Ch. 23 Alterations of the Reproductive System Flashcards

1
Q
Which of the following is the first sign of puberty in girls?
  Menarche
  Pubic hair
  Thelarche
  Premature closure of epiphysis
A

Thelarche

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2
Q
Which of the following terms is appropriate for painful menstruation associated with the release of prostaglandins in ovulatory cycles?
  Primary dysmenorrhea 
  Primary amenorrhea
  Hirsutism
  Secondary amenorrhea
A

Primary dysmenorrhea

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3
Q
Which of the following terms is appropriate for irregular menstrual flow?
  Menorrhagia
  Menopause
  Metorrhagia 
  Menometrorrhagia
A

metorrhagia

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4
Q
A woman presents with hirsutism, amenorrhea, and infertility. She is also very obese. Which of the following is the most likely cause of her symptoms?
  Premenstrual syndrome
  Polycystic ovary syndrome
  Pelvic inflammatory disease
  Primary amenorrhea
A

Polycystic ovary syndrome

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5
Q
A woman presents with an inflammation of one of the ducts that lead from the vaginal opening. Which of the following is the appropriate term for this condition?
  Vaginitis
  Cervicitis
  Bartholinitis
  Pelvic inflammatory disease
A

Bartholinitis

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6
Q
A woman has a prolapse of a portion of her bladder. Which of the following is an appropriate term for this condition?
  Cystocele
  Uterine prolapse
  Pessary
  Urethrocele
A

Cystocele

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7
Q
Which of the following types of cysts contains skin, hair, and sebaceous and sweat glands?
  Corpus luteum cyst
  Dermoid cysts 
  Ovarian torsion
  Follicular cyst
A

Dermoid cysts

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8
Q
Which of the following is a TRUE statement regarding uterine fibroids (leiomyomas)?
  More common in white women
  Most prevalent in young age
  Decreases with menopause
  Develops from cartilage
A

Decreases with menopause

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9
Q
Which of the following is NOT a cofactor for the development of cervical cancer?
  Smoking
  Chlamydia infection
  Breast cancer
  HIV infection
A

Breast cancer

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10
Q
Which of the following is the most common cause of urethral stricture in a man?
  Paraphimosis
  Carcinoma
  Indwelling catheter
  Congenital defect
A

Indwelling catheter

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11
Q
A man presents with inflammation of the glans penis. Which of the following is the correct medical term for this condition?
  Phimosis
  Paraphimosis
  Priapism
  Balanitis
A

Balanitis

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12
Q
A man is diagnosed with a scrotal disorder. There is abnormal dilation of the veins in the spermatic cord. It feels like a “bag of worms.” Which of the following is the name for this condition?
  Varicocele
  Hydrocele
  Spermatocele
  Cryptorchidism
A

Varicocele

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13
Q

Which of the following is a TRUE statement regarding torsion of the testis?
Relief is obtained with elevation of the scrotum.
A high-riding testis may be noted.
It is a benign condition.
It is most common in middle-aged men.

A

A high-riding testis may be noted

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14
Q
A 24-year-old man has pain in his testes. He has just recovered from the mumps. Which of the following is the most likely cause of his testicular pain?
  Orchitis
  Prostatitis
  Epididymitis
  Testicular torsion
A

Orchitits

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15
Q

Which of the following is a TRUE statement regarding benign prostatic hyperplasia?
Ten percent of men will have it by age 80 years.
It is an uncommon condition.
The prostate is largest at birth and continues to shrink.
It may be problematic if urethral compression occurs.

A

It may be problematic if urethral compression occurs

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16
Q

Which of the following is TRUE regarding breast cancer?
The older the woman at her first childbirth, the lower is her risk.
It is the second most common cause of cancer in women.
The incidence has declined since 1955.
The median age for breast cancer is 64.

A

The median age for breast cancer is 64

17
Q
Which of the following is a NOT a nonproliferative change in breast tissue?
  Fibrocystic changes
  Cysts
  Florid hyperplasia
  Calcifications in cysts
A

Florid hyperplasia

18
Q
A man complains of an abnormal curvature of his penis. He states it has been getting worse since puberty and that intercourse is painful. Which of the following is the most likely cause?
  Peyronie disease
  Orchitis
  Phimosis
  Paraphimosis
A

Peyronie disease

19
Q
A man complains of unilateral pain in his scrotum. He has a red and swollen area on his scrotum. He is sexually active, with many partners. Which of the following is the most likely cause of his pain?
  Balanitis
  Paraphimosis
  Epididymitis
  Benign prostatic hypertrophy
A

Epididymitis

20
Q
Which of the following is NOT a frequent site for distant metastasis for prostate cancer?
  Brain
  Lymph nodes
  Liver
  Bones
A

Brain

21
Q
Which of the following is NOT one of the three normal processes of sexual response?
  Erection
  Emission
  Orgasm
  Ejaculation
A

Orgasm

22
Q
Which of the following is the most common cause of galactorrhea?
  Hyperprolactinemia 
  Medications
  Hypothyroidism
  Pituitary tumor
A

Hyperprolactinemia

23
Q
Which of the following is TRUE regarding hormonal factors and breast cancer?
  Protective effects of ovary removal
  Protective effects of late pregnancy
  Protective effects of early menarche
  Protective effects of late menopause
A

Protective effects of ovary removal

24
Q
Which of the following genes has NOT been linked with breast cancer?
  BRCA
  TP53
  c-myc
  psa
A

psa

25
Q
Which of the following is NOT a risk factor for ovarian cancer?
  Early menarche
  Late menopause
  Multiparity
  Fertility drugs
A

Multiparity

26
Q

Which of the following is TRUE regarding gynecomastia in men?
It may begin as a palpable mass anywhere on the chest.
It affects less than 3% of the male population.
Incidence is greatest among adolescents and older men.
It generally indicates cancer.

A

Incidence is greatest among adolescents and older men.

27
Q
Which of the following is considered a risk for vaginal cancer?
  Prior or concurrent cervical cancer
  Endometriosis
  Concurrent breast cancer
  Birth control pills
A

Prior or concurrent cervical cancer