quiz 1 female/male reproductive disorders

Question 1

if a pt comes in with a PSA level of 5, what are you concerned about?

Answer 1

prostate cancer

Question 2

we’re sing a redlight on the male testicles and its glowing red, what do we call this?

Answer 2

Hydrocele

Question 3

when is the best time to perform TSE? (testicular self exam)

Answer 3

in the shower with warm water

Question 4

while assessing for male infertility, what is one thing we use o test for sperm analysis?

Answer 4

under microscope

Question 5

for ladies that have cramping after sex and abdominal pain, what is the possible cause of this?

Answer 5

endometriosis

Question 6

what is a common complication of endometriosis?

Answer 6

constriction of the bowels and ureters

Question 7

four causes of erectile dysfunction?

Answer 7

• smoking
• illicit drug use
• diabetes
• atherosclerosis

Question 8

when treating a 14 yr old male, what is the priority intervention? (anxiety)

Answer 8

encourage the expression of feelings

Question 9

pt post prostate sx is complaining of urinary incontinence, when does it resolve?

Answer 9

typically, within 6 mos

Question 10

widely common prostatectomy, where instrument is inserted into the urethra and various techniques are used to destroy or remove portions of the enlarged prostate?

Answer 10

TURP- transurethral resection of the prostate

Question 11

radical orectomy (testical removal), what is the numnber 1 thing we talk about to the patient?

Answer 11

if they are planning a family in the future, the option of sperm banking for future use.

Question 12

what are 2 male disorders that cause nausea and vomiting?

Answer 12

• testicular torsion (usually the left one)
• epididymitis

Question 13

which of the 2 disorders (epididymitis or testicular torsion) causes fever and chills?

Answer 13

epididymitis

Question 14

what is culdoscopy?

Answer 14

• visualization of cervix
• done by scope
• pt in lithotomy or knee to chest position
• looking for ectopic pregnancy, pelvic masses, and causes for infertility

Question 15

patient teaching for culdoscopy

Answer 15

• nothing should be inserted in to vagina for 3 days
• n o sex, tampon use, douching ect

Question 16

OTC recommendations for osteoporosis prevention

Answer 16

• natural vitamin E with mixed tocopherols (400-800 IU PO daily)
• vitamin B complex (200 mg PO daily)
• Calcium (155mg with vitamin D)

Question 17

what complication is a prolonged erection?

Answer 17

priaprism, it emergent. notify provider immediately.

Question 18

how long should the male obstain from ejaculation/sex?

Answer 18

2-3 days

Question 19

pt comes in to appt for semen analysis without obstainig 2-3 days, what do you do?

Answer 19

reschedule appt

Question 20

what are complications of peyronie disease?

Answer 20

inteferes with vaginal penetration

Question 21

what causes peyronie’s?

Answer 21

trauma and plaque formation (fibrous tissue)

Question 22

what medications are used for acute bacterial prostitis?

Answer 22

• antibacterials (6 wk course)
• antiinflammatory

Question 23

invasive procedure to visualize pelvic cavity?

Answer 23

culdoscopy

Question 24

symptoms of PID?

Answer 24

• lower abdominal pain
• dysuria
• chills and fever
• foul smelling discharge
• dyspareunia
• inflammation and skin breakdown of the vulva

Question 25

expected findings of cervical cancer?

Answer 25

bloody vaginal discharge

Question 26

are breast cancer nodules painful?

Answer 26

false

Question 27

breast cancer risk factors?

Answer 27

* family hx * starting menses younger than 11 * BRCA 1 and BRCA 2 * having 1st child after 30

Question 28

what is the criteria for menopause?

Answer 28

absence of menstrual cycle for \>1 yr

Question 29

patient care for pt with removal of axillary lymph nodes?

Answer 29

elevate arms above heart, to move fluids and avoid lymphaditis

Question 30

what can endometriosis cause?

Answer 30

infertility

Question 31

what do we use a pessary for?

Answer 31

uterine prolapse

Question 32

nursing intervention for post pessary application?

Answer 32

check in 24 hrs to make sure it hasnt dislodge

Question 33

S/S of breast cancer?

Answer 33

* dimpling * nipple discharge * edema * dry patches

Question 34

primary vs secondary infertility

Answer 34

* primary has never had a child * secondary has had at least one child but cant get pregnant again.

Question 35

what is considered infertility

Answer 35

cant get pregnant after 1 yr of unprotected sex

Question 36

pea sized structure in male that produces mucus during sexual arousal\>

Answer 36

cowpers gland