likely to diagnose

A) a swollen paraurethral gland.
B) cervical cancer.
C) infibulation.
D) weak pelvic floor muscles.
E) a septate hymen.
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19
Which portion of the female reproductive tract is likely to become stretched during childbirth?

A) Paraurethral gland
B) Clitoris
C) Vagina
D) Bladder
E) Urethral opening
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20
The _______ is a controversial area of heightened sensitivity on the front wall of the vagina.

A) glans
B) perineum
C) Gräfenberg spot (G-spot)
D) urethra
E) hymen
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21
A possible anatomical basis for the G-spot is the

A) paraurethral glands.
B) internal sphincter muscles.
C) external sphincter muscles.
D) pubococcygeus muscle.
E) perineum.
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22
A woman who wants to have anal sex is having difficulty relaxing her anus enough to make penetration comfortable. Which technique is likely to be the most effective solution?

A) Squeezing and releasing her external sphincter each day to build strength
B) Squeezing and releasing her internal sphincter each day to build strength
C) Lubricating her rectum
D) Practicing penetration with narrow objects to develop voluntary control over her external sphincter
E) Practicing penetration with narrow objects to develop voluntary control over her internal sphincter
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23
Why do most women need a lubricant in order to engage in anal sex comfortably?

A) Because women in general do not find anal sex arousing.
B) Because this woman in particular does not find anal sex arousing.
C) Because she has not yet learned how to relax her external sphincter.
D) Because the anal mucosa does not produce much lubrication.
E) Because her vagina is producing a below-average amount of lubrication.
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24
Which statement about anal sex is true?

A) Only homosexual men engage in anal penetration.
B) Anal stimulation is pleasurable for men but not for women.
C) Condoms do not offer protection against STIs during anal sex.
D) The internal sphincter muscles open easily during anal sex.
E) Anal sex typically requires use of a lubricant.
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25
Jane is in labor but her uterine contractions are too weak for a successful delivery. Her doctor gives her the drug Pitocin, which increases contraction strength. To have this effect, Pitocin must stimulate the

A) myometrium.
B) endometrium.
C) perimetrium.
D) pubococcygeus muscles.
E) cervix.
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26
Many pregnant women find themselves needing to urinate frequently. One reason for this is that

A) the uterus becomes too weak to support the bladder during pregnancy.
B) the uterus sits on top of the bladder.
C) the bladder is connected to the vestibule.
D) the urethra originates in the uterus.
E) the perineum becomes heavier during pregnancy.
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27
Refer to the figure
<strong>Refer to the figure   The correct labels for the lettered structures are</strong> A) A: fimbria; B: ovaries; C: vagina; D: rectum B) A: oviducts; B: ovaries; C: cervix; D: vagina C) A: oviducts; B: fibroids; C: endometrium; D: perimetrium D) A: fimbria; B: fibroids; C: vagina; D: cervix E) A: endometrium; B: fimbria; C: cervix; D: rectum The correct labels for the lettered structures are

A) A: fimbria; B: ovaries; C: vagina; D: rectum
B) A: oviducts; B: ovaries; C: cervix; D: vagina
C) A: oviducts; B: fibroids; C: endometrium; D: perimetrium
D) A: fimbria; B: fibroids; C: vagina; D: cervix
E) A: endometrium; B: fimbria; C: cervix; D: rectum
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28
Tubal ligation involves cutting or blocking a woman's fallopian tubes. Why would this procedure prevent pregnancy?

A) It stops the release of sex hormones.
B) It prevents the release of eggs during ovulation.
C) It inhibits the thickening of the endometrium.
D) It keeps sperm from reaching eggs.
E) It blocks entry of sperm into the uterus.
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29
The fimbria, the flared opening to the oviduct,

A) is the route by which sperm enter the oviduct.
B) produces mucus in the cervix.
C) hinders migration of disease-causing organisms.
D) helps draw the ovum into the oviduct.
E) releases ova during ovulation.
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30
Tiffany is a 22-year-old woman who has had the HPV vaccine. How will this change her medical needs?

A) She now has a lower risk of cervical cancer risk and will never need a Pap test.
B) She now has a lower risk of cervical cancer but will still need Pap tests starting at age 65.
C) She now has a lower risk of cervical cancer but will still need a Pap test every three years.
D) She faces a higher risk of cervical cancer and will need an annual Pap test.
E) She faces a higher risk of cervical cancer and will need an annual colposcopy.
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31
A 30-year-old woman experiences intense abdominal pain. It is worst during her period but also occurs during ovulation. She has been unable to conceive a child despite several years of trying. The most likely diagnosis is

A) cervical cancer.
B) ovarian cancer.
C) fibroids.
D) endometriosis.
E) uterine prolapse.
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32
A gynecologist believes that an overweight 40-year-old mother of three is at risk of uterine prolapse. What treatment is the doctor likely to recommend?

A) Colposcopy
B) Hysterectomy
C) Cervical exercises
D) Kegel exercises
E) Estrogen injections
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33
A woman is considering a hysterectomy due to severe endometrial bleeding that has resisted other treatment options. Which option would be the most likely to solve the problem while also preserving her enjoyment of sex and minimizing the risk of osteoporosis?

A) Removal of the uterus, cervix, and ovaries
B) Removal of the cervix and ovaries
C) Removal of the uterus and cervix
D) Removal of the uterus and ovaries
E) Removal of the uterus only
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34
Which statement correctly describes ovarian structure and function?

A) Females are born with about a million undeveloped ova in each ovary.
B) Ova are first formed during puberty.
C) Most women release approximately 250,000 ova during their lifetimes.
D) Ova are stored in follicles until puberty.
E) Both ovaries release an egg cell during each menstrual cycle.
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35
A young woman has had both of her ovaries removed. Which outcome is most likely?

A) She will develop polycystic ovary syndrome.
B) She will menstruate more frequently than before the surgery.
C) Her doctor will prescribe hormones to replace those she can no longer produce.
D) Her doctor will prescribe birth control pills to prevent pregnancy.
E) She will experience early menarche.
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36
Refer to the figure.
<strong>Refer to the figure.   This is a microscopic view of an ovarian follicle. The correct labels for the lettered structures are</strong> A) A: ovum; B: supporting cells; C: cavity B) A: cavity; B: ovary; C: ovum C) A: ovum; B: oviduct; C: os D) A: ovary; B: supporting cells; C: ovum E) A: os; B: ovum; C: fimbria This is a microscopic view of an ovarian follicle. The correct labels for the lettered structures are

A) A: ovum; B: supporting cells; C: cavity
B) A: cavity; B: ovary; C: ovum
C) A: ovum; B: oviduct; C: os
D) A: ovary; B: supporting cells; C: ovum
E) A: os; B: ovum; C: fimbria
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37
A woman is experiencing painful ovarian cysts. What is the most likely cause of this problem?

A) Her ova have expanded beyond their normal size.
B) Her ovarian follicles each contain a large number of ova.
C) She is not secreting enough androgens.
D) Her ovarian follicles have grown larger than usual.
E) She has ovarian cancer.
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38
A seven-year-old girl is showing signs of early puberty. She may have abnormally high levels of

A) androgens.
B) estrogens.
C) progestins.
D) testosterone.
E) oxytocin.
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39
A primary function of progesterone is

A) promoting pubertal development.
B) increasing sexual desire.
C) preparing the body for lactation.
D) controlling the release of estrogen.
E) maintaining pregnancy.
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40
Which woman is at the greatest risk for developing ovarian cancer?

A) A 35-year-old who has given birth to three children
B) A 45-year-old who used oral contraceptives for a decade
C) A 55-year-old with lower-than-average body weight
D) A 65-year-old with no children and a family history of breast cancer
E) A 70-year-old who entered puberty late and began menopause early
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41
Women with polycystic ovary syndrome have abnormally high levels of androgens. In addition to fertility difficulties and male-like patterns of body hair, which other symptom might you expect?

A) Decreased sex drive
B) Early onset of menarche
C) Greater likelihood of becoming pregnant with twins
D) Male pattern baldness
E) Increased breast size
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42
Refer to the figure.
<strong>Refer to the figure.   This diagram is of the feedback loop that controls female hormone production. The correct labels for the lettered structures and hormones are</strong> A) A: hypothalamus; B: oxytocin; C: ovary; D: gonadotropins B) A: thalamus; B: releasing hormones; C: ovary; D: gonadotropins C) A: posterior pituitary gland; B: oxytocin; C: ovum; D: releasing hormones D) A: posterior pituitary gland; B: testosterone; C: ovum; D: releasing hormones E) A: hypothalamus; B: follicle-stimulating hormone (FSH); C: ovary; D: estrogens This diagram is of the feedback loop that controls female hormone production. The correct labels for the lettered structures and hormones are

A) A: hypothalamus; B: oxytocin; C: ovary; D: gonadotropins
B) A: thalamus; B: releasing hormones; C: ovary; D: gonadotropins
C) A: posterior pituitary gland; B: oxytocin; C: ovum; D: releasing hormones
D) A: posterior pituitary gland; B: testosterone; C: ovum; D: releasing hormones
E) A: hypothalamus; B: follicle-stimulating hormone (FSH); C: ovary; D: estrogens
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43
Which is the most likely consequence of a decline in production of gonadotropin-releasing hormone?

A) Over-stimulation of the anterior pituitary gland
B) Increased production of follicle-stimulating hormone
C) Decreased production of luteinizing hormone
D) More frequent ovulation
E) Higher levels of androgens in the bloodstream
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44
Which statement correctly describes menstruation?

A) Some women menstruate while pregnant.
B) The uterus sheds endometrial tissue during menstruation.
C) A woman's menstrual cycle rarely varies.
D) Breastfeeding women cannot menstruate.
E) Menstrual cycles are more regular during the teen years than the young adult years.
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45
Kayla hopes to get pregnant and has been monitoring cervical secretions to predict ovulation. On which days is she most fertile?

A) On days with no secretions
B) On days with cloudy, sticky secretions
C) On days with thin, stretchy, and abundant secretions
D) On days with thick, white secretions
E) On days with secretions of any type
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46
Which answer places the phases of the menstrual cycle in the correct order, with the correct approximate durations?

A) Menstrual (5 days), luteal (5 days), follicular (18 days)
B) Menstrual (2 days), luteal (16 days), follicular (10 days)
C) Menstrual (4 days), luteal (14 days), follicular (18 days)
D) Menstrual (2 days), follicular (18 days), luteal (8 days)
E) Menstrual (5 days), follicular (9 days), luteal (14 days)
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47
During the preovulatory phase of the menstrual cycle,

A) follicles mature in the ovaries.
B) the uterus sheds the endometrium.
C) levels of progesterone and estrogen drop.
D) the corpus luteum rapidly degenerates.
E) menstruation occurs.
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48
For a few days each month, Destiny feels more sexual desire than usual. This likely occurs when

A) her androgen levels peak.
B) her progesterone levels peak.
C) her follicle stimulating hormone peaks.
D) her pituitary gonadotropins fall to their lowest levels.
E) her estradiol falls to its lowest level.
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49
For the last two days, Ashley has had high levels of estrogen, luteinizing hormone, and follicle-stimulating hormone, suggesting

A) she is about to menstruate.
B) she is currently menstruating.
C) she is about to ovulate.
D) her progesterone levels should also be peaking.
E) her testosterone levels should be especially low.
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50
A non-profit organization wants to make it easier for girls from a rural African community to attend school while menstruating. Which approach is most likely to be effective?

A) They should encourage girls to use freely available items, such as corn cobs, to block menstrual flow.
B) They should encourage girls to use tampons, as that is typically the cheapest option.
C) They should educate girls about the benefits of disposable sanitary napkins.
D) They should increase access to reusable liners.
E) They should encourage free-bleeding, which is more acceptable in many cultures than the use of menstrual supplies.
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51
A woman experiencing high fever, vomiting, diarrhea, and rash after a recent use of tampons should be checked for

A) toxoplasmosis.
B) toxic shock syndrome.
C) dysmenorrhea.
D) candidiasis.
E) amenorrhea.
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52
What treatment would be most likely to reduce pain from primary dysmenorrhea?

A) Taking oral contraceptives
B) Having an IUD inserted
C) Decreasing calcium intake
D) Minimizing physical activity
E) Switching from pads to tampons
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53
A 28-year-old woman with two children has been suffering from severe menstrual pain for six months despite never having painful periods in the past. This condition is called

A) amenorrhea.
B) premenstrual syndrome.
C) secondary dysmenorrhea.
D) primary dysmenorrhea.
E) premenstrual dysphoric disorder.
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54
Premenstrual syndrome is

A) likely to affect about five percent of women.
B) associated with intense anger.
C) less intense than media portrayals suggest.
D) less common than premenstrual dysphoric disorder.
E) not a real syndrome.
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55
A woman suffering from anorexia nervosa may stop menstruating because

A) she no longer produces androgens.
B) she has so little body fat.
C) she has developed dysmenorrhea.
D) she is not drinking enough fluids.
E) her reproductive organs have been damaged.
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56
What information would be most important for a doctor to share with a breastfeeding woman?

A) She will not get her period and cannot become pregnant until she stops breastfeeding.
B) She may get her period but cannot become pregnant until she stops breastfeeding.
C) She may become pregnant before her period returns.
D) Her period will not return until she returns to her pre-pregnancy level of body fat.
E) She is likely to experience heavier menstrual bleeding than usual.
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57
Which statement about women's breasts is true?

A) Producing milk is the only function of breasts.
B) Breasts vary in size from woman to woman due mostly to the number of alveoli present.
C) Women with large breasts experience more pleasure during sexual stimulation.
D) Women sometimes have extra nipples or even extra breasts.
E) Women who have very small breasts generally cannot produce enough milk for a baby.
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58
Milk is produced in microscopic sacs called _______ and travels down _______ to the nipple.

A) milk ducts; alveoli
B) milk ducts; lobules
C) areola; alveoli
D) alveoli; lobules
E) alveoli; milk ducts
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59
How many American women will be diagnosed with breast cancer during their lifetime?

A) 1 in 2
B) 1 in 8
C) 1 in 50
D) 1 in 100
E) 1 in 1000
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60
The leading cause of death for women in the United States is

A) breast cancer.
B) lung cancer.
C) heart disease.
D) childbirth.
E) cervical cancer.
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61
A woman's risk of developing breast cancer is reduced if she

A) drinks two glasses of red wine daily.
B) has children in her twenties.
C) uses oral contraceptives.
D) avoids strenuous exercise.
E) has dense breast tissue.
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62
A woman's social media feed includes many contradictory articles about breast cancer.
Which headline accurately highlights what women can do to decrease their risk of developing breast cancer?

A) No Way to Reduce Risk: Focus on Mammograms
B) Only One Way to Reduce Risk: Get a Double Mastectomy
C) It's All in Your Hands: Change Your Life Completely to Erase Risk
D) Two Ways to Reduce Risk: Exercise and Lose Weight
E) Birth Control Pills and Wine: Two Surprising Ways to Prevent Breast Cancer
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63
Which woman's health behaviors are most in line with the American Cancer Society's recommendations for breast cancer screening?

A) A 35-year old woman with average risk who gets a mammogram each year
B) A 35-year old woman who does a breast self-examination each month but has never had a mammogram
C) A 45-year old woman who gets mammograms twice a year
D) A 45-year old woman who does breast self-exams monthly and gets mammograms every other year
E) A 55-year old woman who does not do breast self-examinations and plans to get mammograms every other year
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64
Describe the structure and function of the clitoris, including changes during sexual arousal.
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65
Name and describe the three principal types of female circumcision. Make a case for whether any form of female circumcision should be legal.
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66
A 22-year-old woman is very afraid she will die of cervical cancer. What advice should her doctor give her about rates of cervical cancer and ways to reduce her risk?
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67
Describe the pathway sperm follow to fertilize an egg and the pathway the fertilized egg takes to reach the uterus.
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68
A woman has come to her doctor due to frequent pelvic pain and bleeding between periods. Describe the conditions that could be responsible for these symptoms and discuss possible treatments for those conditions.
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69
Describe the three main classes of sex steroid hormones and their major functions in women.
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70
Discuss the three phases of the menstrual cycle, including the length of each phase and the hormonal events that trigger changes in each case.
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71
A college student asks her doctor for help with painful periods plus physical discomfort and emotional distress that often occurs in the week before her period. Identify diagnoses the doctor should consider and explain how the doctor could distinguish between those possibilities.
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72
A woman who is not sexually active has not had her period in three months. What would you need to know to understand whether this is cause for concern?
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73
A health insurance company has decided to reduce costs in two ways. First, they will stop mailing new members a brochure about how to conduct breast self-examinations. Second, for women over the age of 55 with no specific risk factors, they will only cover mammograms every other year. Make a case for whether or not this is an ethical approach to women's health coverage.
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