Ch.11 Exam Prep Urological and Gynecological Disorders

Chapter 11 Urological and Gynecological Disorders

Multiple Choice

1. The genitourinary and reproductive systems undergo many age-related changes. Which of the

following statements is true about these changes?

1. The older male patient undergoes more gradual changes than does the older female patient.

2. The older female patient undergoes more gradual changes than does the older male patient.

3. Older male and female patients undergo the same changes.

4. The older male patient undergoes less gradual changes than those of the older female patient.

2. Lucy is a 56-year-old woman experiencing itching, discomfort, and bleeding after intercourse.

Which of the following conditions may be developing in the patient?

1. Atrophic vaginitis

2. Vaginal cancer

3. Fibroadenoma

4. Cystitis

3. Which of the following is the single most signal symptom for possible breast cancer?

1. Nipple retraction

2. Breast discharge

3. Breast mass

4. Breast redness

4. Which of the following conditions presents nonproliferating lesions and does not affect future

cancer risk?

1. Atypical lobular hyperplasia

2. Fat necrosis

3. Radial scar

4. Papilloma

5. Mr. Angulo is an 89-year-old patient who was recently an inpatient for pneumonia and was

bedridden for 1 week. He is now presenting dysuria, suprapubic tenderness accompanied by

fever, and increased confusion. Based on his recent history, which of the following conditions may be developing?

1. Cystitis
2. Distended bladder
3. Prostate stones
4. Subacute prostatitis

6. Which of the following statements is true for untreated symptomatic cystitis?

1. Untreated symptomatic cystitis can lead to pneumonia.

2. Untreated symptomatic cystitis can resolve on its own.

3. Untreated symptomatic cystitis can lead to pyelonephritis, sepsis, shock, and death.

4. Untreated symptomatic cystitis can lead to prostatic cancer, vaginitis, and sepsis.

7. Women developing ovarian cancer may be asymptomatic, making it hard to detect until the

condition has worsened. Which of the following is the best initial diagnostic tool for suspected

ovarian cancer?

1. Transvaginal ultrasonography

2. Pelvic examination

3. Laparoscopy

4. Complete blood count (CBC)

8. Prostate cancer is the most common and leading cause of cancer death in men. Which of the

following statements is true about prostate cancer?

1. There is usually a sudden onset of pain in the early stages.

2. Asian men are at highest risk for developing prostate cancer.

3. Development of prostate cancer has been linked with prior vasectomy.

4. There are usually no symptoms with early disease.

Multiple Response

9. A nurse practitioner is performing an annual checkup for a female patient. In the physical

examination of the breast, for which of the following should the nurse practitioner assess? Select

all that apply.

1. Temperature

2. Symmetry

3. Dimpling

4. Lumps

5. Size

10. During a breast examination, the patient should be asked if she has which of the following?

Select all that apply.

1. Breast pain

2. Breast atrophy

3. Breast rash

4. Breast trauma

5. Proper support

11. When other symptoms are presented with atrophic vaginitis, a biopsy is used as the diagnostic

test to rule out which of the following diagnoses? Select all that apply.

1. Urinary tract infection (UTI)

2. Sexually transmitted infection (STI)

3. Squamous cell hyperplasia

4. Lichen sclerosis

5. Lichen planus

12. Jessie is a 54-year-old patient with a history of atrophic vaginitis. Which of the following

should be included in her patient education? Select all that apply.

1. Use of over-the-counter (OTC) medications for pain and discomfort.

2. Use of water-soluble lubricants.

3. Benefits of regular sexual activity.

4. Identifying and addressing age-related changes.

5. Benefits of sexual-aid stimulators.

13. Breast cancer is more prevalent in the female gender, with a median age of 61 years. Which

of the following are modifiable risk factors that may contribute to the diagnosis of breast cancer?

Select all that apply.

1. Postmenopausal obesity

2. Alcohol intake

3. Early menarche

4. Menopause hormone therapy

5. Ethnicity

14. Which of the following are the main laboratory clinical manifestations of cystitis? Select all

that apply.

1. White blood cell (WBC) count

2. Bacteriuria

3. Pyuria

4. Fungi

5. E. coli

15. Marie, 63 years old, is presenting with symptoms of postmenopausal bleeding and is diagnosed with endometrial cancer. Other than gender and age, which of the following can be contributing factors in the development of endometrial cancer? Select all that apply.

1. Diabetes

2. Use of tamoxifen

3. Use of hormonal contraception

4. Obesity

5. Lynch syndrome

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