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Altered reproductive system function

Terms in this set (8)

An 18-year-old female is diagnosed with dysmenorrhea. Which of the following symptoms will she most likely experience?
a. Absence of menstruation
b. Menstrual irregularity
c. Unusually long menstrual period
d. Painful menstruation
painful menstruation
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
Elevated prostaglandins
Primary dysmenorrhea is painful menstruation associated with the release of prostaglandins in ovulatory cycles, but not with pelvic disease.
A 25-year-old female presents with amenorrhea and hirsutism. She is diagnosed with PCOS. Lab testing will most likely reveal:
a. Estrogen deficit
b. Genetic cancerous mutations
c. Cortisol excess
d. Hyperinsulinemia
Hyperinsulinemia
Glucose intolerance/insulin resistance (IR) and hyperinsulinemia often run parallel and markedly aggravate the hyperandrogenic state, thus contributing to the severity of signs and symptoms of PCOS.
Estrogen levels are elevated with PCOS.
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. Endometriosis
c. Leiomyomas
d. Adenomas
Leiomyomas
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. Peyronie disease
d. Priapism
ANS: B
Phimosis is a condition in which the foreskin cannot be retracted back over the glans.
Paraphimosis is the opposite: the foreskin is retracted and cannot be moved forward (reduced) to cover the glans.
Peyronie disease is a fibrotic condition that causes lateral curvature of the penis during erection.
Priapism is a prolonged erection.
A 68-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. Cryptorchidism
c. Paraphimosis
d. Peyronie disease
ANS: D
Peyronie diseaseis a fibrotic condition that causes lateral curvature of the penis during erection.
Phimosis is a condition in which the foreskin cannot be retracted back over the glans.
Cryptorchidism is a condition of testicular maldescent.
Paraphimosis is the opposite: the foreskin is retracted and cannot be moved forward (reduced) to cover the glans.
_____ is inflammation of the glans penis.
a. Phimosis
b. Balanitis
c. Priapism
d. Hydrocele
ANS: B
Balanitis is an inflammation of the glans penis.
Phimosis is a condition in which the foreskin cannot be retracted back over the glans.
Priapism is a prolonged erection.
A hydrocele is a collection of fluid within the tunica vaginalis.
A middle-aged male speaks to his physician about benign BPH. 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 BPH is:
a. Decreased urinary stream
b. Infertility
c. Sexual dysfunction
d. Prostatodynia
The most common complaint of men with BPH is decreased urine stream.
Infertility is not associated with benign prostatic hypertrophy.
Sexual dysfunction could be associated with BPH, but it is not as common a complaint as decreased stream.
A painful prostate is not a frequent complaint of men with BPH.
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