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PSY 394 Chapter 9

Terms in this set (75)

There is some suggestion that the age of menarche is dropping in response to:
a. early sexualization of girls
b. decreased age of first intercourse
c. environmental toxins
d. media saturation
c. environmental toxins
Cycle length is determined by:
a. the number of days in between bleeding
b. heredity
c. number of eggs ovulated
d. whether she uses tampons or sanitary pads
a. the number of days in between bleeding
Dr. Spencer wishes that folks did not teach about the menstrual cycle as if it were usually 28 days long because:
a. it causes people to doubt the effectiveness of their oral contraceptive pills
b. most cycles are closer to 40 days in length
c. people think ovulation occurs in the middle of the cycle
d, many women feel abnormal because their cycles are not this length
c. people think ovulation occurs in the middle of the cycle
Ovulation occurs:
a. while a woman is bleeding
b. within a few days of the onset of menstruation
c. in the middle of the cycle
d. about 14 days prior to menstruation
d. about 14 days prior to menstruation
Which phase of the cycle varies from woman to woman and, within the same woman, from month to month?
a. the secretory phase
b. the follicular phase
c. the menarche phase
d. the menstrual cramping phase
b. the follicular phase
There is the possibility of a woman becoming pregnant while bleeding if:
a. she has a very short cycle
b. she is super-fertile
c. she ovulated more than one egg
d. she doesn't have a follicular phase
a. she has a very short cycle
Sperm live within a woman's reproductive system for:
a. 6 hours
b. 2 days
c. 5 days
d. 10 days
c. 5 days
Menstruation is, in essence:
a. the maturation of eggs
b. the cleansing of the uterus
c. the process of hormone production
d. the shedding of the endometrial lining
d. the shedding of the endometrial lining
Follicles:
a. produce testosterone
b. gather together to form the endometrial lining
c. are the fluid filled sacs that contain the eggs
d. are what causes menstrual cramping
c. are the fluid filled sacs that contain the eggs
Each cycle, _____ egg(s) will start the journey to full maturation:
a. one
b. 1,000
c. about a dozen
d. two
b. 1,000
In addition to providing the "incubator" for egg maturation, the follicles:
a. produce progesterone
b. produce PMS symptoms
c. are responsible for menstrual fluid odor
d. produce estrogen
d. produce estrogen
After ovulation, the follicle that released an egg:
a. becomes the corpus luteum
b. becomes waste matter
c. starts growing a new egg
d. is absorbed by the endometrium
a. becomes the corpus luteum
The primary role of the corpus luteum is to:
a. incubate the egg
b. create new follicles
c. produce progesterone
d. prevent bleeding
c. produce progesterone
All but which of the following is required for ovulation to occur?
a. very high progesterone levels
b. a peak in estrogen
c. an LH surge
d. a mature egg available
a. very high progesterone levels
The primary purpose of most oral contraceptive pills is to:
a. maximize progesterone production
b. prevent an LH surge
c. destroy follicles
d. make sure the fertilized egg does not implant in the uterine wall
b. prevent an LH surge
All but which of the following is true of the corpus luteum?
a. it has a natural lifespan of about 10 days
b. it becomes the placenta, if a woman becomes pregnant
c. it is responsible for producing progesterone
d. it can be signaled by HCG to live beyond 10 days
b. it becomes the placenta, if a woman becomes pregnant
Menstruation is triggered by:
a. the formation of the corpus luteum
b. the death of the follicle
c. the depletion of estrogen and progesterone
d. ovulation
c. the depletion of estrogen and progesterone
What percentage of women experience some degree of premenstrual distress?
a. 10-20%
b. 80-90%
c. 30-40%
d. 50%
b. 80-90%
What percentage of women experience PMDD?
a. 10%
b. 20%
c. 15%
d. 30%
a. 10%
What distinguishes PMS from PMDD?
a. how long the symptoms last
b. the timing of the symptoms in relation to menstruation
c. the degree of psychiatric symptomatology
d. the extent of menstrual cramping
c. the degree of psychiatric symptomatology
Why does Dr. Spencer think it should be premenstrual syndromes rather than premenstrual syndrome?
a. because so many women suffer with this phenomenon
b. because you need to include PMDD
c. because some women experience their symptoms post-menstrually
d. because there seem to be many different types of PMS
d. because there seem to be many different types of PMS
Dr. Spencer would say that a significant theme within PMS is:
a. insecurity
b. self-nurturance
c. self-confidence
d. competitiveness
a. insecurity
How are you diagnosed with PMS?
a. through a blood test
b. via a pelvic exam
c. by tracking your symptoms
d. by taking a paper-and-pencil test
c. by tracking your symptoms
To those who would say that women use PMS as an excuse to be unpleasant, Dr. Spencer would say:
a. absolutely! many women do that!
b. many women seem to be the last to know that they have PMS
c. that is just a perception of some unfeeling partners
d. for most women, their PMS does not make them "unpleasant"
b. many women seem to be the last to know that they have PMS
Management of PMS includes all but which of the following?
a. consume lots of soy products
b. get some exercise
c. avoid drugs and alcohol
d. eat a healthy diet
a. consume lots of soy products
The only cure for PMS is:
a. antidepressants
b. menopause
c. psychotherapy
d. oral contraceptive pills
b. menopause
Dysmenorrhea is defined as:
a. the absence of menstruation
b. a milder form of PMS
c. painful menstruation
d. heavy menstrual flow
c. painful menstruation
The difference between primary and secondary dysmenorrhea is:
a. the timing of the symptoms
b. the amount of menstrual flow
c. whether the woman is pre- or post-menopausal
d. whether the pain can be attributed to a disease or abnormality process
d. whether the pain can be attributed to a disease or abnormality process
All but which of the following were listed as possible reasons for amenorrhea?
a. alcoholism
b. athleticism
c. stress
d. anorexia
a. alcoholism
The difference between athletes and anorexics with respect to their amenorrhea is:
a. the amount of body fat that needs to be regained
b. its reversibility
c. the prevalence of these respective types of amenorrhea
d. the cultural differences in the expression of amenorrhea
b. its reversibility
What percentage of women experience endometriosis?
a. 25%
b. because it goes hand in hand with PMS, the same percentage as PMS
c. 10%
d. 50%
c. 10%
In essence, endometriosis means:
a. endometrial tissue is somewhere other than inside your uterus
b. the same thing as amenorrhea
c. that you will be infertile
d. that you've suffered some trauma to the pelvis which modified your endometrium
a. endometrial tissue is somewhere other than inside your uterus
The mechanism by which endometriosis causes problems is:
a. by increasing hormone levels
b. by creating inflammation and scar tissue
c. by interfering with ovulation
d. by blocking blood supply to vital organs
b. by creating inflammation and scar tissue
The means by which endometriosis interferes with fertility is:
a. filling the uterus so that there is no room for the embryo
b. preventing implantation of an embryo
c. creating blockage in the fallopian tube
d. causing the fertilized egg to dislodge from the uterine wall
c. creating blockage in the fallopian tube
The only way to diagnose endometriosis is:
a. to biopsy pelvic tissue
b. with a blood test
c. with a pelvic exam
d. to track your symptoms
a. to biopsy pelvic tissue
All but which of the following might be part of the treatment or management of endometriosis?
a. ovarian suppression drugs
b. laser surgery
c. hysterectomy
d. oral contraceptive pills
c. hysterectomy
All but which of the following are good reasons to pursue surgical management of your endometriosis?
a. the hormones have given you severe acne
b. you want to get pregnant
c. the hormonal management has not helped
d. you are incapacitated a couple of days / months
a. the hormones have given you severe acne
The only real cure for endometriosis is:
a. a hysterectomy
b. menopause
c. treatment with LH and FSH
d. treatment with HCG
b. menopause
The large Women's Health Initiative study was abandoned in the middle of the project because it was discovered that:
a. some of the researchers were being paid by drug companies
b. HRT actually increased the risks of heart disease and breast cancer
c. several women died
d. some of the researchers had lied about the data
b. HRT actually increased the risks of heart disease and breast cancer
Which replacement regimen was responsible for the negative outcomes in the WHI?
a. progesterone and estrogen together
b. estrogen alone
c. progesterone alone
d. estrogen and testosterone
a. progesterone and estrogen together
Adding progesterone to estrogen in HRT:
a. mitigates the negative effects of estrogen on a woman's uterus
b. decreases bone loss
c. prevents breast cancer
d. makes the formulations less expensive
a. mitigates the negative effects of estrogen on a woman's uterus
Taking estrogen alone is not safe for women:
a. who are post-menopausal
b. who have had ovarian cancer
c. with uteruses
d. younger than 40
c. with uteruses
Dr. Reed's solution to the HRT dilemma is to:
a. add an SSRI to the regimen
b. minimize the amount of estrogen and progesterone
c. give women injections of estrogen rather than pills
d. give women hysterectomies before administering HRT
b. minimize the amount of estrogen and progesterone
An additional treatment that has shown some benefit in relieving menopausal symptoms is:
a. a soy diet
b. Ibuprophen
c. Lexapro
d. black cohosh
c. Lexapro
The reason why most birth control pills are taken on a monthly cycle is because:
a. this is the only way they'll work
b. they figured women would be more comfortable taking something that mimicked their own schedules
c. so that women will remember to take them
d. hormones go bad if they sit on the shelf too long
b. they figured women would be more comfortable taking something that mimicked their own schedules
According to Dr. Spencer, contraception means:
a. something that will keep you from getting pregnant
b. pills you take every day for a month at a time
c. prevention of abortion
d. any method that keeps egg from sperm
d. any method that keeps egg from sperm
Birth control:
a. is the same thing as contraception
b. are pills that you take daily to keep you from getting pregnant
c. can be achieved with condoms
d. is anything that you do to keep you from having a baby
d. is anything that you do to keep you from having a baby
The most common form of contraception / birth control worldwide is:
a. oral contraceptive pills
b. sterilization
c. condoms
d. the IUD
b. sterilization
Pills prevent ovulation by:
a. preventing an LH surge
b. increasing progesterone levels
c. killing eggs on contact
d. destroying the endometrium
a. preventing an LH surge
Nonfertile mucus:
a. works by killing sperm on contact
b. contains too much LH to allow for conception
c. act as a physical barrier to sperm
d. is a birth control mechanism
c. act as a physical barrier to sperm
When birth control / contraceptive pills change the lining of the uterus:
a. nonfertile mucus does not occur
b. this is a birth control mechanism
c. ovulation is interfered with
d. endometriosis is a risk
b. this is a birth control mechanism
Combination oral contraceptive / birth control pills act by:
a. changing the lining of the uterus
b. preventing ovulation
c. creating non-fertile mucus
d. all of these
d. all of these
Progestin only pills act by:
a. changing the lining of the uterus and preventing ovulation
b. preventing ovulation and creating non-fertile mucus
c. creating non-fertile mucus and changing the lining of the uterus
d. all of these
c. creating non-fertile mucus and changing the lining of the uterus
All but which of the following is true of oral contraceptive / birth control pills?
a. they should only be taken by women under the age of 30
b. they need to be taken at the same time every day
c. the amount of hormones in the pills are micro-doses compared to a few decades ago
d. there are very few health risks associated with taking these pills
a. they should only be taken by women under the age of 30
Under what circumstance might your progestin only pill act as birth control?
a. if you're lucky, they act as birth control every day
b. if you forgot a pill or two close to ovulation
c. if you took too many at a time
d. if you use condoms at the same time
b. if you forgot a pill or two close to ovulation
All but which of the following are means on delivering hormones to women for the purpose of contraception / birth control?
a. creams
b. patch
c. ring
d. implant
a. creams
The vaginal ring and patch are very similar in that:
a. they are both progestin only
b. they are changed weekly
c. they serve as birth control and not contraception
d. one is used per month
d. one is used per month
Nexplanon:
a. works by killing sperm on contact
b. may eliminate periods for years
c. is the newest vaginal ring
d. is only for married women
b. may eliminate periods for years
All but which of the following are advantages of Depo Provera?
a. it is inexpensive
b. it has no effect on breast feeding
c. it is easy to use
d. it can be stopped easily
a. it is inexpensive
All but which of the following are advantages of Depo Provera?
a. no one needs to know that you are using it
b. it doesn't require the cooperation of a partner
c. it empowers women to control their fertility
d. it improves acne
d. it improves acne
All but which of the following are contraindications of Depo Provera?
a. breastfeeding an infant less than 6 weeks of age
b. breast cancer
c. HPV
d. pregnancy
c. HPV
The reason the first Depo Provera injection is given during the first 5 days of a woman's cycle is:
a. because that's when it will be the most effective
b. that's when her body is most in need of the progestin in Depo Provera
c. to insure that she is not pregnant
d. because a woman is less sensitive to the pain of the injection at that time
c. to insure that she is not pregnant
If a woman is late getting her subsequent injections:
a. she needs to use a barrier method for the next 7 days
b. her breasts will start leaking milk
c. she should admit to herself that this is not a good method for her
d. she needs and extra injection to be covered
a. she needs to use a barrier method for the next 7 days
All but which of the following are possible side effects of Depo Provera?
a. moodiness
b. breast enlargement
c. spotting
d. weight gain
b. breast enlargement
All but which of the following are "no no's" in the use of male condoms?
a. do not use two condoms at once
b. do not store condoms in a hot place
c. do not allow anyone else to put a condom on you
d. do not use condoms that are expired
c. do not allow anyone else to put a condom on you
All but which of the following is true of the female condom?
a. it can be worn along with a male condom
b. it is sometimes used for anal sex
c. it can be made of latex
d. sometimes it comes with an insertion device
a. it can be worn along with a male condom
An additional advantage of female condoms is:
a. it has a pleasant aroma
b. it offers some protection of the labia against STI infection
c. it has a pleasant taste
d. it is much less expensive than the male condom
b. it offers some protection of the labia against STI infection
One of the disadvantages of using spermicides is:
a. one needs to be 18 or older to purchase them at a drug store
b. they don't taste good
c. it is difficult to learn to use them properly
d. many women are allergic to an ingredient within them
d. many women are allergic to an ingredient within them
All but which of the following is a means of administering spermicides?
a. film
b. foam
c. vaginal cream
d. suppositories
c. vaginal cream
All but which of the following is true of contraceptive sponges?
a. they are designed to be used several times
b. they are infused with nonoxynol-9
c. one needs to get it wet before insertion
d. insertion is made easier by squatting
a. they are designed to be used several times
All but which of the following is true of toxic shock syndrome?
a. folks became aware of it after Rely tampons were introduced
b. it is a result of inserting infected materials into the vagina
c. it can be prevented by removing devices from the vagina before 24 hours
d. it is a bacterial infection
b. it is a result of inserting infected materials into the vagina
Barriers that cover the cervix need to be left in for at least 6 hours after ejaculation because:
a. the cervix is traumatized being covered and it takes that long for it to recover
b. it takes that long for nonoxynol-9 to kill all the sperm
c. it is too disruptive to the romantic encounter to remove it sooner
d. sperm can survive in the vagina for about 6 hours
d. sperm can survive in the vagina for about 6 hours
All but which of the following are true of the cervical cap?
a. they are designed to be used only once and then discarded
b. it takes a little practice to master the insertion and removal processes
c. it is ok to leave in place for more than 24 hours
d. it is not a very popular form of contraception
a. they are designed to be used only once and then discarded
The biggest disadvantage of cervical caps is:
a. the device can get stuck in your vagina
b. it can lead to toxic shock syndrome
c. the risk of cervical dysplasia
d. they are only available to women who have had at least one child
c. the risk of cervical dysplasia
All but which of the following is true of the diaphragm?
a. it needs to be removed within 24 hours
b. it needs to be fitted by a health care professional
c. some women complain that it causes urinary track infections
d. it is a very popular method among today's teens
d. it is a very popular method among today's teens
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