Question 1

In relation to the menstrual cycle,when do fibroadenomas typically enlarge?&#10;A) in the premenstrual phase of the cycle&#10;B) during the menstrual cycle&#10;C) during the postmenstrual phase of the cycle&#10;D) throughout the cycle, regardless of phase

Accepted Answer

The tenderness of the fibroadenoma may become evident during the premenstrual phase of the cycle, when the cysts tend to enlarge.

Question 2

In which stage of uterine prolapse does the cervix appear at the perineum or protrude on straining?&#10;A) first degree&#10;B) second degree&#10;C) third degree&#10;D) fourth degree

Accepted Answer

In first degree uterine prolapse, the cervix remains in the vagina. The cervix appears at the perineum or protrudes on straining in second degree. Third degree uterine prolapse is characterized by the entire uterus protruding outside of the body, and there is total inversion of the vagina.

Question 3

A decline in estrogen triggers all of the following except which one?&#10;A) an increase in serotonin&#10;B) breast atrophy&#10;C) decreased thyroid function&#10;D) hyperparathyroidism

Accepted Answer

A decline in estrogen triggers a decrease in serotonin. Because serotonin helps maintain sleep and decrease anxiety, a drop in serotonin adds to the episodes of anxiety and sleep disturbance and aggravates feelings of irritability, tension, palpitations, and chest discomfort.

Question 4

A client is performing abdominal strengthening in the physical therapy clinic.Upon questioning the patient,the physical therapist assistant (PTA)suspects an ectopic pregnancy.What is the appropriate action by the PTA?

A) increase intensity of abdominal intervention
B) decrease intensity of abdominal intervention
C) stop abdominal exercise because these are contraindicated for pregnant females
D) contact the supervising physical therapist/physician

Accepted Answer

If the PTA suspects ectopic pregnancy, an immediate discussion with the supervising physical therapist is required and a subsequent telephone call to the physician or medical referral is warranted.

Question 5

Which of the following is a primary cause of cervical cancer?&#10;A) herpes simplex virus&#10;B) human papilloma virus&#10;C) gonorrhea&#10;D) smoking

Accepted Answer

Clinical studies show that the transfer of human papilloma virus during unprotected sexual intercourse is the primary cause of cervical cancer.

Question 6

What stage of breast cancer is characterized by tumor size between 2 and 5 cm with spread to axillary lymph nodes but not distant sites?&#10;A) stage I&#10;B) stage IIA&#10;C) stage IIB&#10;D) stage IIIA

Accepted Answer

If a tumor is no larger than 2 cm, it has not spread outside the breast and is considered stage I. Stage IIA cancers are between 2 and 5 cm but do not involve metastasis to either the lymph nodes or distant sites. If a tumor is smaller than 5 cm and has spread to axillary and other lymph nodes, it is considered stage IIIA.

Question 7

Risk of which of the following musculoskeletal symptoms is not likely to rise with the onset of menopause?&#10;A) hip fracture&#10;B) carpal tunnel syndrome&#10;C) osteoarthritis (OA) at the basilar joint of the thumb&#10;D) adhesive capsulitis

Accepted Answer

Carpal tunnel syndrome, OA of the basilar joint of the thumb, and adhesive capsulitis are all likely to rise in incidence after menopause. This is due primarily to lower levels of estrogen.

Question 8

Which of the following is not a side effect of the prescription of estrogen after menopause?&#10;A) breast cancer&#10;B) fractures&#10;C) heart disease&#10;D) stroke

Accepted Answer

Recently estrogen and progestin were found to increase the risk of breast cancer, heart disease, stroke, and blood clots in women who took the medications after menopause. Estrogen replacement showed some benefit, but it was not enough to outweigh the risks.

Question 9

In general,which of the following cancers has the poorest prognosis?&#10;A) cervical cancer&#10;B) uterine cancer&#10;C) fallopian tube cancer&#10;D) ovarian cancer

Accepted Answer

Ovarian cancer has a very poor prognosis because it is difficult to detect early and is usually associated with advanced metastasis at presentation.

Question 10

Which of the following is not an effect of suppression of gonadotropin-releasing hormone (GnRH)?&#10;A) frequent periods&#10;B) compromised bone densities&#10;C) infertility&#10;D) hypoestrogenism

Accepted Answer

When energy expenditure exceeds dietary intake, GnRH is suppressed, resulting in hypoestrogenism and subsequent compromised bone density and infertility.

Question 11

Which of the following is the most widely accepted cure for endometriosis?&#10;A) Pregnancy is the most widely accepted cure for endometriosis.&#10;B) Menopause is the most widely accepted cure for endometriosis.&#10;C) Use of birth control pills is the most widely accepted cure for endometriosis.&#10;D) There is no cure for endometriosis.

Accepted Answer

The answer of Which of the following is the most...

Question 12

Which of the following can be completely cured with antibiotics?&#10;A) endometriosis&#10;B) pelvic floor dysfunction&#10;C) pelvic inflammatory disease&#10;D) rectocele

Accepted Answer

The answer of Which of the following can be completely...

Question 13

Carpal tunnel syndrome symptoms involve compression of what nerve at the wrist?&#10;A) ulnar&#10;B) radial&#10;C) median&#10;D) axillary

Accepted Answer

The answer of Carpal tunnel syndrome symptoms involve compression of...

Question 14

Abnormal bleeding is a symptom of which type of cancer?&#10;A) ovarian cancer&#10;B) endometrial cancer&#10;C) bladder cancer&#10;D) colon cancer

Accepted Answer

The answer of Abnormal bleeding is a symptom of which...

Question 15

When should physical therapy intervention begin and drains be removed from the surgical site after mastectomy?&#10;A) 2 hours postoperatively&#10;B) 1 day postoperatively&#10;C) 3 days postoperatively&#10;D) 5 days postoperatively

Accepted Answer

The answer of When should physical therapy intervention begin and...

Question 16

Which of the following is not considered a classic presentation of ectopic pregnancy?&#10;A) irregular bleeding/spotting&#10;B) amenorrhea&#10;C) nausea and vomiting&#10;D) pelvic mass

Accepted Answer

The answer of Which of the following is not considered...

Question 17

Where are most cancers found in the breast in women?&#10;A) upper lateral quadrant&#10;B) upper medial quadrant&#10;C) lower lateral quadrant&#10;D) lower medial quadrant

Accepted Answer

The answer of Where are most cancers found in the...

Question 18

Where are the majority of ectopic pregnancies?&#10;A) fallopian tubes&#10;B) ovarian&#10;C) peritoneal&#10;D) abdominal

Accepted Answer

The answer of Where are the majority of ectopic pregnancies?&#10;A)...

Question 19

Which of the following is not a common site of ectopic implantation of endometrial tissue?&#10;A) bladder&#10;B) stomach&#10;C) perineum&#10;D) vulva

Accepted Answer

The answer of Which of the following is not a...

Question 20

What is the test of choice to determine pelvic floor dysfunction?&#10;A) computed tomography (CT) scan&#10;B) ultrasonography&#10;C) magnetic resonance imaging (MRI)&#10;D) laparoscopic examination

Accepted Answer

The answer of What is the test of choice to...

Deck 35: The Female Genital or Reproductive System