Chapter 39
Assisting in Reproductive and Urinary Specialties
Multiple Choice Questions
1. | The acronym LMP refers to the ____.
A. | first day of a woman's last menstrual period |
B. | date of a woman's first menstrual cycle |
C. | last day of a woman's last menstrual period |
D. | estimated date of a woman's next menstrual period |
E. | date a woman was confirmed to be in menopause |
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2. | The normal age range of menarche, or the beginning of menstruation, is ____ years of age.
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3. | Which of the following is the best description of menopause?
A. | The age at which a woman is considered too old to have children |
B. | The natural cessation of a woman's menstrual cycles |
C. | A traumatic event that occurs shortly after childbirth |
D. | An uneven pattern of menstrual cycles |
E. | The natural result of having repeated STIs |
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4. | What is the medical term for the time period before menopause, during which the menstrual periods may be irregular?
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5. | According to the American Cancer Society and National Cancer Institute, how often should women in their 20s and 30s who are in good health have a clinical breast exam?
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6. | Marya is a 24-year-old patient who has come to the office for an annual exam. You notice various stages of bruising on her arms. When you ask the cause, Marya admits that her husband has been abusing her physically. She says she has tried to get away from him, but every time she does, he takes it out on one of their three children. Which of the following is not a general guideline that you can offer Marya regarding domestic violence?
A. | Call for help immediately if a physical threat exists |
B. | Ignoring the problem never works |
C. | Remaining silent does not help anyone |
D. | It is sometimes necessary to stay with an abusive spouse for the children's sake |
E. | Understand that abusive family members may not be able to help themselves |
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7. | The purpose of adding potassium hydroxide (KOH) to a cervical smear is to ____.
A. | dissolve epithelial cells and mucus |
B. | stain any fungi that might be present for better visibility |
C. | kill any bacteria that might be present |
D. | provide a nutritious medium for any organisms in the wet mount |
E. | stabilize the cervical cells |
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8. | Carly took an early pregnancy test yesterday and was thrilled when it was positive. She is excited about having a baby, and the first thing she asks you this morning is "When is the baby due?" When you ask, she tells you that the first day of her last menstrual period was September 9, 2012. What is the estimated date of Carly's estimated delivery date?
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9. | Which of the following should a pregnant woman be advised to avoid during her pregnancy?
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10. | Which of the following is Nägele's rule?
A. | Last day of last menstrual period, subtract 5 months, add 7 days plus 1 year |
B. | First day of last menstrual period, subtract 3 months, add 7 days plus 1 year |
C. | First day of last menstrual period, subtract 3 months, subtract 7 days, add 1 year |
D. | Last day of last menstrual period, subtract 3 months, add 5 days plus 1 year |
E. | Last day of last menstrual period, add 5 months, subtract 7 days, add 1 year |
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11. | Which procedure is performed when a genetic or metabolic defect is suspected in a fetus?
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12. | Which of the following instructions should be given to a patient after having a dilation and curettage (D and C)?
A. | Eat a high-fat and low-fiber diet |
B. | Intercourse may resume as usual after discharge from the hospital |
C. | Resume all activity, including strenuous exercise |
D. | Avoid the use of tampons for 1 week after the procedure |
E. | Take tub baths for the first week after the procedure |
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13. | The specimen obtained by a cervical biopsy is sent to the laboratory with a(n) ____.
A. | hematology laboratory requisition |
B. | chemistry laboratory requisition |
D. | cytology laboratory requisition |
E. | histology laboratory requisition |
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14. | Which of the following consists of widening the opening of the cervix and scraping the uterine lining?
D. | Fine-needle aspiration |
E. | Chorionic villus sampling |
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15. | Which of the following is a reason for false-negative Pap smear results?
A. | Epithelial cells hidden by blood or mucus |
B. | Too few cells left on the spatula |
C. | Too few cells piled on top of one another on the slide |
D. | No extraneous material on the slide |
E. | Absence of blood on the slide |
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16. | Which of the following occurs during the second trimester?
A. | The embryo becomes a fetus. |
B. | It is the most noticeable period of growth. |
D. | The mother is unable to sleep on her back. |
E. | Fetal movement is felt. |
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17. | The most commonly ordered test in a urology practice is ____.
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18. | Which of the following is used to measure urinary bladder capacity and pressure?
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19. | In which procedure does the practitioner examine the walls of the bladder and urethra by visualization and inspection?
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20. | Another name for enlargement of the prostate gland is ____.
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21. | Which of the following is excess fluid in the scrotum?
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22. | A heavy or dragging feeling in the groin, enlargement of one testicle, and a dull ache in the groin are symptoms of ____.
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23. | Treatment for prostatitis includes ____.
A. | radiation therapy and removal of the prostate |
B. | antibiotic medications and sitz baths |
C. | aspiration of the fluid |
E. | medication and counseling |
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24. | Which of the following information is not significant for a urologist to make a diagnosis of a urologic disease?
A. | Changes in frequency or urgency of urination |
B. | Difficulty or pain with urination (dysuria) |
C. | How far the patient can walk |
E. | Unusual discharge from the urethra |
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25. | Men should be instructed to perform a monthly testicular self-exam starting at age ____.
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26. | When is the best time for a man to perform a testicular self-exam?
A. | Before getting out of bed in the morning |
B. | Immediately after having sexual intercourse |
C. | After taking a shower or bath |
D. | Just after going to bed at night |
E. | Immediately after strenuous exercise |
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27. | Which of the following is not part included of the medical assistant's role in a urologist's office?
A. | Collect and process urine, blood, and other specimens |
B. | Assist with general exams |
C. | Participate in patient education |
D. | Take patient histories |
E. | Visual inspection of the external genitalia |
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28. | Which of the following treatments may be used for a patient who is incontinent?
A. | Rest and antibiotic medications |
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29. | A condition in which an egg is unable to move out of a woman's fallopian tube into the uterus for implantation is a(n) ____.
E. | sexual function disorder |
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30. | Another term for benign, smooth tumors of muscle cells in the uterus is ____.
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31. | Red, soft, fragile growths with a slender stem attachment that are sometimes found on the mucous membranes of the cervix or endometrium are ____.
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32. | Which of the following is not a common treatment for premenstrual syndrome?
A. | Restricted intake of dietary sodium, alcohol, and caffeine |
C. | Stress-reduction methods |
D. | Kegel or perineal exercises |
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33. | Which of the following treatments may be useful for a woman with uterine prolapse?
A. | Kegel or perineal exercises |
E. | Analgesics and bed rest |
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34. | An X-ray exam of the fallopian tubes and uterus in which a contrast medium such as dye or air is used is ____.
E. | magnetic resonance imaging |
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Fill in the Blank Questions
35. | The beginning of menstruation, called ________, usually occurs between the ages of 10 and 15 years.
________________________________________ |
36. | During an annual gynecologic exam, the licensed practitioner performs a(n) ________ breast exam.
________________________________________ |
37. | Although it is now considered an optional method of screening for breast cancer, a(n) ________ is still an important part of breast cancer prevention.
________________________________________ |
38. | During a pelvic exam, the licensed practitioner uses a(n) ________ to expand the vaginal opening to permit viewing of the vagina and cervix.
________________________________________ |
39. | During the ________ phase of a pelvic exam, the licensed practitioner uses two hands to palpate the abdomen and assess the position of the uterus.
________________________________________ |
40. | A(n) _______ is an examination of the vagina and cervix that is usually performed prior to a biopsy after results of a Pap smear show the presence of abnormal cells.
________________________________________ |
41. | In addition to regular breast examinations, all women in good health should be encouraged to have a(n) ________ every year starting at age 40.
________________________________________ |
42. | During the ________ examination, the doctor checks the external genitalia, cervix, vaginal wall, internal reproductive organs, and rectum.
________________________________________ |
43. | A woman's normal cycle of preparation for conception is ________.
________________________________________ |
44. | The natural cessation of the menstrual cycle is ________.
________________________________________ |
45. | The hormone, human chorionic gonadotropin (HCG), is present in a ______ test.
________________________________________ |
46. | Too little or too much AFP in the blood can indicate a(n) ________ abnormality known as a neural tube defect.
________________________________________ |
47. | The surgical removal of tissue for later microscopic examination is a(n) ________.
________________________________________ |
48. | ________ is a procedure performed when a genetic or metabolic defect is suspected in a fetus. The procedure involves removing a small amount of amniotic fluid, which surrounds the fetus, from the uterus.
________________________________________ |
49. | The surgical removal of the uterus is a(n) _________. rev: 05_06_2014_QC_49226
________________________________________ |
50. | A(n) ________ is a pathologic test used to diagnose cervical cancer.
________________________________________ |
51. | ______ rule is used to estimate the delivery or due date for a pregnant woman.
________________________________________ |
52. | FAS is the result of a woman's use of ________ during pregnancy.
________________________________________ |
53. | A condition of pregnancy indicated by bright red vaginal bleeding that is painless is placenta _______.
________________________________________ |
54. | A serious condition of pregnancy characterized by vaginal bleeding and back and abdominal pain is ________ placenta.
________________________________________ |
55. | An increase in glucose in the urine or blood during pregnancy indicates ________ diabetes.
________________________________________ |
56. | The loss of bladder control is known as urinary ______.
________________________________________ |
57. | In men over 40, the physician generally checks the _______ by digital insertion into the rectum.
________________________________________ |
58. | Difficulty or pain with urination is called ________.
________________________________________ |
59. | Two purposes for semen analysis are to determine fertility and to evaluate the success of a(n) ________.
________________________________________ |
60. | The test in which a catheter is used to fill the bladder with carbon dioxide gas to measure urinary bladder capacity is known as ________.
________________________________________ |
61. | An invasive procedure in which a sample from the testes is removed for laboratory examination is a testicular ________.
________________________________________ |
62. | The most common type of cancer among men is ________ cancer.
________________________________________ |
63. | Sexually transmitted diseases are now often called sexually transmitted ________ because this term more accurately describes conditions in which the patient may not have symptoms.
________________________________________ |
64. | A severe form of premenstrual syndrome that affects 5% of women and can have a very disrupting effect on the patient's life is known as premenstrual ________ disorder (PMDD).
________________________________________ |
65. | Inflammation of the vagina caused by bacteria, viruses, yeasts, or chemicals in sprays, douches, or tampons is called ________.
________________________________________ |
66. | The menstrual disturbance in which menstruation is absent is ________.
________________________________________ |
67. | A patient is said to have _______ if she has painful menstruation.
________________________________________ |
68. | An excessive amount of menstrual flow or a prolonged period of menstruation is known as _____.
________________________________________ |
69. | Bleeding between menstrual periods is known as ________.
________________________________________ |
70. | The period after a woman delivers an infant, during which her body attempts to get back to normal, is known as ________.
________________________________________ |
71. | The first milk a mother produces after delivering a child is ________.
________________________________________ |
Multiple Choice Questions
72. | When preparing a wet mount, what is mixed with the sample to be tested?
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73. | What instruction is given to a pregnant patient who is going to have an ultrasound to determine fetal size?
A. | No food or drink 8 hours prior to the test |
B. | No food 8 hours prior to the test |
C. | Do not urinate before the test |
D. | Do not wear jewelry during the test |
E. | Avoid powder and lotions prior to the test |
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Fill in the Blank Questions
74. | A slide that is prepared by mixing a specimen sample with a saline solution is known as a(n) _____.
________________________________________ |
75. | A licensed practitioner uses a thin wire loop electrode attached to the speculum and inserts it into the vagina to cut away abnormal cervical tissue. This procedure is known as a(n) __________.
____________________________________________________________ |