Kaplan University, Davenport - MN 551 > MN551 quiz 8 Female Reproduction. Latest Guide. A+

Document Content and Description Below

MN551 Quiz 8 Female Reproduction A 40-year-old woman has been found to have a deficiency in estrogen. Which of the following physiological phenomena is most likely to remain unaffected?... A) Parathyroid hormone antagonism and the rate of bone resorption B) The regulation of uterine endothelial development C) The maintenance of normal skin and blood vessel structure D) The synthesis and release of adrenal glucocorticoid During a group prenatal class, the nurse teaching the course is explaining the thinning of the cervix that accompanies the stages of labor leading up to delivery? A participant admits that she is not familiar with either the location or normal role of the cervix. Which of the following responses by the nurse would be most appropriate? A)"Your cervix is just the term for the lowest part of your uterus, and it is tightly shut at all times except in woman who are giving birth." B)"The cervix is the opening between the uterus and the vagina, and so it opens wide during the lead-up to birth." C)"Your cervix is the part of your uterus where the fallopian tubes join in and the baby has to pass through it to the vagina." D)"The cervix is the soft lining of your uterus that has to expand greatly to accommodate your baby during delivery." A 14 yo boy has been brought to the emergency department by his mother in excruciating pain that is radiating from his scrotum to his inguinal area. The boy's heart rate is 122 beats/minute, and he has vomited twice before arrival at the hospital. Examination reveals that his scrotum is reddened and slightly swollen, and the testes are firm to touch and tender, with extensive cremaster muscle contraction noted. What is the boy's most likely diagnosis? A)Epididymitis B) Hydrocele C) Testicular torsion D) Varicocele A 40 year old male patient with multiple health problems has been diagnosed with a testosterone deficiency. Which of the following - he nurse knows that which of the following assessment findings would correlate with a testosterone deficiency? Select all that apply. A) A high-pitched voice B) Long-lasting chronic hip dysplasia C) Complaints of multiple upper respiratory infections D) A low muscle mass in proportion to his total body weight E) Hot flashes and diaphoresis Vulnerability to infection and hip dysplasia would likely not be a manifestation of low testosterone. Low muscle mass, hot flashes and diaphoresis, and a lack of male voice characteristics could develop secondary to testosterone deficiency A long stretchy cervical mucus that exhibits ferning on a microscope slide is characteristic of which of the following? A)Crystallization of inorganic salts B)Low estrogen levels C)High progesterone levels D)Low human chorionic gonadotropin level Cervical mucus that exhibits ferning and so-called spinnbarkeit occurs right around the time of ovulation (midcycle) due to increased water content and alteration in the concentration of inorganic salts. This is influenced by high serum levels of estrogen, which lead to the LH spike that promotes ovulation (bursting of the oocyte from the mature follicle). Progesterone levels increase only after ovulation during the luteal phase, at which point the cervical mucus “dries up” (becomes more scant). A 29 yo woman has been trying for many months to become pregnant, and fertilization has just occurred. Following her most recent ovulation. What process will nowoccur that will differentiate this ovulatory cycle from those prior? A)Human chorionic gonadotropin will be produced, preventing luteal regression. B)The remaining primary follicles will provide hormonal support for the first 3 months of pregnancy. C)The corpus luteum will atrophy and be replaced by corpus albicans. D)The basal layer of the endometrium will be sloughed in preparation for implantation Fertilization is followed by the release of human chorionic gonadotropin. The corpus luteum, not primary follicles, provides hormonal support for early pregnancy. The atrophy of corpus luteum and its replacement by corpus albicans only occur when fertilization does not take place. The endometrium will be preserved following fertilization After a long and frustrating course of constant vaginal pain, a 38 yo woman has been diagnosed with generalized vulvodynia by her gynecologist. What treatment plan is her physician most likely to propose? A) Alternative herbal therapies coupled with antifungal medications B) Antidepressant and antiepileptic medications C) Lifestyle modifications aimed at accommodating and managing neuropathic pain D) Narcotic analgesia and nonsteroidal anti-inflammatory medication Which of the following statements best captures an aspet of normal spermatogenesis? A)Testosterone chemically lyses each primary spermatocyte into two secondary spermatocytes with 23 chromosomes each. B)\Sertoli cells differentiate into spermatids, each of which can contribute half of the chromosomes necessary for reproduction. C)Spermatogonia adjacent to the tubular wall undergo meiotic division and provide a continuous source of new germinal cells. D)Each primary spermatocyte undergoes two nuclear divisions yielding four cells with 23 chromosomes each. A couple that has three daughters would like to add a son to their family, and they have recently learned that the woman is pregnant. Which of the following phenomena would most likely be associated with the woman's eventual delivery of a healthy son? A)The production of dihydrotestosterone (DHT) by the embryo and DHT's differentiation into testosterone B) Development of testes under the influence of the X chromosome C)Suppression of female reproductive structures by anti-Müllerian hormone (AMH) D)Atrophy of the Wolffian ducts during embryonic development Which of the following situations would be considered pathologic in an otherwise healthy 30 yo female? A)The woman's ovaries are not producing new ova. B)The woman's ovaries do not synthesize or secrete luteinizing hormone (LH). C)The epithelium covering the woman's ovaries is broken during the time of ovulation. D)The woman's ovaries are not producing progesterone. A 20 yo male has been diagnosed with a chlamydial infection, and his primary care provider is performing teaching in an effort to prevent the client from infecting others in the future. Which of the following statements by the client demonstrates the best understanding of his health problem? A) "Either me or a partner could end up with an eye infection from chlamydia that could make us blind." B) "Even though I couldn't end up sterile, a woman that I give it to certainly could." C) "Each of the three stages of the disease seems to be worse than the previous one." D) "Even if I spread it to someone else, there's a good chance she won't have any symptoms or know she has it." A 66 yo man has presented to a nurse practitioner to get a refill for his antiplatelet medication. The patient has a history of ischemia heart disease and suffered a myocardial infarction 5 years ago and has unstable angina; he uses a transdermal nitroglycerin patch to control his angina. The client has a 40 pack-year smoking history and uses nebulized bronchodilators at home for the treatment of transient shortness of breath. He has long-standing hypertension that is treated with a potassium-sparing diuretic and a β-adrenergic-blocking medication. During the nurse's assessment, the man states that he has been unable to maintain his erection in recent months. Which of the following aspects of the man's health problems and treatments would the nurse identify as contributing to his erectile difficulty (ED)? A) antihypertensive medications. B) use of bronchodilators. C) hypertension. D) diuretic use. E) smoking history. F age. Which of the following sexually active women most likely faces the highest risk of developing an ectopic pregnancy? A) A 14-year-old who experienced menarche 2 years prior. B) A 42-year-old who has decided to try to have one more child and has had her tubal ligation reversed. C) A 27-year-old who stopped using medroxyprogesterone contraceptive injection (Depo-Provera) several months ago. D) A 22-year-old who has a history of anorexia nervosa and who has a body mass index (BMI) of 12.0 (normal weight = 18.5 to 24.9). Previous tubal ligation is an identified risk factor for ectopic pregnancy. Young age, use of injectable contraception, and low BMI are not specifically associated with ectopic pregnancy. A 57 yo woman who has been diagnosed with atrophic vaginitis has expressed her surprise to her care provider citing a lifetime largely free of gynecological health problems. She has asked what may have contributed to her problem. How can the care provider best respond? A) “The lower levels of estrogen since you've begun menopause make your vagina prone to infection.” B) “Vaginitis is not usually the direct result of any single problem, but rather an inevitability of the vaginal dryness that accompanies menopause.” C) “This type of vaginitis is most commonly a symptom of a latent sexually transmitted infection that you may have contracted in the distant past.” D) “The exact cause of this problem isn't known, but it can usually be resolved with a diet high in probiotic bacteria. Which of the following factors are NOT known to contribute to vaginal yeast infections? A) Inflammation of the Skene and Bartholin glands. B) Poorly controlled diabetes C) Recent antibiotic therapy D) Excessive physical exercise E) Use of oral contraceptives F) High hormone levels during pregnancy A pregnant 23 yo with a diagnosis of herpes simplex virus (HSV) is receiving prenatal care from her nurse practitioner. To prevent transmission of the virus to her baby, the physician will educate to include which of the following accurate statements? A)"After your caesarean section, it will be safest if you don't breast-feed your child." B)"If there aren't any visible lesions when you enter labor, a vaginal delivery will be safe to go ahead with." C)"A vaginal delivery will be safe as long as you are consistent with taking your valacyclovir." D)"We'll have to book you a caesarian delivery in order to ensure your baby isn't exposed to the virus." Following a visit to her campus medical clinic motivated by persistent abdominal pain and dyspareunia, a 20 year old female college student has been referred for a diagnostic workup to rule out pelvic inflammatory disease. Her elevated white cell and C-reactive protein levels lead her care provider to suspect pelvic inflammatory disease (PID). What follow-up question is most likely to help with the differential diagnosis? A)"Are you using tampons during your period or do you normally use pads?" B)"What does your daily hygiene routine usually consist of?" C)"How many sexual partners have you had?" D)"Have you ever had a therapeutic abortion in the past?" Having multiple sex partners is a factor that has been identified in the development of PID. The use of tampons, inadequate hygiene, and a history of TA are less likely to predispose to PID. Which of the following conditions usually improves when a woman is taking oral contraceptives? A) Human Papillomavirus infection B) Migraine headaches C) Iron deficiency anemia D)Herpes simplex virus A 24 yo woman has presented to an inner-city free clinic because of the copious, foul vaginal discharge that she has had in recent days. Microscopy has confirmed the presence of Trichomonas vaginalis. What are the woman's most likely treatment and prognosis? A) Abstinence will be required until the infection resolves, since treatments do not yet have proven efficacy. B) Oral antiprotozoals to the patient and sexual partners to help prevent complications. C) Antifungal medications are effective against the anovulation and risk of HIV that accompany the infection. D) Vaginal suppositories and topical ointments can provide symptom relief but cannot eradicate the microorganism. A 60 yo woman who is 11 years menopausal has presented to the emergency department stating “I haven’t had my period in years, but lately I've been bleeding again, and quite heavily in the last few days." The care team needs to rule out endometrial cancer. How should they best explain the most accurate plan for confirming or ruling out the diagnosis? A)"We're going to book a CT scan for you as soon as possible so that we can see what is inside your uterus." B)"We're going to have to open your cervix with a speculum and take scrapings from the wall of your uterus." C)"We are going to order blood work that will measure your hormone levels." D)"We can do a Pap smear right now, and we will get the results as soon as we can A 51 yo woman who has been receiving estrogen and progesterone therapy (EPT) for the last 5 years has visited her care provider because her peers have told her about the risks of heart disease, stroke, and breast cancer that could accompany hormone therapy (HT). How should her care provider respond to her concerns? A)"There is a demonstrable increase in breast cancer risk with HT, but the risk of stroke or heart disease actually go down slightly." B)"All considered, the benefits of HT outweigh the slightly increased risks of heart disease, stroke, or breast cancer." C)"HT is actually associated with a decrease in heart disease risk, but there is an increase in stroke risk; the breast cancer connection is still unclear." D)"There's in fact a slight protective effect against stroke associated with HT, but this is partially offset by increased rates of heart disease and breast cancer." Which of the following women is most likely to have a sexually transmitted infection as a contributing factor to her health problem? A) A 29-year-old woman with a diagnosis of localized vulvodynia B) A 40-year-old who is being treated for vaginal cancer C) A 32-year-old who is undergoing diagnostics to rule out endometriosis D) A 41-year-old with a diagnosis of mucopurulent cervicitis A 39 yo male patient has been recently diagnosed with primary hypogonadism. Which of the following lab results would be most indicative of this diagnosis? A)Normal levels of free testosterone; low levels of total testosterone B)Low free testosterone, luteinizing hormone (LH), and follicle-stimulating hormone (FSH) levels C)Low levels of gonadotropin-releasing hormone (GnRH) D)Low testosterone levels; high levels of LH and FSH A newborn male has been diagnosed with hypospadias following his postpartum assessment by a nurse practitioner. Which of the following diagnostics and treatment options is the physician most likely to rule out first? A) Chromosomal studies B) Circumcision C) Surgical repair D) Testosterone supplementation While educating a mother about the benefits of giving her child the human papilloma virus (HPV) vaccine, gardisil, which of the following statements will the nurse need to clarify for the parent? Select all that apply. The vaccine is: A) best administered before the child becomes sexually active. B) 100% effective against development of cervical cancer for her life span. C) effective against the two most common strains of genital warts. D) only recommended for females between the ages of 9 and 26. E) recommended prior to exposure to HPV, and if the child has genital warts, they are already exposed The HPV vaccine has decreased the risk of cervical cancer by 97%. Gardisil is one type of HPV vaccine to prevent infection with the HPV subtypes 16, 18, 9, and 11. This vaccine has been approved for girls and boys between 9 and 26 years of age (prior to becoming sexually active) to prevent HPV 6 and 11 genital warts. The vaccine targets the two strains of HPV (16 and 18) responsible for 70% of the cervical cancer. There is no treatment that is 100% effective against cervical cancer. A 28-year-old female has been told she has atypical glandular cells following Pap smear. The physician will likely recommend which procedure that can be performed in his office to remove the abnormal zone and provide a specimen for further histological evaluation? A) Cone biopsy B) Intracavitary irradiation C)Trachelectomy D)Loop electrosurgical excision procedure (LEEP Because adenocarcinoma of the cervix is being detected more frequently, especially in women younger than 35 years of age, a Pap smear result of atypical glandular cells warrants further evaluation. The LEEP has taken the place of cone biopsies in most situations and is now the first-line management for CIN II/III. This outpatient procedure allows for the simultaneous diagnosis and treatment of dysplastic lesions found on colposcopy. In skilled hands, this wire can remove the entire transformation zone, providing adequate treatment for the lesion while obtaining a specimen for further histological evaluation. Cone biopsy is a surgical procedure that removes a cone-shaped wedge of cervix. Trachelectomy is removal of the cervix, and intracavitary irradiation is a form of brachytherapy to treat cervical cancer. A 20-year-old male has been diagnosed with testicular cancer and is seeking information about his diagnosis from a number of websites. Which of the following statements that he has read is most plausible? A-“Testicular cancer is a leading cause of death among males who should be in the prime of their lives.” B-“Men with cryptorchidism—the term for an undescended testicle—are known to have a higher risk of developing testicular cancer.” C-“For most men with testicular cancer, bloody urine is their first sign that something is wrong.” D-“Recent developments in the treatment of testicular cancer mean that few men now need to have a testicle removed.” John presents to the clinic with complaints of scrotal heaviness. Your assessment reveals swelling of the testicle and warm scrotal skin. What would your diagnosis be? A-Cryptorchidism B-Orchitis C-Testicular torsion D-Epididymitis A 13 yo female is undergoing rapid development of her breasts after experiencing menarche several months ago. Which of the following hormones are Not active in the development of her breasts? Select all that apply. A) Prolactin B) Human growth hormone or oxytocin C) Luteinizing hormone D) Estrogen E) Follicle-stimulating hormone F) Progesterone [Show More]

Last updated: 2 years ago

Preview 1 out of 10 pages