Deck 32: Alterations of the Reproductive Systems Including Sexually Transmitted Infections

Question 1

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

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

Answer 1

Candida albicans

Question 2

A 20-year-old female presents with pelvic and back pain severe enough to miss work.She reports that the pain occurs with the onset of menses.Physical examination fails to find pelvic pathology.The most likely cause of her condition is:

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

Answer 2

Elevated prostaglandins

Question 3

In the majority of cases delayed puberty is due to:

A) A disruption in the hypothalamus
B) A disruption of the pituitary
C) Slow maturation
D) Ambiguity in sex determination

Answer 3

Slow maturation

Question 4

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

A) Adenomyosis
B) Endometriosis
C) Leiomyomas
D) Adenomas

Question 5

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 6

A 30-year-old male presents with penile tenderness and discharge.Physical examination reveals that his foreskin cannot be retracted back over the glans penis.He is suffering from:

A) Paraphimosis
B) Phimosis
C) Peyronie disease
D) Priapism

Question 7

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

Question 8

A 25-year-old female presents with amenorrhea and hirsutism.She is diagnosed with PCOS.Lab testing will most likely reveal:

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

Question 9

An important risk factor in the development of benign prostatic hypertrophy (BPH)is:

A) Recurrent prostatitis
B) A diet high in fat
C) Cigarette smoking
D) Increased age

Question 10

A 68-year-old male presents complaining of difficulty having sexual intercourse.He reports that his penis curves during erection.This condition is referred to as:

A) Phimosis
B) Cryptorchidism
C) Paraphimosis
D) Peyronie disease

Question 11

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

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

Question 12

During a routine pelvic exam,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 13

A 30-year-old female with newly diagnosed PCOS is being counseled 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

Question 14

_____ is inflammation of the glans penis.

A) Phimosis
B) Balanitis
C) Priapism
D) Hydrocele

Question 15

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

Question 16

Cryptorchidism can be defined as:

A) A normal developmental state of the testes
B) An abnormal state in which the testes are overdeveloped
C) Lack of a scrotum
D) Problems with testicular descent

Question 17

The descent of the bladder and the anterior vaginal wall into the vaginal canal is called a:

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

Question 18

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 19

A 21-year-old male presents with inflammation of the testes.He has a high fever and edema and redness of the testes.Which organism is the most likely the cause of his symptoms?

A) Herpes virus
B) Escherichia coli
C) Mumps
D) Cytomegalovirus

Question 20

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 21

The patient's medication has a side effect of gynecomastia.The patient asks the nurse to define this term.The nurse would respond that gynecomastia is:

A) Lack of breast development in women
B) Overdevelopment of breast tissue in males
C) A type of breast cancer
D) Inflammation of the mammary glands in lactating women

Question 22

A middle-aged male speaks to his physician about benign BPH.He reveals that his father was recently diagnosed with this condition,and he wants to know if he could have it.The physician tells him that a common complaint from men with mild to moderate BPH is:

A) Decreased urinary stream
B) Infertility
C) Sexual dysfunction
D) Prostatodynia

Question 23

An example of a parasitic STI that is transmitted through close skin-to-skin contact is:

A) Chlamydia
B) Syphilis
C) Scabies
D) Gardnerella

Question 24

A 25-year-old sexually active female presents with urethritis,dysuria,and cervical discharge.She is diagnosed with the most common bacteria STI in the United States.The student would identify this infection is due to:

A) Gonorrhea
B) Syphilis
C) Chlamydia
D) Herpes

Question 25

A 19-year-old female presents with genital warts.Which of the following would cause this condition?

A) Chlamydia trachomatis
B) Adenovirus
C) HPV
D) Herpes simplex virus

Question 26

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

A) Infection
B) Hormonal imbalances
C) Tissue injury
D) Cancer

Question 27

A 40-year-old male is concerned about the possibility of developing prostate cancer.He reports that his father died of prostate cancer,and he wants to take all preventive measures.He is told to consume a diet low in:

A) Fat
B) Lycopene
C) Fiber
D) Calcium

Question 28

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 29

Which of the following are true regarding prostate cancer? (Select all that apply.)

A) It is responsible for the majority of cancer-related deaths in males.
B) It usually occurs before age 50.
C) It is the leading type of cancer in men in the United States.
D) It is more common in Caucasian men in the United States.
E) Prostate cancer rates have been declining.

Question 30

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

A) Insertion of a urinary catheter
B) A pessary
C) Dietary fiber
D) Urinary antispasmodics

Question 31

Symptoms of prostatitis are similar to symptoms of:

A) Prostate cancer
B) BPH
C) Urinary tract infection (UTI)
D) Epididymitis

Question 32

A syndrome often associated with cystocele is:

A) Cystitis
B) Renal calculi
C) Stress incontinence
D) Urinary retention

Question 33

Conditions that contribute to dysfunctional uterine bleeding include (select all that apply):

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

Question 34

An 18-year-old male presents with urethral itching and burning and increased frequency and urgency with urination.He reports recently having unprotected sex with a new partner.Which of the following could be the cause of his symptoms? (Select all that apply.)

A) Neisseria gonorrhea
B) Chlamydia trachomatis
C) Herpes infection
D) Escherichia coli
E) Candida albicans

Question 35

The risk of testicular cancer is greater for which group? (Select all that apply.)

A) With a history of cryptorchidism
B) With a history of phimosis
C) Who are of Caucasian ethnicity
D) Who are of African-American descent
E) With a history of HIV

Question 36

A 35-year-old female presents with infertility and gradual blindness.She reports that she has otherwise been healthy.History reveals that she was promiscuous and had unprotected sexual intercourse several times when she was younger.She now has neurological involvement.Which of the following sexually transmitted infection (STI)does she most likely have?

A) Syphilis
B) Chlamydia
C) Gonorrhea
D) Genital herpes