Deck 39: Assisting in Reproductive and Urinary Specialties

Question 1

Marya is a 24-year-old patient who has come to the office for an annual exam. You notice various stages of bruising on her arms. When you ask the cause, Marya admits that her husband has been abusing her physically. She says she has tried to get away from him, but every time she does, he takes it out on one of their three children. Which of the following is not a general guideline that you can offer Marya regarding domestic violence?

A) Call for help immediately if a physical threat exists
B) Ignoring the problem never works
C) Remaining silent does not help anyone
D) It is sometimes necessary to stay with an abusive spouse for the children's sake
E) Understand that abusive family members may not be able to help themselves

Answer 1

It is sometimes necessary to stay with an abusive spouse for the children's sake

Question 2

The acronym LMP refers to the ____.

A) first day of a woman's last menstrual period
B) date of a woman's first menstrual cycle
C) last day of a woman's last menstrual period
D) estimated date of a woman's next menstrual period
E) date a woman was confirmed to be in menopause

Answer 2

first day of a woman's last menstrual period

Question 3

The normal age range of menarche is ____ years of age.

A) 4 to 8
B) 6 to 10
C) 8 to 12
D) 10 to 15
E) 12 to 18

Answer 3

10 to 15

Question 4

Jennifer is a 22-year-old patient who has never had a mammogram. However, she found a lump while performing a breast self-exam recently, so she went to see her physician. The physician confirmed the presence of a suspicious breast lump and has referred her for a mammogram. Which of the following would you not do when preparing Jennifer for the mammogram?

A) Reassure her that most lumps are not cancerous
B) Instruct her not to use creams, powders, or deodorants on her breasts or underarms
C) Provide information about what to expect during the procedure
D) Tell her about how long she can expect to wait for the results
E) Explain that the procedure is not generally painful, but may be uncomfortable

Question 5

Which of the following is the best description of menopause?

A) The age at which a woman is considered too old to have children
B) The natural cessation of a woman's menstrual cycles
C) A traumatic event that occurs shortly after childbirth
D) An uneven pattern of menstrual cycles
E) The natural result of having repeated STIs

Question 6

Which of the following is a reason for false-negative Pap smear results?

A) Epithelial cells hidden by blood or mucus
B) Too few cells left on the spatula
C) Too few cells piled on top of one another on the slide
D) No extraneous material on the slide
E) Absence of blood on the slide

Question 7

The most commonly ordered test in a urology practice is ____.

A) cystometry
B) urinalysis
C) cystoscopy
D) testicular biopsy
E) semen analysis

Question 8

According to the American Cancer Society and National Cancer Institute, how often should women in their 20s and 30s who are in good health have a clinical breast exam?

A) Every year
B) Every other year
C) About every 3 years
D) Every 5 years
E) About every 7 years

Question 9

The specimen obtained by a cervical biopsy is sent to the laboratory with a(n) ____.

A) hematology laboratory requisition
B) chemistry laboratory requisition
C) endoscopy requisition
D) cytology laboratory requisition
E) histology laboratory requisition

Question 10

Which procedure is performed when a genetic or metabolic defect is suspected in a fetus?

A) Colposcopy
B) Laparoscopy
C) Biopsy
D) Ultrasound
E) Amniocentesis

Question 11

Carly took an early pregnancy test yesterday and was thrilled when it was positive. She is excited about having a baby, and the first thing she asks you this morning is "When is the baby due?" When you ask, she tells you that the first day of her last menstrual period was September 9, 2012. What is the estimated date of Carly's estimated delivery date?

A) August 14, 2013
B) July 25, 2013
C) July 1, 2013
D) June 16, 2013
E) June 9, 2013

Question 12

Which of the following occurs during the second trimester?

A) The embryo becomes a fetus.
B) It is the most noticeable period of growth.
C) Implantation occurs.
D) The mother is unable to sleep on her back.
E) Fetal movement is felt.

Question 13

Which of the following is not part of the medical assistant's role in assisting with a gynecologic exam?

A) Determine the first day of the patient's last LMP
B) Provide the patient with a gown and provide privacy while she changes
C) Inquire about changes in appetite, weight, or emotional status
D) Check her vital signs
E) Perform an initial pelvic exam

Question 14

Which of the following consists of widening the opening of the cervix and scraping the uterine lining?

A) Colposcopy
B) Amniocentesis
C) D&C
D) Fine-needle aspiration
E) Chorionic villus sampling

Question 15

Which of the following would you advise a pregnant woman to avoid during her pregnancy?

A) Exercise
B) Alcohol
C) Dental exams
D) Driving
E) Working at a computer

Question 16

Which of the following is not a normal change during pregnancy?

A) Weight gain
B) Urinary frequency
C) Diarrhea
D) Depression
E) Fatigue

Question 17

The purpose of adding KOH to a cervical smear is to ____.

A) dissolve epithelial cells and mucus
B) stain any fungi that might be present for better visibility
C) kill any bacteria that might be present
D) provide a nutritious medium for any organisms in the wet mount
E) stabilize the cervical cells

Question 18

The time period before menopause, during which the menstrual periods may be irregular, is known as ____.

A) perimenopause
B) menarche
C) menstruation
D) premenopause
E) LMP

Question 19

Which of the following is Nägele's rule?

A) Last day of last menstrual period, subtract 5 months, add 7 days plus 1 year
B) First day of last menstrual period, subtract 3 months, add 7 days plus 1 year
C) First day of last menstrual period, subtract 3 months, subtract 7 days, add 1 year
D) Last day of last menstrual period, subtract 3 months, add 5 days plus 1 year
E) Last day of last menstrual period, add 5 months, subtract 7 days, add 1 year

Question 20

Which of the following should you include in your teaching after a patient has a dilation and curettage (D and C)?

A) Encourage the patient to eat a high-fat and low-fiber diet
B) Tell the patient intercourse may resume as usual after discharge from the hospital
C) Allow the patient to resume all activity, including strenuous exercise
D) Instruct the patient to avoid the use of tampons for 1 week after the procedure
E) Tell the patient to take tub baths for the first week after the procedure

Question 21

Which of the following information is not significant for a urologist to make a diagnosis of a urologic disease?

A) Changes in frequency or urgency of urination
B) Difficulty or pain with urination (dysuria)
C) How far the patient can walk
D) Incontinence
E) Unusual discharge from the urethra

Question 22

Which of the following is used to measure urinary bladder capacity and pressure?

A) Cystometry
B) Pyelography
C) Lithotripsy
D) Urinalysis
E) Cystoscopy

Question 23

The beginning of menstruation, called ________, usually occurs between the ages of 10 and 15 years.

Question 24

A condition in which an egg is unable to move out of a woman's fallopian tube into the uterus for implantation is a(n) ____.

A) fibroid
B) ovarian cyst
C) ectopic pregnancy
D) polyp
E) sexual function disorder

Question 25

Another name for enlargement of the prostate gland is ____.

A) prostatitis
B) hydrocele
C) urethritis
D) prostatic cancer
E) prostatic hypertrophy

Question 26

During an annual gynecologic exam, the licensed practitioner performs a(n) ________ breast exam.

Question 27

Which of the following is not a common treatment for premenstrual syndrome?

A) Restricted intake of dietary sodium, alcohol, and caffeine
B) Oral contraceptives
C) Stress-reduction methods
D) Kegel or perineal exercises
E) Vitamins

Question 28

In which procedure does the physician examine the walls of the bladder and urethra by visualization and inspection?

A) Cystometry
B) Pyelography
C) Cystoscopy
D) Testicular biopsy
E) Lithotripsy

Question 29

Which of the following is not typically included in patient education for a patient who has an STI?

A) The importance of completing the course of therapy
B) Treating sexual partners to avoid reinfection
C) Avoiding sexual contact while the infection is active
D) The necessity of reporting STIs to the CDC
E) Behavior modification to prevent future STIs

Question 30

A heavy or dragging feeling in the groin, enlargement of one testicle, and a dull ache in the groin are symptoms of ____.

A) epididymitis
B) prostatitis
C) testicular cancer
D) urethritis
E) prostate cancer

Question 31

Another term for benign, smooth tumors of muscle cells in the uterus is ____.

A) fibroids
B) ovarian cysts
C) polyps
D) endometriosis
E) cancer

Question 32

Treatment for prostatitis includes ____.

A) radiation therapy and removal of the prostate
B) antibiotic medications and sitz baths
C) aspiration of the fluid
D) lithotripsy
E) medication and counseling

Question 33

Which of the following is not part included of the medical assistant's role in a urologist's office?

A) Collect and process urine, blood, and other specimens
B) Assist with general exams
C) Participate in patient education
D) Take patient histories
E) Visual inspection of the external genitalia

Question 34

Which of the following treatments may be useful for a woman with uterine prolapse?

A) Kegel or perineal exercises
B) Antibiotics
C) Oral contraceptives
D) D&C
E) Analgesics and bed rest

Question 35

Which of the following is excess fluid in the scrotum?

A) Prostatitis
B) Urethritis
C) Hydrocele
D) Epididymitis
E) Prostatic hypertrophy

Question 36

Red, soft, fragile growths with a slender stem attachment that are sometimes found on the mucous membranes of the cervix or endometrium are ____.

A) ovarian cysts
B) vaginitis
C) fibroids
D) endometriosis
E) polyps

Question 37

When is the best time for a man to perform a testicular self-exam?

A) Before getting out of bed in the morning
B) Immediately after having sexual intercourse
C) After taking a shower or bath
D) Just after going to bed at night
E) Immediately after strenuous exercise

Question 38

Which of the following treatments may be used for a patient who is incontinent?

A) Rest and antibiotic medications
B) Counseling
C) Exercises
D) Lithotripsy
E) Sitz baths

Question 39

Men should be instructed to perform a monthly testicular self-exam starting at age ____.

A) 10
B) 40
C) 25
D) 20
E) 15

Question 40

An X-ray exam of the fallopian tubes and uterus in which a contrast medium such as dye or air is used is ____.

A) hysterosalpingography
B) fetal screening
C) mammography
D) ultrasonography
E) magnetic resonance imaging

Question 41

A(n) ________ test detects whether the hormone human chorionic gonadotropin (HCG) is present.

Question 42

During a pelvic exam, the licensed practitioner uses a(n) ________ to expand the vaginal opening to permit viewing of the vagina and cervix.

Question 43

During the ________ examination, the doctor checks the external genitalia, cervix, vaginal wall, internal reproductive organs, and rectum.

Question 44

The surgical removal of the uterus and ovaries is a(n) ________.

Question 45

Placenta ________ is a condition of pregnancy indicated by bright red vaginal bleeding and is without pain.

Question 46

The natural cessation of the menstrual cycle is ________.

Question 47

An increase in glucose in the urine or blood during pregnancy indicates ________ diabetes.

Question 48

A(n) ________ is a pathologic test used to diagnose cervical cancer.

Question 49

The surgical removal of tissue for later microscopic examination is a(n) ________.

Question 50

Although it is now considered an optional method of screening for breast cancer, a(n) ________ is still an important part of breast cancer prevention.

Question 51

FAS is the result of a woman's use of ________ during pregnancy.

Question 52

A(n) _______ is an examination of the vagina and cervix that is usually performed prior to a biopsy after results of a Pap smear show the presence of abnormal cells.

Question 53

________ is a procedure performed when a genetic or metabolic defect is suspected in a fetus. The procedure involves removing a small amount of amniotic fluid, which surrounds the fetus, from the uterus.

Question 54

Too little or too much AFP in the blood can indicate a(n) ________ abnormality known as a neural tube defect.

Question 55

During the ________ phase of a pelvic exam, the licensed practitioner uses two hands to palpate the abdomen and assess the position of the uterus.

Question 56

A woman's normal cycle of preparation for conception is ________.

Question 57

A serious condition of pregnancy characterized by vaginal bleeding and back and abdominal pain is ________ placenta.

Question 58

Nägele's rule is used to estimate the ________ date for a pregnant woman.

Question 59

In addition to regular breast examinations, all women in good health should be encouraged to have a(n) ________ every year starting at age 40.

Question 60

Urinary ________ is the loss of bladder control.

Question 61

The first milk a mother produces after delivering a child is ________.

Question 62

The test in which the physician uses a catheter to fill the bladder with carbon dioxide gas to measure urinary bladder capacity is ________.

Question 63

Two purposes for semen analysis are to determine fertility and to evaluate the success of a(n) ________.

Question 64

Inflammation of the vagina caused by bacteria, viruses, yeasts, or chemicals in sprays, douches, or tampons is called ________.

Question 65

The menstrual disturbance in which menstruation is absent is ________.

Question 66

The period after a woman delivers an infant, during which her body attempts to get back to normal, is known as ________.

Question 67

Difficulty or pain with urination is called ________.

Question 68

An invasive procedure in which a sample from the testes is removed for laboratory examination is a testicular ________.

Question 69

A severe form of premenstrual syndrome that affects 5% of women and can have a very disrupting effect on the patient's life is known as premenstrual ________ disorder (PMDD).

Question 70

A patient who has ________ is likely to complain of an excessive amount of menstrual flow or a prolonged period of menstruation.

Question 71

The most common type of cancer among men is ________ cancer.

Question 72

Bleeding between menstrual periods is known as ________.

Question 73

Sexually transmitted diseases are now often called sexually transmitted ________ because this term more accurately describes conditions in which the patient may not have symptoms.

Question 74

A patient is said to have _______ if she has painful menstruation.

Question 75

In men over 40, the physician generally checks the _______ by digital insertion into the rectum.