CH 17 - REPRODUCTIVE SYSTEM

Why should an HSG be performed 10 days after the start of the menstrual cycle?

- the endometrium is least congested at this time - there is less risk of irradiating a fertilized ovum

TRUE or FALSE The patient's bladder needs to be full for an HSG exam.

FALSE ( needs to be EMPTY )

The __________ of the ductus deferens serves as a reservoir for seminal fluid and unites with the seminal vesicle. a. ampulla b. medulla c. isthmus d. fundus

a. ampulla

** The junction of the ductus deferens and the seminal vesicle forms the: a. ejaculatory duct b. epididymis c. prostate duct d. urethra

a. ejaculatory duct

** The _____________ collect the ovum released by the ovaries and convey it to the uterine cavity. a. fallopian tubes b. epididymis c. ductus deferens d. ovaries

a. fallopian tubes

The ______________ arise from the lateral angle of the uterus, one on each side and open into the peritoneal cavity. a. fallopian tubes b. uterus c. ovaries d. vagina

a. fallopian tubes

* Radiation for any purpose is avoided during pregnancy, especially during what trimester of gestation? a. first trimester b. second trimester c. third trimester

a. first

* The superiormost portion of the uterus is the: a. fundus b. body c. isthmus d. cervix e. endometrium

a. fundus

** The superior portion of the uterus is the: a. fundus b. body c. isthmus d. cervix

a. fundus

The core of the ovaries made of vascular tissue is the: a. medulla b. cortex c. Graafian follicle d. isthmus

a. medulla

* Female reproductive cells are called: a. ova b. ovum c. oogonia d. mature follicles

a. ova

* Which structure produces female reproductive cells? a. ovaries b. uterus c. testicles d. epididymis

a. ovaries

The _________ are located one on each side near the lateral wall of the pelvis. a. ovaries b. fallopian tubes c. uterus d. vagina

a. ovaries

The external secretion of the __________ is ova, the female reproductive cell. a. ovaries b. fallopian tubes c. uterus d. vagina

a. ovaries

The internal secretion of the ___________ controls the menstrual cycle. a. ovaries b. fallopian tubes c. uterus d. vagina

a. ovaries

* Which structures are parts of the female reproductive system? a. ovaries, uterus, and fallopian tubes b. ovaries, testes, and ductus deferens c. epididymis, uterus, and fallopian tubes d. epididymis, testes, and ductus deferens

a. ovaries, uterus, and fallopian tubes

* The accessory genital organ that is composed of muscular and glandular tissue is the: a. prostate b. epididymis c. ductus deferens d. testes

a. prostate

* The structure that conveys an ovum from a gonad to the uterus is the: a. uterine tube b. cervix c. ductus deferens d. epididymis

a. uterine tube

* The pear-shaped muscular organ of the female reproductive system is the: a. uterus b. cervix c. uterine tube d. ovary

a. uterus

The pear-shaped, muscular reproductive organ situated in the central part of the pelvic cavity is the: a. uterus b. ovary c. prostate d. bladder

a. uterus

Which exam is used to investigate congenital malformations and fistulae? a. vaginography b. fetography c. pelvic pneumonography d. hysterosalpingography

a. vaginography

* The number of uterine tubes in a the typical woman is: a. 1 b. 2 c. 3 d. 4

b. 2

* The portion of the uterus where ligaments attach the uterus within the pelvis is the: a. fundus b. body c. isthmus d. cervix e. endometrium

b. body

** The vaginal end of the uterus is the: a. fundus b. cervix c. isthmus d. body

b. cervix

The outer portion of the ovaries made of glandular tissue is the: a. medulla b. cortex c. Graafian follicle d. isthmus

b. cortex

* The excretory channel that allows male germ cells to pass from a gonad to the urethra is the: a. seminal vesicle duct b. ductus deferens c. epididymis d. ejaculatory duct

b. ductus deferens

* The union of the ductus deferens and the seminal vesicle duct forms the: a. epididymis b. ejaculatory duct c. prostate d. urethra

b. ejaculatory duct

** The ____________ is formed by the union of the ductus deferens and the seminal vesicle. a. ampulla b. ejaculatory duct c. epididymis d. bulbourethral glands

b. ejaculatory duct

The ___________ ejects sperm into the urethra before ejaculation. a. prostate b. ejaculatory duct c. seminal vesicle d. epididymis

b. ejaculatory duct

Which of the following exams should only be performed after week 18 of gestation? a. vaginography b. fetography c. placentography d. hysterosalpingography

b. fetography

The internal structures of the female reproductive system consist of all of the following EXCEPT: a. ovaries b. isthmus c. fallopian tubes d. uterus e. vagina

b. isthmus

The 3 parts of the fallopian tube include all of the following EXCEPT: a. isthmus b. medulla c. ampulla d. infundibulum

b. medulla

The extrusion of an ovum by the rupture of a follicle is: a. menstruation b. ovulation c. impregnation d. fertilization

b. ovulation

* Which exam demonstrates the architecture of the maternal pelvis to compare with the size of the fetal head? a. fetography b. pelvimetry c. vaginography d. hysterosalpingography

b. pelvimetry

* All of the following examines are performed on nonpregnant women only EXCEPT: a. vaginography b. placentography c. pelvic pneumography d. hysterosalpingography

b. placentography

** Which 3 of the following exams are performed on pregnant women? a. vaginography b. placentography c. pelvic pneumography d. hysterosalpingography e. fetography f. pelvimetry

b. placentography; e. fetography; f. pelvimetry

* Which structure produces spermatazoa? a. ovaries b. testicles c. prostate d. epididymis

b. testicles

The __________ is located posterior to the bladder and anterior to the rectal ampulla. a. ovary b. uterus c. prostate d. fallopian tubes

b. uterus

During an HSG, when the contrast is injected through the uterine cannula, it fills the __________, and if the uterine tubes are patent, it will spill over into the _____________. a. cervix b. uterus c. uterine cavity d. bladder e. peritoneal cavity f. vagina

b. uterus; e. peritoneal cavity

* Which type of contrast is preferred for hysterosalpingography? a. oily viscous b. water-soluble c. barium sulfate d. gaseous

b. water-soluble

* When should a hysterosalpingographic exam be performed? a. after the first trimester b. during the first trimester c. 10 days after the onset of menstruation d. 10 days before the onset of menstruation

c. 10 days after the onset of minstruation

* Hysterosalpingography is performed approximately how many months after insertion of the permanent type of intrauterine device? a. 1 month b. 2 months c. 3 months d. 4 months

c. 3 months

** Hysterosalpingography is performed approximately how many months after insertion of the permanent type of intrauterine device? a. 1 month b. 2 months c. 3 months d. 6 months

c. 3 months

** The vagina is attached around the circumference of the: a. ampulla b. isthmus c. cervix d. uterus

c. cervix

* Which structure conveys male reproductive cells from a gonad to the urethra? a. uterine tube b. fallopian tube c. ductus deferens d. ejaculatory duct

c. ductus deferens

** The male reproductive structures enclosed within the scrotal sac include all of the following EXCEPT: a. testes b. epididymis c. ejaculatory ducts d. ductus deferens e. spermatic cords

c. ejaculatory ducts

* The oblong structure attached to each testicle is the: a. prostate b. ductus deferens c. epididymis d. ejaculatory duct

c. epididymis

* Which structure is attached to each male gonad? a. urethra b. prostate c. epididymis d. ejaculatory duct

c. epididymis

* All of the following radiologic exams of the female pelvic organs are performed via intraperitoneal gas insufflation EXCEPT: a. pneumography b. gynecography c. fetography d. pangynecography

c. fetography

* An abnormal connection between 2 internal organs or between an organ and the body surface is a(n): a. tumor b. cyst c. fistula d. adhesion

c. fistula

* The constricted area of the uterus that is adjacent to the vaginal end is the: a. fundus b. body c. isthmus d. cervix e. endometrium

c. isthmus

** The superior portion of the cervix is the: a. fundus b. body c. isthmus d. uterus

c. isthmus

* The female gonads are called the: a. ova b. ovum c. ovaries d. uterus

c. ovaries

Which of the follow exams investigates the female pelvic organs via intraperitoneal gas insufflation? a. vaginography b. fetography c. pelvic pneumonography d. hysterosalpingography

c. pelvic pneumonography

** Which term describes the investigation of the prostate by radiographic, cystographic, or vesiculgraphic procedures? a. fetography b. pelvimetry c. prostatography d. hysterosalpingography

c. prostatography

How is the contrast introduced during a vaginography exam? a. uterine cannula b. retrograde through the rectum c. rectal retention tube inserted into the vagina d. vaginal speculum

c. rectal retention tube inserted into the vagina

** The external reproductive structures of a male are the _____________ and the ____________. a. testes b. prostate c. scrotum d. penis

c. scrotum; d. penis

* The ducts from the prostate open into the proximal portion of the: a. penis b. testes c. urethra d. ureter

c. urethra

** The ___________ expels the mature fetus during birth. a. cervix b. ovaries c. uterus d. vagina

c. uterus

** The ___________ receive and retain fertilized ovum until development of the fetus is complete. a. ovaries b. cervix c. uterus d. isthmus

c. uterus

* Which of the following conditions can be investigated by radiographic imaging of the male reproductive system? 1. inflammation 2. tumors 3. sterility a. 1 and 2 only b. 1 and 3 only c. 2 and 3 only d. 1, 2, and 3

d. 1, 2, and 3

* When performing hysterosalpingography, where is the IR centered? a. 1 in distally to the pubic symphysis b. 1 in proximally to the pubic symphysis c. 2 in distally to the pubic symphysis d. 2 in proximally to the pubic symphysis

d. 2 in proximally to the PS

The male tests are divided into _________ partial compartments that constitute the glandular substance, with each compartment housing one or more convoluted, germ cell-producing tubules. a. 15-20 b. 30-40 c. 90-100 d. 200-300

d. 200-300

** Hysterosalpingography may be performed to: a. determine size, shape, and position of the uterus and uterine tubes b. delineate lesions such as polyps, submucous tumor masses, or fistulous tracts c. investigate patency of the uterine tubes in patients who are unable to conceive d. all of the above

d. all of the above

* The cylindrical vaginal end of the uterus is the: a. fundus b. body c. isthmus d. cervix e. endometrium

d. cervix

* Which part of the uterus is referred to as the neck? a. fundus b. body c. isthmus d. cervix

d. cervix

Where is the uterine cannula placed for injection of contrast in an HSG? a. vagina b. rectum c. bladder d. cervix

d. cervix

Seminal duct exams are performed to investigate all of the following EXCEPT: a. cysts b. abscesses c. tumors d. chronic pain e. inflammation f. sterility

d. chronic pain

The main duct of the __________ is continuous with the ductus deferens. a. prostate b. ejaculatory duct c. seminal vesicle d. epididymis

d. epididymis

* Which exam introduces contrast through a uterine cannula? a. fetography b. pelvimetry c. vaginography d. hysterosalpingography

d. hysterosalpingography

* Which exam is performed to verify the patency of uterine tubes? a. fetography b. pelvimetry c. vaginography d. hysterosalpingography

d. hysterosalpingography

The patient should be placed in the ___________ position for a hysterosalpingographic exam. a. prone b. supine c. Sim's d. lithotomy

d. lithotomy

HSG images should demonstrate all of the following EXCEPT: a. the entire pelvic area b. all contrast, including any "spill" c. short scale contrast d. long scale contrast

d. long scale contrast

** The 4 parts of the uterus include all of the following EXCEPT: a. fundus b. body c. isthmus d. medulla e. cervix

d. medulla

The term applied to investigation of the prostate by radiographic, cystographic, or vesiculographic procedures is: a. hysterosalpingography b. pelvic pneumonography c. pelvitometry d. prostatography

d. prostatography

** All of the following are included in the internal reproductive structures in a male EXCEPT: a. testes b. ductus deferens c. prostate d. urethra e. ejaculatory ducts f. seminal vesicles g. bulbourethral glands

d. urethra

* The mucosal lining of the uterine cavity is the: a. fundus b. body c. isthmus d. cervix e. endometrium

e. endometrium

* The 4 main parts of the uterus include all of the following EXCEPT: a. fundus b. body c. isthmus d. cervix e. epididymis

e. epididymis

The ________ encircles the proximal portion of the urethra. a. testes b. epididymis c. ductus deferens d. seminal vesicle e. prostate

e. prostate

Ultrasound has largely replaced radiographic exams for all of the following EXCEPT: a. prostatography b. seminal duct exams c. pelvic pneumonography d. fetography e. pelvitometry f. placentography g. vaginography

g. vaginography ( and hysterosalpingography )

* The male gonads are called the:

testes