Ch. 23

Nursing 500a with Ritter at University of Arizona

About this deck

By: Lauren Heller
Textbook:

Pathophysiology - Text and Study Guide Package: The Biologic Basis for Disease in Adults and Children

Pharmacology for the Primary Care Provider, 3e (Edmunds, Pharmacology for the Primary Care Provider)

Study Guide for Understanding Pathophysiology, 5e 5th (fifth) edition by Huether RN PhD, Sue E., McCance RN PhD, Kathryn L., Parkin published by Mosby (2011) [Paperback]

Understanding Pathophysiology, 5e (Huether, Understanding Pathophysiology)
Created: 2011-07-02
Size: 62 flashcards
Views: 52

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In 95% of cases of delayed puberty the problem is caused by

a. disruption in the hypothalamus

b. disruption of the pituitary

c. deficit in estrogen or testosterone

d. physiological hormonal delays

The firs sign of puberty in girls is

a. thelarche

b. growth of pubic hair

c. menstruation

d. vaginal discharge

a. thelarche

The first sign of puberty in boys is

a. thickening of the scrotal skin

b. growth of pubic hair

c. enlargement of the testes

d. change in voice

c. enlargement of the testes

_____precocious puberty causes the child to develop some secondary sex characteristics of the opposite sex

a. mixed

b. incomplete

c. isosexual

d. homosexual

a. mixed

Dysmenorrhea is caused by the release of the chemical mediator

a. leukotrienes

b. prostaglandins

c. bradykinin

d. C-reactive protein

b. prostaglandins

Considering the pathophysiology of primary amenorrhea, what anatomic structure is involved in compartment II?

a. ovary

b. anterior pituitary

c. hypothalamus

d. vagina

a. ovary

Considering the pathophysiology of primary amenorrhea, what anatomic structure is involved in compartment IV?

a. vagina

b. hypothalamus

c. ovary

d. anterior pituitary

b.hypothalamus

The most common cause of cyle irregularities is a result of

a. disorders within the endometrium

b. obstructiono f the fallopian tubes

c. pregnancy

d. failure to ovulate

d. failure ot ovulate

The clinical manifestations of a woman include the flowing: irregular or heavy bleeding, passage of large clots, and depletion of iron stores. This person is experience

a. premenstrual syndrome

b. dysfunctional uterine bleeding (DUB)

c. polycystic ovary syndrome

d. primary dysmenorrhea

b. dysfunctional uterine bleeding (DUB)

DUB secondary to ovarian dysfunction is abnormal uterine bleeding resulting from

a. endometriosis

b. progesterone deficiency or relative estrogen excell

c. sexually transmitted infections

d. congenital abnormalities in the uterine structure

b. progesterone deficiency or relative estrogen excess

The pathogenesis of polycystic ovarian syndrome is described as

c. excessive androgen that affect follicular decline by suppressing apoptosis, enabling follicles, which normally disintegrate to survive.

The leading cause of infertility is

a. pelvic inflammatory disease

b. endometriosis

c. salpingitis

d. polycystic ovary syndrome (PCOS)

Considering the mediating factors of PMS, which drug is used to treat it?

a. NSAIDs

b. estrogens

c. SSRIs

progestins

a. NSAIDs

Which description of the pathogenesis of PID is FALSE?

a. Develops when pathogenic microbes ascend from infected cervix along the endometrial tissue to infect uterus & adnexa

b. Develops from virally infected endometrial cells that move through fallopian tubes & empty into the pelvic cavity

Answer is: b. Develops from virally infected endometrial cells that move through fallopian tubes & empty into the pelvic cavity

Other choices that are NOT the correct answer to this question are:

c. It spreads by way of lympatics with parametrical dissemination of infection into the pelvis.

d. It develops by the adherence of sexually transmitted bacteria to sperm that travel through the genital tract

_____is the descent of the bladder and the anterior vaginal wall into the vaginal wall

a. rectoccele

b. vaginocele

c. cystocele

d. enterocele

c. cystocele

A _____cyst develops when an ovarian follicle is stimulated, but no dominant follicle develops and completes the maturity process.

a. follicular

b. corpus luteal

c. corpus albicans

d. benign ovarian

_____are benign uterine tumors that develop from smooth muscle cells in the myometrium and are commonly called uterine fibroids.

a. endometrial polyps

b. myometrial polyps

c. leiomyomas

d. myometriomas

c. leiomyomas

The size of benign uterine tumors is thought to be due to the influence of which hormone?

a. progesterone

b., estrogen

c. luteinizing hormone

d. Gonadotropin-stinulating hormone

b. estrogen

What is a theory of causation for endometriosis?

a. obstruction within the fallopian tubes prevents the endometrial tissue from adhering to the lining of the uterus

b. endometrial tissue passes through the fallopian tubes and into the peritoneal cavity and remains responsive to hormones

The common clinical manifestations of endometriosis include

a. back and flank pain

b. infertility and dysmenorrhea

c. dysuria and absent menstrual flow

d. painless, vaginal bleeding between menstrual periods.

b. infertility and dysmenorrhea

Which virus is a necessary precursor for developing cervical intraepithelial carcinoma (CIN) and cervical cancer?

a. human papillomaviuus (HPV)

b. Epstein-Barr virus (EBV)

c. Herpes simplex II virus (HSV)

d. cysomegalovirus (CMV)

a. human papillomavirus (HPV)

What description is given when all or most of the cervical epithelium shows cellular features of carcinoma, but underlying tissue is not affected?

a. cervical intraepithelial neoplasia (CIN)

b. cervical dysplasia

c. cervical carcinoma in situ

d. invasive carcinoma of the cervix

a. cervical intraepithelial neoplasia (CIN)

What process occurs when columnar epithelium is replaced by squamous epithelium in the transformation zone?

a. dysplasia

b. aplasie

c. mataplasie

d. epithelplasie

c. metaplasia

Which of the following factors increases the risk for ovarian cancer after the age of 40

a. use of fertility drugs

b. oral contraceptive use

c. multiple pregancies

d. prolonged lactation

a. use of fertility drugs

Infertility is defined as inability to conceive after _____months of unprotected intercourse

a. 6

b. 12

c. 18

d. 24

b. 12

_____is a condition in which the foreskin cannot be retracted over the glans penis

a. paraphimosis

b. priapism

c. prephimosis

d. phimosis

_____is a fibrotic condition that causes lateral curvature of the penis during erection, which is associated with a local vasculitis-like inflammatory reaction and decreased tissue oxygenation.

a. phimosis

b. lateral phimosis

c. lateral papaphimosis

d. Peyronie disease

_____is inflammation of the glans penis.

a. Glantis

b. Balanitis

c. Priapism

d. Hydrocelitis

b. Balanitis

Cryptorchidism can be defined as

a. a normal developmental state of the testes

b. an abnormal state in which there is overdevelopment of the testes

c. the lack of scrotum

d. testicular maldescent

_____is the most salmon infectious cause of orchitis and usually affects postpubertal males

a. herpes

b. escherichia coli

c. mumps

d. cytomegalovirus

c. mumps

Which cancer is a germ cell tumor arising from the male gamete?

a. penile

b. testicular

c. prostate

d. epididymal

b. testicular

Which are clinical manifestations of testicular cancer?

a. firm, nontender testicular mass

b. painful, mobile, firm testicular mass

c. painful fluid-filled testicular mass

d. soft, contender testicular mass

a. firm nontender testicular mass

How does the epididymis become infected

a. Pathogenic microorganisms ascend the vas deferentia from already infected urethra or bladder

b. Pathogenic microorganisms are attached to sperm that travel through genital tract.

c. Pathogenic microorganisms from tunica vaginalis are transported to epididymis

a. Pathogenic microorganisms ascend the vas deferentia from already infected urethra or bladder

Symptoms of benign prostatic hyperplasia are a result of

a. infection of the prostate

b. obstruction of the urethra

c. ischemia of the urethra

d. compression of the urethra

Which infection has clinical manifestations of sudden onset of malaise, low back pain, and perineal pain with high fever and chills, dysuria,nocturne, and urinary retention?

a. orchitis

b. balanitis

c. epididymitis

d. bacterial prostatitis

Which dietary factor is NOT a risk factor for prostate cance?

a. high -fat diet

b. high-protein diet

c. high-fiber diet

d. high-calcium diet

c. high-fiber diet

Which of the following is NOT a cause of galactorrhea?

a. proliferation of lactiferous ducts of breast

b. hypothyroidism resulting from decrease in thyroid-releasing hormone (TRH)

c. excess prolactin secretion from anterior pituitary

d. drugs such as high-does oral contraceptives and phenothiazines

a. proliferation of the lactiferous ducts of the breast

Which breast disorder is characterized by bilateral modularity and breast tenderness that waxes and wanes with the menstrual cycle?

a. Paget disease

b. Fibroadenoma

c. Fibrocystic changes

d. Lobular carcinoma in situ

c. Fibrocystic changes

What are typical finding on breast palpation of a client with fibroadenoma?

a. painful, round, movable, and fluid-filled mass

b. painless, movable, hard, and irregular mass

c. painless, firm, elastic, and well-circumscribed mass

d. painful, nonmovable, irregular, and soft mass

c. painless, firm, elastic, and well-circumscribed mass

Which benign breast tumor affects 50-60-year old women and is characterized by the principal lactiferous ducts becoming dilated and filled with cellular debris?

a. mammary duct ectasia

b. intraductal papilloma

c. phyllodes tumor

d. fibroadenoma

a. mammary duct ectasia

Which cancers are associated with alterations of the BRCA 1 gene?

a. endometrial and ovarian

b. endometrial and cervical

c. cervical and breast

d. breast and ovarian

Which tumor-related gene or protein is an oncogene that transmits a growth signal to the nucleus to stimulate tumor growth?

a. Her-2/neu

b. Bcl-2

c. TP53

d. C-myc

a. Her-2/neu

Which of the following is usually the first clinical manifestation of breast cancer?

a. nipple dimpling

b. nipple discharge

c. enlargement of one breast

d. a painless lump

Match the phrases with the corresponding cancer.

a. Seen with HPV infection

b. Advanced at the time of diagnosis

c. Most curable cancer

d. Vasectomy increases risk

1. Testicular cancer

c. Most curable cancer

Match the phrases with the corresponding cancer.

a. Seen with HPV infection

b. Advanced at the time of diagnosis

c. Most curable cancer

d. Vasectomy increases risk

2. penile cancer

a. seen with HPV infection

Match the phrases with the corresponding cancer.

a. Seen with HPV infection

b. Advanced at the time of diagnosis

c. Most curable cancer

d. Vasectomy increases risk

3. prostate cancer

d. vasectomy increases risk

Match the phrases with the corresponding cancer.

a. Seen with HPV infection

b. Advanced at the time of diagnosis

c. Most curable cancer

d. Vasectomy increases risk

4. male breast cancer

b. advanced at the time of diagnosis

Match description with disorder.

a. painless diverticulum of epididymis located between head of epididymis and testis

b. collection of fluid in tunica vaginalis

c. rotation of testis, which twists blood vessels of spermatic cord

d. abnormal dilation of vein within spermatic cord

5. varicocele

d. abnormal dilation of the vein within the spermatic cord

Match description with disorder.

a. painless diverticulum of epididymis located between head of epididymis and testis

b. collection of fluid in tunica vaginalis

c. rotation of testis, which twists blood vessels of spermatic cord

d. abnormal dilation of vein within spermatic cord

6. hydrocele

b. collection of fluid in the tunica vaginalis

Match description with disorder.

a. painless diverticulum of epididymis located between head of epididymis and testis

b. collection of fluid in tunica vaginalis

c. rotation of a testis, which twists blood vessels of spermatic cord

d. abnormal dilation of vein within spermatic cord

7. testicular torsion

c. rotation of a testis, which twists blood vessels of the spermatic cord

Match description with disorder.

a. painless diverticulum of epididymis located between head of epididymis and testis

b. collection of fluid in tunica vaginalis

c. rotation of testis, which twists blood vessels of spermatic cord

d. abnormal dilation of vein within spermatic cord

8, spermatocele

a. painless diverticulum of the epididymis located between the head of the epididymis and the testis

About this deck

By: Lauren Heller
Textbook:

Pathophysiology - Text and Study Guide Package: The Biologic Basis for Disease in Adults and Children

Pharmacology for the Primary Care Provider, 3e (Edmunds, Pharmacology for the Primary Care Provider)

Study Guide for Understanding Pathophysiology, 5e 5th (fifth) edition by Huether RN PhD, Sue E., McCance RN PhD, Kathryn L., Parkin published by Mosby (2011) [Paperback]

Understanding Pathophysiology, 5e (Huether, Understanding Pathophysiology)
Created: 2011-07-02
Size: 62 flashcards
Views: 52

About StudyBlue

“I have used this website for three exams, and I see a huge difference in my test results.”
Naj