NR 507 WEEK 8 FINAL QUESTIONS AND ANSWERS WITH SOLUTIONS 2024

NR 507 WEEK 8 FINAL QUESTIONS AND
ANSWERS WITH SOLUTIONS 2024
endometrialScycleS-
SANSWERSTheS28SdaysSofStheSmenstrualScycleSasStheySapplyStoStheSeventsSinStheSuterus.STheSendometrialSc

ycleShasSfourSsubphases:Smenstruation,StheSproliferativeSphase,SandStheSsecretorySphase,SandStheSischemi
cSphaseS.



proliferativeSphaseS-
SANSWERSTheSsecondSphaseSofStheSuterineS(endometrial)Scycle,SduringSwhichStheSendometriumS(shedSoffS

duringSmenstrationSisSrebuilt).SThisSphaseSofStheScycleSisSunderStheScontrolSofSestrogen,SsecretedSfromStheSf
ollicleSdevelopingSinStheSovarySduringSthisStimeSperiod.STheSproliferativeSphaseStypicallySlastsSfromSdayS6Sto
SdayS14SofStheSmenstrualScycle.




secretorySphaseS-
SANSWERSTheSthirdSphaseSofStheSuterinS(endometrial)Scycle,SduringSwhichStheSrebuiltSendometriumSisSenh

ancedSwithSglycogenSandSlipidSstores.STheSsecretorySphaseSisSprimarilySunderStheScontrollSofSprogestoneSan
dSestrogenS(secretedSfromStheScopusSluteumSduringSthisStimeSperiod),SadnStypicallySlastsSfromSdayS15StoSda
yS28SofStheSmenstrualScycle.



ischemicSphaseS-
SANSWERSApproximatelyS3SdaysSbeforeSmenstruationStoSonsetSofSmenstruation.SdueStoStheSdecreasedSpro

ductionSofSestrogenSorSprogesteroneSandStheSendometriumSbecomesSbloodSstarved



menstrualScycleS-
SANSWERSCycleSduringSwhichSanSeggSdevelopsSandSisSreleasedSfromSanSovarySandStheSuterusSisSpreparedStoS

receiveSaSfertilizedSegg.



OvulationS-SANSWERSTheSprocessSofSreleasingSaSmatureSovumSintoStheSfallopianStubeSeachSmonth



uterineSprolapseS-
SANSWERStheSconditionSinSwhichStheSuterusSslidesSfromSitsSnormalSpositionSinStheSpelvicScavitySandSsagsSint

oStheSvagina

,riskSfactorsSforSuterineSprolapseS-
SANSWERSmenopause,Spregnancy,Scoughing,Sconstipation,Sobesity,SpelvicSfloorStrauma,SvaginalSbirth,Shyst

erectomy,SconnectiveStissueSdisorders,SspinaSbifida



uterineSprolapseStreatmentS-SANSWERS-SkegelSexercisesS

-SestrogenStherapyS

-SmaintainingSaShealthySbmi,SpreventingSconstipation,StreatingSchronicScoughS

-SpessaryS

-SsurgicalSoptionSsSlastSresort



polycysticSovarianSsyndromeS-SANSWERSdefinedSasStwoSofStheSfollowingSthreeSfeaturesS

-SirregularSovulation

-elevatedSadrogensS(testosterone)

-SandStheSappearanceSofSpolycysticSovariesSonSultrasound



differentialsSforSpcosS-SANSWERS-SthyroidSdysfunction

-ShyperprolactinemiaS

-ScongenitalSadrenalShyperplasia



CharacteristicsSassociatedSwithSPCOSS-SANSWERS-metabolicSdysfunction

-Sdyslipidemia

-SinsulinSresistance

-Sobesity



polycysticSovarianSsyndromeStreatmentS-SANSWERS(1)SdiagnosisSandSeducation;S

(2)SlifestyleSchangeS-SlossSofS10%SofSbodySweightSmayShelp;

(3)SbirthScontrolSpillsShelpSwithSsomeSsymptoms;S

(4)SdiabetesSmedicationsS&SdietaryStreatmentSmaySslowlySnormalizeSphysiologyS(lowerSsugar,SlowerSinsulin
,SfewerSandrogens)

, testicularScancerS-
SANSWERSmalignantStumorSinSoneSorSbothStesticlesScommonlySdevelopingSfromStheSgermScellsSthatSproduc

eSsperm;SclassifiedSinStwoSgroupsSaccordingStoSgrowthSpotential



conditionsSthatSincreaseSriskSofStesticularScancerS-SANSWERS-SbeingSaSmanSbetweenStheSagesSofS20-45

-ScryptochidismS(undescendedStesticle)

-SfamilyShistoryS

-SpreviousStesticleScancerS

-SwhiteSmenSareSmoreSlikely



symptomsSofSbreastScancerS-
SANSWERSchangeSinStheSshapeSorSappearanceSofSyourSbreasts,SskinSorSnippleSchangesSsuchSasSdimplingSofSt

heSskin,SSqueezeSeachSnippleSgentlyStoSidentifySanySdischarge,SchestSpainS(metsStoStheSlung)



signsSofSpremenstrualSdysphoricSdisorderS-SANSWERSphysicalS-
SbreastStenderness,SabdominalSbloating,SheadacheSandSswellingSofSextremitiesS



emotionalS-SdepressionSanger,SirritabilitySandSfatigueS

resolveSwithSmenstruation



causesSofSdysfunctionalSuterineSbleedingS-
SANSWERScanSbeSdueStoSstructuralS(polyp,SmalignanciesSandShyperplasia)SorSnonSstructuralScausesS(coagul

opathy,SovulatorySdysfuction,Sendometrial



treatmentSforSabnormalSuterineSbleedingS-SANSWERS-SNSAIDS

(reduceSprostaglandin,ScausesSvasoconstriction,SandSdecreasedSmenstrualSbleeding)S

-SOralScontraceptives

-SDepoSproveraS

-SLevonorgestrelSintrauterineSdevice



PathophysiologySofSprostateScancerS-SANSWERS-
SmoreSthanS90%SofSallScancerSarisingSfromStheS*prostateSareSadenocarcinomasS(glandularStissue)*



-StumorSbecomesSclinicallySrelevantSwhenSlocalSinvasionSorSdistantSmetastasisS