Deck 28: Reproductive System Disorders

Question 1

Which of the following is the common first site for metastasis from prostatic cancer?

A)bone
B)lungs
C)liver
D)testes

Answer 1

bone

Question 2

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.

Answer 2

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

Question 3

What is a significant early sign of endometrial carcinoma?

A)a positive Pap test
B)minor vaginal bleeding or spotting
C)infection resistant to treatment
D)painful intercourse

Answer 3

minor vaginal bleeding or spotting

Question 4

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

Question 5

What is a useful serum marker during treatment for prostatic cancer?

A)human chorionic gonadotropin
B)alpha-fetoprotein
C)prostate-specific antigen
D)luteinizing hormone

Question 6

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

A)chlamydia
B)gonorrhea
C)syphilis
D)all of the above

Question 7

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

Question 8

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

Question 9

What is a major predisposing factor to cervical cancer?

A)high estrogen levels
B)familial incidence
C)infection with HPV
D)early age for onset of menstrual cycles

Question 10

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.

Question 11

Which of the following may result from cryptorchidism?

A)infertility
B)testicular cancer
C)both a and b
D)neither a nor b

Question 12

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.

Question 13

Which of the following is a common complication of leiomyomas?

A)development of malignancy
B)irregular menstrual cycles
C)interference with ovulation
D)abnormal bleeding such as menorrhagia

Question 14

Why does frequency occur with benign prostatic hypertrophy?

A)increased volume of dilute urine
B)irritation of the bladder and urethra
C)impaired micturition reflex
D)incomplete emptying of the bladder

Question 15

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

Question 16

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.

Question 17

Which term refers to excessive fluid collecting between the layers of the tunica vaginalis?

A)varicocele
B)hypospadias
C)spermatocele
D)hydrocele

Question 18

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 dysplasia

Question 19

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.

Question 20

Which of the following is NOT a characteristic of leukorrhea during the reproductive years?

A)it is clear or whitish
B)it has a pH of 4 to 5
C)it does not contain any cells
D)it contains mucus

Question 21

How do testicular tumors usually present?

A)soft,tender mass
B)multiple firm nodules
C)hard,painless unilateral mass
D)small,fluid-filled cyst

Question 22

Which of the following STDs is considered to be a systemic infection?

A)gonorrhea
B)chlamydia
C)syphilis
D)condylomata acuminate

Question 23

Which of the following is the most common cause of acute bacterial prostatitis?

A)N.gonorrhoeae
B)Pseudomonas
C)S.aureus
D)E.coli

Question 24

What is the cause of syphilis?

A)a gram-negative diplococcus
B)an anaerobic protozoa
C)a virus
D)an anaerobic spirochete

Question 25

A hard nodule in the peripheral area of the prostate gland is typical of:

A)a malignant tumor
B)benign prostatic hypertrophy
C)acute prostatitis
D)chronic prostatitis

Question 26

Which of the following infections may be transmitted from the mother to the fetus during delivery?

A)gonorrhea
B)chlamydia
C)herpes simplex
D)syphilis
E)all of the above

Question 27

A chancre is best described as:

A)a vesicle surrounded by a red inflamed area
B)a pustule filled with purulent exudate
C)an area of necrosis and fibrosis
D)a firm painless ulcerated nodule

Question 28

Which of the following frequently causes PID and subsequent infertility?

A)chlamydia
B)genital warts
C)trichomoniasis
D)herpes simplex

Question 29

Which term refers to bleeding between menstrual periods?

A)amenorrhea
B)dysmenorrhea
C)oligomenorrhea
D)metrorrhagia

Question 30

Specific genetic links have been shown for:
1)cervical cancer
2)testicular cancer
3)breast cancer
4)prostatic cancer

A)1,2
B)3,4
C)1,3,4
D)2,3,4

Question 31

Which statement does NOT apply to vaginal candidiasis?

A)It is classified as an STD.
B)The cause is an opportunistic yeast.
C)It causes dysuria and dyspareunia.
D)The mucosa becomes red and pruritic.

Question 32

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

Question 33

When the uterus is located in the vagina with the cervix at the opening to the vagina,this is called:

A)first degree prolapse
B)second degree prolapse
C)third degree prolapse
D)procidentia
E)cystocele

Question 34

Benign prostatic hypertrophy usually progresses to prostatic cancer.

A)true
B)false

Question 35

Testicular cancer usually spreads first to the:

A)lungs
B)bone
C)pelvic lymph nodes
D)brain

Question 36

Painful menstruation is called:

A)polymenorrhea
B)premenstrual syndrome
C)dysmenorrhea
D)endometriosis
E)dyspareunia

Question 37

Vaginal candidiasis is frequently predisposed by:

A)systemic antibacterial therapy
B)insertion of an intrauterine device
C)sexual intercourse with an infected partner
D)previous viral infection

Question 38

In which cancers has there been a recent significant increase in incidence?

A)uterine cancer
B)breast cancer
C)ovarian cancer
D)cervical cancer in situ

Question 39

Adjuvant chemotherapy and radiation may be used in cases of breast cancer in order to:

A)slow the growth of the primary tumor
B)destroy any micrometastases
C)prevent the removal of any lymph nodes
D)reduce the need for a mastectomy

Question 40

Ovarian cancer has a poor prognosis because:

A)it does not respond to chemotherapy or radiation
B)vague signs and hidden location lead to late diagnosis
C)premenopausal women are not likely to notice changes
D)hormone therapy is ineffective

Question 41

Adenocarcinomas make up the most common cancers found in the:

A)prostate
B)testes
C)ovary
D)cervix

Question 42

Viable sperm may not be able to access an ovum when:

A)cervical mucus is highly viscous
B)vaginal pH is abnormal
C)structural abnormalities are present
D)b,c
E)a,b,c

Question 43

Infertility in women may result from:

A)endometriosis
B)hormonal imbalances
C)a and b
D)neither a nor b