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MN551 Unit 8/ MN551 Unit 8 Quiz (A++++ Answer)
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Question 1. 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?

Parathyroid hormone antagonism and the rate of bone resorption

The regulation of uterine endothelial development

The maintenance of normal skin and blood vessel structure

The synthesis and release of adrenal glucocorticoid

Question 2. 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?

"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."

"The cervix is the opening between the uterus and the vagina, and so it opens wide during the lead-up to birth."

"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."

"The cervix is the soft lining of your uterus that has to expand greatly to accommodate your baby during delivery."

Question 3. A 14-year-old 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?

Epididymitis

Hydrocele

Testicular torsion

Varicocele

Question 4. 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 high-pitched voice

Long-lasting chronic hip dysplasia

Complaints of multiple upper respiratory infections

A low muscle mass in proportion to his total body weight

Hot flashes and diaphoresis

Question 5. A long stretchy cervical mucus that exhibits ferning on a microscope slide is characteristic of which of the following?

High LH levels

Low estrogen levels

High progesterone levels

Low human chorionic gonadotropin level

Question 6. A 29-year-old woman has been trying for many months to become pregnant, and fertilization has just occurred. Following her most recent ovulation. What process will now occur that will differentiate this ovulatory cycle from those prior?

Human chorionic gonadotropin will be produced, preventing luteal regression.

The remaining primary follicles will provide hormonal support for the first 3 months of pregnancy.

The corpus luteum will atrophy and be replaced by corpus albicans.

The basal layer of the endometrium will be sloughed in preparation for implantation

Question 7. After a long and frustrating course of constant vaginal pain, a 38-year old woman has been diagnosed with generalized vulvodynia by her gynecologist. What treatment plan is her physician most likely to propose?

Alternative herbal therapies coupled with antifungal medications

Antidepressant and antiepileptic medications

Lifestyle modifications aimed at accommodating and managing neuropathic pain

Narcotic analgesia and nonsteroidal anti-inflammatory medication

Question 8. Which of the following statements best captures an aspect of normal spermatogenesis?

Testosterone chemically lyses each primary spermatocyte into two secondary spermatocytes with 23 chromosomes each.

Sertoli cells differentiate into spermatids, each of which can contribute half of the chromosomes necessary for reproduction.

Spermatogonia adjacent to the tubular wall undergo meiotic division and provide a continuous source of new germinal cells.

Each primary spermatocyte undergoes two nuclear divisions yielding four cells with 23 chromosomes each.

Question 9. 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?

The production of dihydrotestosterone (DHT) by the embryo and DHT's differentiation into testosterone

Development of testes under the influence of the X chromosome

Suppression of female reproductive structures by antimullerian hormone (AMH)

Atrophy of the Wolffian ducts during embryonic development

Question 10. Which of the following situations would be considered pathologic in an otherwise healthy 30-year-old female?

The woman's ovaries are not producing new ova.

The woman's ovaries do not synthesize or secrete luteinizing hormone (LH).

The epithelium covering the woman's ovaries is broken during the time of ovulation.

The woman's ovaries are not producing progesterone.

Question 11. A 20-year-old 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?

"Either me or a partner could end up with an eye infection from chlamydia that could make us blind."

"Even though I couldn't end up sterile, a woman that I give it to certainly could."

"Each of the three stages of the disease seems to be worse than the previous one."

"Even if I spread it to someone else, there's a good chance she won't have any symptoms or know she has it."

Question 12. A 66-year-old 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 ?-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 NOT contributing to his erectile difficulty (ED)?

antihypertensive medications

use of bronchodilators

hypertension

diuretic use

smoking history

age

Question 13. Which of the following sexually active women most likely faces the highest risk of developing an ectopic pregnancy?

A 14-year-old who experienced menarche 2 years prior.

A 42-year-old who has decided to try to have one more child and has had her tubal ligation reversed

A 27-year-old who stopped using medroxyprogesterone contraceptive injection (Depo-Provera) several months ago.

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).

Question 14. A 57-year-old 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?

“The lower levels of estrogen since you've begun menopause make your vagina prone to infection.”

“Vaginitis is not usually the direct result of any single problem, but rather an inevitability of the vaginal dryness that accompanies menopause.”

“This type of vaginitis is most commonly a symptom of a latent sexually transmitted infection that you may have contracted in the distant past.”

“The exact cause of this problem isn't known, but it can usually be resolved with a diet high in probiotic bacteria.

Question 15. Which of the following factors areknown to contribute to vaginal yeast infections?

Inflammation of the Skene and Bartholin glands

Poorly controlled diabetes

Recent antibiotic therapy

Excessive physical exercise

Use of oral contraceptives

High hormone levels during pregnancy

Question 16. A pregnant 23-year-old female 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?

"After your caesarean section, it will be safest if you don't breast-feed your child."

"If there aren't any visible lesions when you enter labor, a vaginal delivery will be safe to go ahead with."

"A vaginal delivery will be safe as long as you are consistent with taking your valacyclovir."

"We'll have to book you a caesarian delivery in order to ensure your baby isn't exposed to the virus."

Question 17. 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 (PID). 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?

"Are you using tampons during your period or do you normally use pads?"

"What does your daily hygiene routine usually consist of?"

"How many sexual partners have you had?"

"Have you ever had a therapeutic abortion in the past?"

Question 18.Which of the following conditions usually improves when a woman is taking oral contraceptives?

Human Papillomavirus infection

Migraine headaches

Iron deficiency anemia

Herpes simplex virus

Question 19. A 24-year-old 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?

Abstinence will be required until the infection resolves, since treatments do not yet have proven efficacy.

Oral antiprotozoals to the patient and sexual partners to help prevent complications.

Antifungal medications are effective against the anovulation and risk of HIV that accompany the infection.

Vaginal suppositories and topical ointments can provide symptom relief but cannot eradicate the microorganism.

Question 20. A 60-year-old 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?

"We're going to book a CT scan for you as soon as possible so that we can see what is inside your uterus."

"We're going to have to open your cervix with a speculum and take scrapings from the wall of your uterus."

"We are going to order blood work that will measure your hormone levels.”

"We can do a Pap smear right now, and we will get the results as soon as we can

Question 21. A 51-year-old 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?

"There is a demonstrable increase in breast cancer risk with HT, but the risk of stroke or heart disease actually go down slightly."

"All considered, the benefits of HT outweigh the slightly increased risks of heart disease, stroke, or breast cancer."

"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."

"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."

Question 22. Which of the following women is most likely to have a sexually transmitted infection as a contributing factor to her health problem?

A 29-year-old woman with a diagnosis of localized vulvodynia

A 40-year-old who is being treated for vaginal cancer

A 32-year-old who is undergoing diagnostics to rule out endometriosis

A 41-year-old with a diagnosis of mucopurulent cervicitis

Question 23. A 39-year-old male patient has been recently diagnosed with primary hypogonadism. Which of the following lab results would be most indicative of this diagnosis?

Normal levels of free testosterone; low levels of total testosterone

Low free testosterone, luteinizing hormone (LH), and follicle-stimulating hormone (FSH) levels

Low levels of gonadotropin-releasing hormone (GnRH)

Low testosterone levels; high levels of LH and FSH

Question 24. 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?

Chromosomal studies

Circumcision

Surgical repair

Testosterone supplementation

Question 25. 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:

best administered before the child becomes sexually active.

100% effective against development of cervical cancer for her life span.

effective against the two most common strains of genital warts.

only recommended for females between the ages of 9 and 26.

Question 26. 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?

Cone biopsy

Intracavitary irradiation

Trachelectomy

Loop electrosurgical excision procedure (LEEP)

Question 27. 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?

“Testicular cancer is a leading cause of death among males who should be in the prime of their lives.”

“Men with cryptorchidism—the term for an undescended testicle—are known to have a higher risk of developing testicular cancer.”

“For most men with testicular cancer, bloody urine is their first sign that something is wrong.”

“Recent developments in the treatment of testicular cancer mean that few men now need to have a testicle removed.”

Question 28. 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?

Cryptorchidism

Orchitis

Testicular torsion

Epididymitis???

Question 29. A 13-year-old female is undergoing rapid development of her breasts after experiencing menarche several months ago. Which of the following hormones are NOTactive in the development of her breasts?

Prolactin

Oxytocin

Luteinizing hormone

Estrogen

Follicle-stimulating hormone

Progesterone

Question 30.Two nursing students are debating the merits and demerits of infant circumcision. Which of the following statements is most accurate?

"Circumcised men tend to have a lower incidence of penile cancer."

"Getting circumcised basically rules out the possibility of getting Peyronie disease later in life."

"Circumcision reduces pressure on the deep dorsal vein and the dorsal artery, making erection easier later in life."

"The odds of getting infant priapism fall with circumcision."

Question 31. A 54-year-old male diabetic patient has come to the urology clinic complaining of erectile dysfunction. His history includes obesity, coronary artery disease that required CABG 3 years ago, hypertension, and gout. The nurse practitioner is reviewing his record in order to prescribe medication. The practitioner is considering prescribing sildenafil (Viagra). Which of the following home medications is contraindicated if taken concurrently with sildenafil?

Diltiazem (Cardizem), a calcium channel blocker

Cordarone (amiodarone), an antiarrhythmic

Imdur (isosorbide mononitrate), a vasodilator

Lasix (furosemide), a diuretic

Question 32.A male college student has arrived at the student clinic complaining of tingling, itching, and pains in his groin. Upon inspection, the nurse notices some pustules and vesicles. While taking a detailed sexual history, the nurse should ask which of the following questions to rule out further complications?

"Do you get cold sores very often?"

"Do you have pain when you urinate or have difficulty starting the stream?"

"Have you noticed excessive swelling in your scrotum the last few days?"

"Have you been experiencing flank pain and bloody urine?"

Question 33.The cremaster muscles work in concert with the pampiniform plexus that surrounds the testicular artery to

move the testes into the scrotum

maintain testicular temperature

empty fluid from the seminal vesicles into the genital ducts

move sperm from the ampulla to the penis

Question 34. 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?

"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."

"The cervix is the opening between the uterus and the vagina, and so it opens wide during the lead-up to birth."

"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."

"The cervix is the soft lining of your uterus that has to expand greatly to accommodate your baby during delivery."

Question 35. A 20-year-old female has come to the clinic complaining of severe menstrual cramps. The clinic nurse practitioner knows that dysmenorrhea occurs when which muscle group contracts?

Perimetrium

Myometrium

Endometrium

Fundus

Question 36. A 31-year-old male was diagnosed with genital herpes of the HSV-2 type 5 years ago. He is now broaching the subject with a woman he has recently formed a relationship with. Which of his statements is most accurate?

"If you've been exposed to the herpes virus in the past, then there's no significant risk of reinfection."

"The worst case scenario is that you'll develop cold sores, since this is the type of herpes virus that I've got."

"If you've had cold sores when you were younger, it means that you've got antibodies against this type of herpes virus."

"Even when I'm not having a recurrence, I could still pass the virus on to you."

Question 37. A 68-year-old male has visited his family physician because the size of his scrotum has increased exponentially in recent months. He has subsequently been diagnosed with an inguinal hernia. Which of the following statements best captures the nature of his health problem?

Part of his intestine and parietal peritoneum are protruding through the inguinal opening.

Rupture of the tunica vaginalis has allowed a part of his small bowel to protrude into the intrascrotal space.

Incomplete closure of the inguinal opening during his development has contributed to testicular hypertrophy and hyperplasia.

Occlusion of the efferent ductules and epididymis causes massive dilation of the testes.

Question 38. A 41-year-old male has presented to his family physician stating that for the last 2 years his erection "is as crooked as a dog's hind leg and hurts too." He has subsequently been diagnosed with Peyronie disease. Which of the following statements by his physician is most appropriate?

"Even though it's obviously distressing, you should know that this will likely resolve on its own with time."

"I'll refer you to a urologist who will likely want to perform a circumcision."

"This might need surgery, but it could possibly disappear over time without needing treatment."

"There are things you can do to minimize this, such as getting more exercise, stopping smoking, and maintaining a healthy diet."

Question 39. A campus-based peer counseling group is conducting an information blitz on sexually transmitted diseases. Which of the following statements about genital warts requires correction?

"Genital warts can take up to a month after exposure to first become visible."

"There is no existing treatment that can eradicate the virus once it's contracted."

"Condoms do not necessarily prevent the transmission of the virus that causes genital warts."

"There are a number of subtypes of the virus that cause genital warts, but current vaccines protect against most common causes of them."

Question 40. The nurse knows that if which of the following hormones listed below are not available during embryonic development, a male embryo with an XY chromosomal pattern may develop female external genitalia? Select all that apply.

Testosterone

Dihydrotestosterone (DHT)

Acrosome

Follicle-stimulating hormone (FSH)

 

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MN551 Unit 8/ MN551 Unit 8 Quiz (A++++ Answer)
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Question Question 1. 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? Parathyroid hormone antagonism and the rate of bone resorption The regulation of uterine endothelial development The maintenance of normal skin and blood vessel structure The synthesis and release of adrenal glucocorticoid Question 2. 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? "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." "The cervix is the opening between the uterus and the vagina, and so it opens wide during the lead-up to birth." "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." "The cervix is the soft lining of your uterus that has to expand greatly to accommodate your baby during delivery." Question 3. A 14-year-old 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? Epididymitis Hydrocele Testicular torsion Varicocele Question 4. 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 high-pitched voice Long-lasting chronic hip dysplasia Complaints of multiple upper respiratory infections A low muscle mass in proportion to his total body weight Hot flashes and diaphoresis Question 5. A long stretchy cervical mucus that exhibits ferning on a microscope slide is characteristic of which of the following? High LH levels Low estrogen levels High progesterone levels Low human chorionic gonadotropin level Question 6. A 29-year-old woman has been trying for many months to become pregnant, and fertilization has just occurred. Following her most recent ovulation. What process will now occur that will differentiate this ovulatory cycle from those prior? Human chorionic gonadotropin will be produced, preventing luteal regression. The remaining primary follicles will provide hormonal support for the first 3 months of pregnancy. The corpus luteum will atrophy and be replaced by corpus albicans. The basal layer of the endometrium will be sloughed in preparation for implantation Question 7. After a long and frustrating course of constant vaginal pain, a 38-year old woman has been diagnosed with generalized vulvodynia by her gynecologist. What treatment plan is her physician most likely to propose? Alternative herbal therapies coupled with antifungal medications Antidepressant and antiepileptic medications Lifestyle modifications aimed at accommodating and managing neuropathic pain Narcotic analgesia and nonsteroidal anti-inflammatory medication Question 8. Which of the following statements best captures an aspect of normal spermatogenesis? Testosterone chemically lyses each primary spermatocyte into two secondary spermatocytes with 23 chromosomes each. Sertoli cells differentiate into spermatids, each of which can contribute half of the chromosomes necessary for reproduction. Spermatogonia adjacent to the tubular wall undergo meiotic division and provide a continuous source of new germinal cells. Each primary spermatocyte undergoes two nuclear divisions yielding four cells with 23 chromosomes each. Question 9. 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? The production of dihydrotestosterone (DHT) by the embryo and DHT's differentiation into testosterone Development of testes under the influence of the X chromosome Suppression of female reproductive structures by antimullerian hormone (AMH) Atrophy of the Wolffian ducts during embryonic development Question 10. Which of the following situations would be considered pathologic in an otherwise healthy 30-year-old female? The woman's ovaries are not producing new ova. The woman's ovaries do not synthesize or secrete luteinizing hormone (LH). The epithelium covering the woman's ovaries is broken during the time of ovulation. The woman's ovaries are not producing progesterone. Question 11. A 20-year-old 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? "Either me or a ...
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