Chapter 17 Quiz
What is the failure rate for progestin-only birth control? -0% -13% -1.3% -23%
13%
What is the approximate length of the uterine cycle? -7 days -14 days -30 days -60 days
30 days
(Multiple): Which of the following is NOT treatment of endometriosis? A. Administration of drugs that suppress prostaglandins B. Administration of drugs that suppress the output of gonadtropins C. Administration of oral contraceptives D. Administration of synthetic hormones with progesterone
A. Administration of drugs that suppress prostaglandins
(Multiple): Which of the following statements regarding salphingitis and pelvic inflammatory disease is NOT correct? A. Is a relatively uncommon disease because chlamydial and gonococcal infections of the cervix do not occur very frequently B. It causes lower abdominal pain and tenderness C. Usually caused by chlamydial or gonococcal infection spreading from an infection of the uterine cervix D. Tubal scarring after healing my cause sterility or predispose to ectopic pregnancy
A. Is a relatively uncommon disease because chlamydial and gonococcal infections of the cervix do not occur very frequently
What is NOT a manner of destroying a condyloma? A. Radiation B. Cyrocautery C. Electrocoagulation D. Podophylin application
A. Radiation
Which of the following is NOT true about functional cysts? A. they are neoplastic B. They are small C. They regress spontaneously D. They are fluid-filled
A. They are neoplastic
What does pelvic inflammatory disease refer to? -Any disease of the female reproductive tract -Any infection that affects the uterine tubes and adjacent tissues. -Ectopic pregnancy -Any gonorrheal or chlamydial infection
Any infection that affects the uterine tubes and adjacent tissues
Which of the following is NOT a symptom of vaginitis? A. Irritation B. Lesions C. Discharge D. Itching
B. Lesions
What are leiomyomas? -Benign tumors -Polyps -Precancerous tumors -Squamous cells
Benign tumors
Which of the following is NOT a barrier method of contraception? A. Condoms B. Vaginal sponge C. IUDs D. Diaphragm
C. IUDs
Which of the following about ovarian neoplasms is true? A. Easy to detect B. Found in younger women C. Strong genetic component D. May arise in only one ovary
C. Strong genetic component
What is the origin of type 1 uterine carcinoma? -The aortic lymph node -Uterine tubes -Diabetes -Continued, unopposed estrogen stimulation of the uterus
Continued, unopposed estrogen stimulation of the uterus
Which of the following is NOT a way that levonorgestrel works to prevent a successful pregnancy? A. Inhibits ovulation B. Impairs tubal motility C. Makes the endometrium unsuitable for implantation D. Destroys the ovum
D. Destroys the ovum
Which diseases are considered to be very closely related?
Dysplasia and in situ carcinoma
What condition can arise from long-term non-atypical endometrial hyperplasia? -HSIL -EIN -DNA -CIN2
EIN
Why does primary dysmenorrhea sometimes become a problem about a year or two after the onset of menses? -Early menstrual cycles are typically anovulatory. -The type of flow changes. -Prostaglandins are released during the secretory phase of the cycle. -Endometriosis can occur at that time.
Early menstrual cycles are typically anovulatory
A postmenopausal woman consults her physician because of irregular uterine bleeding. Which condition could be responsible for bleeding? -Dysfunctional uterine bleeding -Endometrial carcinoma -Rh hemolytic disease -Endometriosis
Endometrial carcinoma
What is the presence of normal endometrium in any location outside the endometrial cavity called?
Endometriosis
What is a characteristic feature specific to toxic shock syndrome? -Fall in blood pressure -Erythematous skin rash -Vomiting -Elevated temperature
Erythematous skin rash
What substance in birth control pills ultimately predisposes the formation of blood clots? -Testosterone -Estrogen -Progestin -Luteinizing hormone
Estrogen
T/F: After a D & C, if endometrial carcinoma is detected on histological examination, no further treatment is required
FALSE
T/F: An intrauterine device is a small, plastic structure that is inserted into the uterine cavity by the woman to prevent pregnancy
FALSE
T/F: Cells of the corpus luteum secrete progesterone starting the proliferative phase of the uterine cycle
FALSE
T/F: Changes in the endometrium that occur during the menstrual cycle are not keyed to fall with the levels of ovarian hormones
FALSE
T/F: Condylomas caused by HPV types 6 and 11 often become malignant
FALSE
T/F: Displaced endometrial tissue is discharged like normal endometrial tissue, via the vagina
FALSE
T/F: High-risk HPV is associated with high-risk HPV serotypes and regresses spontaneously
FALSE
T/F: Natural contraceptive methods are as effective as artificial methods
FALSE
T/F: Secondary dysmenorrhea results from prolonged primary dysmenorrhea
FALSE
T/F: Tampons are now free of risk for toxic shock syndrome
FALSE
T/F: The medulla of the ovary supports follicular development
FALSE
T/F: Type II endometrial carcinoma results from complications from type 1 carcinoma
FALSE
T/F: Unprotected sexual intercourse several days before/after ovulation cannot result in pregnancy
FALSE
T/F: Untreated UVIN is classified as a low risk lesion
FALSE
T/F: Vulvar carcinoma occurs only in postmenopausal women
FALSE
What is a common manifestation of human papilloma virus infection? -A skin rash -Buboes -Genital condylomas -Chancres
Genital condylomas
A few ovarian tumors produce sex hormones. What is one such tumor called? -Serous cystadenoma -Teratoma -Granulosa cell tumor -Mucinous cystadenoma
Granulosa cell tumor
A procedure called "D and C" is used to address what condition in older women? -Endometriosis -Tumors of the ovary -Irregular bleeding -Dysmenorrhea
Irregular bleeding
Once the graafian (vesicular) follicle discharges from the ovum, what does it become? -It becomes part of the endometrium. -It becomes part of the corpus luteum. -It becomes part of other organs. -It disintegrates.
It becomes part of the corpus luteum
What are benign smooth muscle tumors called? -Teratomas -Granulosa cell tumors -Myomas -Ovarian cysts
Myomas
What is a more common term for salphingitis?
Pelvic inflammatory disease
Which if the following is NOT a treatment of endometriosis? A. Surgery B. Drugs that suppress gonadotropins C. Radiation treatment D. Progesterone type hormones
Radiation treatment
Which of the following is inflammation of the uterine tube? -Cervitis -Toxic shock syndrome -Salpingitis -Intraepithelial lesions
Salpingitis
What is the definition of CIN-3? -Very severe dysplasia -Mild dysplasia -Severe dysplasia -Moderate dysplasia
Severe dysplasia
In a PAP test, what are the two areas from which cells are collected? -Endocervical canal and vagina -Squamocolumnar junction and cervical cap -Uterine endometrium and vagina -Squamocolumnar junction and endocervical canal
Squamocolumnar junction and endocervical canal
What bacteria produces TSST-1 and enterotoxin-B? -Streptococcus -Rotavirus -HPV -Staphylococcus
Staphylococcus
How are cervical polyps usually treated? -Surgical removal -Cryoautery -Chemical application -Electrocoagulation
Surgical removal
T/F: A dermoid cyst is apparently an attempt buy the fertilized ovum to realize its potential by producing diverse tissues like those of a fetus
TRUE
T/F: A sudden lack of estrogen can result in extremely heavy menses
TRUE
T/F: Cellular abnormalities indicative of dysplasia or carcinoma first develop at the external opening of the cervix
TRUE
T/F: Chronic inflammation of the endocervical glands is very common in women who have had children
TRUE
T/F: In DVIN the epithelium of the vulva may exhibit irregular areas of thickening and show white patches.
TRUE
T/F: It takes about a week for a fertilized ovum to travel through the fallopian tube and implant in the endometrium
TRUE
T/F: Malignant ovarian tumors are most common in the high-grade serous category
TRUE
T/F: Mild cervicitis is of little clinical significance
TRUE
T/F: One of the two HPV vaccines available today is prepared with the live virus
TRUE
T/F: PCOS is a very common cause of anovulatory infertility
TRUE
T/F: Scarring of the tubal lumen may result when salpingitis inflammation heals
TRUE
T/F: Some strains of papillomavirus predispose to uterine cervical dysplasia and cervical carcinoma.
TRUE
T/F: Stein-Levanthal syndrome is associated with an excess production of male hormones
TRUE
T/F: The PAP smear test drastically reduced the mortality rate of women with cervical cancer
TRUE
T/F: The uterus has three regions: the cervix, the body, and the fundus
TRUE
T/F: Treatment of primary dysmenorrhea usually an aspirin or other anti-inflammatory drug
TRUE
T/F: Type 1 tends to occur in either older premenopausal women or at the time of menopause
TRUE
T/F: When a corpus luteum fails to involute,it can cause continuous secretion of progesterone
TRUE
What statement regarding human papillomavirus (HPV) is correct?
Testing cervical material obtained by a Pap smear for HPV may be useful to supplement the Pap test when atypical cells are identified in the pap smear
To what does dysfunctional uterine bleeding refer? -The cause is internal to the uterus. -The cause is external to the uterus. -The cause cannot be treated. -The cause is unknown.
The cause is external to the uterus
Where are ectopic deposits of endometrial material most often found? -The ovary -Outside wall of the uterus -The rectum -The cervix
The ovary