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

By definition, dysfunctional uterine bleeding is abnormal uterine bleeding resulting from:

A) cancerous tumors.
B) disturbances in the menstrual cycle.
C) intrauterine infections.
D) congenital abnormalities in uterine structure.

Answer 2

disturbances in the menstrual cycle.

Question 3

A 6-year-old female is showing growth of pubic hair. All other physical characteristics appear normal. The correct diagnosis would be:

A) delayed puberty.
B) incomplete precocious puberty.
C) heterosexual precocious puberty.
D) normal puberty.

Answer 3

incomplete precocious puberty.

Question 4

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 5

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

A) estrogen deficit.
B) genetic cancerous mutations.
C) cortisol excess.
D) hyperinsulinemia.

Question 6

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.

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

In the vast majority of cases of delayed puberty, the problem is:

A) a disruption in the hypothalamus.
B) a disruption of the pituitary.
C) slow maturation.
D) decreased hormone levels.

Question 9

A 21-year-old female is infected with 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 10

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(n):

A) follicular cyst.
B) dermoid cyst.
C) corpus luteal cyst.
D) atretic cyst.

Question 11

The most commonly occurring cancer of the female reproductive tract is:

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

Question 12

A 30-year-old female with newly diagnosed polycystic ovarian syndrome 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 13

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 14

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. What is the most likely cause of his symptoms?

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

Question 15

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 16

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) myometrial polyps.
C) leiomyomas.
D) adenomas.

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 7-year-old male presents to his physician because of breast enlargement. A CT scan reveals adrenal hyperplasia. What is the most likely diagnosis?

A) Heterosexual precocious puberty
B) Incomplete precocious puberty
C) Isosexual precocious puberty
D) Homosexual precocious puberty

Question 19

A 20-year-old female presents with irregular and heavy bleeding, passage of large clots, and anemia. She is most likely experiencing:

A) premenstrual syndrome.
B) dysfunctional uterine bleeding.
C) polycystic ovarian syndrome.
D) primary dysmenorrhea.

Question 20

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) pre-phimosis.
D) priapism.

Question 21

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 22

A 35-year-old nonpregnant female presents complaining of breast discharge. This condition is most likely caused by:

A) infection.
B) hormonal imbalances.
C) tissue injury.
D) cancer.

Question 23

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 24

The risk of testicular cancer is greater for men with a history of:

A) priapism.
B) phimosis.
C) cryptorchidism.
D) testicular torsion.

Question 25

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. Which of the following sexually transmitted infection does she most likely have?

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

Question 26

Symptoms of prostatitis are similar to symptoms of:

A) prostate cancer.
B) benign prostatic hypertrophy.
C) urinary tract infection.
D) epididymitis.

Question 27

A 25-year-old sexually active female presents with pain during intercourse, dysuria, and spotting. She is diagnosed with trichomoniasis, which is a:

A) virus.
B) parasite.
C) bacterium.
D) spirochete.

Question 28

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 29

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

A) chlamydia.
B) syphilis.
C) scabies.
D) Gardnerella.

Question 30

_____ is inflammation of the glans penis.

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

Question 31

A middle-aged male speaks to his physician about benign prostatic hypertrophy. 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 benign prostatic hypertrophy is:

A) decreased urinary stream.
B) infertility.
C) sexual dysfunction.
D) prostatodynia.

Question 32

Prostate cancer:

A) is responsible for a majority of cancer-related deaths in males.
B) usually occurs before age 50.
C) is the leading type of cancer in men in the United States.
D) is more common in Caucasian men in the United States.

Question 33

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

A) Chlamydia trachomatis
B) Adenovirus
C) Human papillomavirus
D) Herpes simplex virus

Question 34

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 35

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 36

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 37

An 18-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) lateral phimosis.
C) lateral paraphimosis.
D) Peyronie disease.