PATHOPHYSIOLOGY 9TH EDITION MCCANCE TEST
MARYVILLE UNIVERSITYNURS 611 EXAM 3 PATHO
2025 EXAM 2 LATEST VERSIONS ACTUAL EXAM TEST
BANK 2025 COMPLETE 250 QUESTIONS AND
ANSWERS WITH CORRECT DETAILED RATIONALES|
GRADED A+ advanced Pathophysiology
MULTIPLE CHOICE
1. What unique factor causes adolescent girls to have a high risk for sexually
transmitted infections (STIs)?
a. They are in an experimental phase with sexual intercourse and believe they
are resistant to developing STIs.
b. The adolescent cervix is immature and lacks immunity.
c. The length of the vaginal canal is short in adolescents, allowing a greater
concentration of microorganisms within the internal genitalia.
d. In adolescent girls, the anus to the vaginal introitus are in close proximity.
ANS: B
Partly, perhaps, because of risk-taking behavior (unprotected intercourse or selection of
high-risk partners), many adolescents have an increased risk for STI exposure and
infection. The unique factor for adolescent women is that they have a physiologically
increased susceptibility to infection because of increased cervical immaturity and lack of
immunity. The remaining options are not considered legitimate risk factors for STIs.
PTS: 1 REF: Pages 918-919
2. How is gonorrhea transmitted from a pregnant woman to her fetus?
a. Unbound in the blood via the placenta
b. Attached to immunoglobulin G (IgG) via the placenta
NURSINGTB.COM
, PATHOPHYSIOLOGY 9TH EDITION MCCANCE TEST
c. Across amniotic membranes bNyUt hR eS I dNi Gr eTcBt .iCnOo M
culation with the fetal scalp
electrodes during labor monitoring
d. Predominately through infected cervical and secretions during the birth process
ANS: D
A pregnant woman can transmit gonorrhea to her fetus during the birth process. The
infection passes from mother to child predominately through infected cervical and vaginal
secretions. The transmission is not associated with the other options.
PTS: 1 REF: Page 920
3. Which statement is false about the factors that facilitate the ascent of gonococci into
the uterus and fallopian tubes?
a. Ascent of gonococci is facilitated because the cervical plug disintegrates during
menstruation.
b. Ascent of gonococci is facilitated because the vaginal pH decreases to 2 or 3.
c. Ascent of gonococci is facilitated because the uterine contractions may
cause retrograde menstruation into the fallopian tubes.
d. Ascent of gonococci is facilitated because the bacteria may adhere to sperm and
be transported to the fallopian tubes.
ANS: B
NURSINGTB.COM
, PATHOPHYSIOLOGY 9TH EDITION MCCANCE TEST
Several factors can facilitate the ascent of gonococci into the uterus and the fallopian
tubes, where they cause pelvic inflammatory disease (PID). Among these factors are (1)
disintegration of the cervical mucous plug and (2) a rise in vaginal pH greater than 4.5
during menstruation. The other options are accurate statements.
PTS: 1 REF: Page 921
4. In women, what is the usual site of original gonococcal infection?
a. Endocervical canal c. Fallopian tube
b. Vagina d. Labia majora
ANS: A
In women, the endocervical canal (inner portion of the cervix) is the usual site of original
gonococcal infection, although urethral colonization and infection of Skene or Bartholin
glands also are common. The other options are not usually associated with gonococcal
infections.
PTS: 1 REF: Page 921
5. What is the primary site for uncomplicated local gonococci infections in men?
a. Epididymis c. Urethra
b. Lymph nodes d. Prostate
ANS: C
Uncomplicated local infections are observed primarily as urethral infections in men.
PTS: 1 REF: Page 921
NURSINGTB.COM
6. What local complication of a gonococcal infection is diagnosed in approximately 10% of
affected women?
a. Acute salpingitis c. Vaginitis
b. Cystitis d. Cervicitis
ANS: A
Acute salpingitis, or pelvic inflammatory disease (PID), is the most common local
complication in women. Approximately 10% of women with untreated cervical gonorrhea
develop PID.
PTS: 1 REF: Page 921
7. Which laboratory test is considered adequate for an accurate and reliable diagnosis
of gonococcal urethritis in a symptomatic man?
a. Ligase chain reaction (LCR) c. Polymerase chain reaction (PCR)
b. Gram-stain technique d. DNA testing
ANS: B
Microscopic evaluation of Gram-stained slides of clinical specimens is deemed positive
for Neisseria gonorrhoeae if gram-negative diplococci with the typical “kidney bean”
morphologic appearance are found inside polymorphonuclear leukocytes. Such a finding is
considered adequate for the diagnosis of gonococcal urethritis in a symptomatic man. The
NURSINGTB.COM
, PATHOPHYSIOLOGY 9TH EDITION MCCANCE TEST
other options are not relevant to the diagnosis of this condition.
NURSINGTB.COM
MARYVILLE UNIVERSITYNURS 611 EXAM 3 PATHO
2025 EXAM 2 LATEST VERSIONS ACTUAL EXAM TEST
BANK 2025 COMPLETE 250 QUESTIONS AND
ANSWERS WITH CORRECT DETAILED RATIONALES|
GRADED A+ advanced Pathophysiology
MULTIPLE CHOICE
1. What unique factor causes adolescent girls to have a high risk for sexually
transmitted infections (STIs)?
a. They are in an experimental phase with sexual intercourse and believe they
are resistant to developing STIs.
b. The adolescent cervix is immature and lacks immunity.
c. The length of the vaginal canal is short in adolescents, allowing a greater
concentration of microorganisms within the internal genitalia.
d. In adolescent girls, the anus to the vaginal introitus are in close proximity.
ANS: B
Partly, perhaps, because of risk-taking behavior (unprotected intercourse or selection of
high-risk partners), many adolescents have an increased risk for STI exposure and
infection. The unique factor for adolescent women is that they have a physiologically
increased susceptibility to infection because of increased cervical immaturity and lack of
immunity. The remaining options are not considered legitimate risk factors for STIs.
PTS: 1 REF: Pages 918-919
2. How is gonorrhea transmitted from a pregnant woman to her fetus?
a. Unbound in the blood via the placenta
b. Attached to immunoglobulin G (IgG) via the placenta
NURSINGTB.COM
, PATHOPHYSIOLOGY 9TH EDITION MCCANCE TEST
c. Across amniotic membranes bNyUt hR eS I dNi Gr eTcBt .iCnOo M
culation with the fetal scalp
electrodes during labor monitoring
d. Predominately through infected cervical and secretions during the birth process
ANS: D
A pregnant woman can transmit gonorrhea to her fetus during the birth process. The
infection passes from mother to child predominately through infected cervical and vaginal
secretions. The transmission is not associated with the other options.
PTS: 1 REF: Page 920
3. Which statement is false about the factors that facilitate the ascent of gonococci into
the uterus and fallopian tubes?
a. Ascent of gonococci is facilitated because the cervical plug disintegrates during
menstruation.
b. Ascent of gonococci is facilitated because the vaginal pH decreases to 2 or 3.
c. Ascent of gonococci is facilitated because the uterine contractions may
cause retrograde menstruation into the fallopian tubes.
d. Ascent of gonococci is facilitated because the bacteria may adhere to sperm and
be transported to the fallopian tubes.
ANS: B
NURSINGTB.COM
, PATHOPHYSIOLOGY 9TH EDITION MCCANCE TEST
Several factors can facilitate the ascent of gonococci into the uterus and the fallopian
tubes, where they cause pelvic inflammatory disease (PID). Among these factors are (1)
disintegration of the cervical mucous plug and (2) a rise in vaginal pH greater than 4.5
during menstruation. The other options are accurate statements.
PTS: 1 REF: Page 921
4. In women, what is the usual site of original gonococcal infection?
a. Endocervical canal c. Fallopian tube
b. Vagina d. Labia majora
ANS: A
In women, the endocervical canal (inner portion of the cervix) is the usual site of original
gonococcal infection, although urethral colonization and infection of Skene or Bartholin
glands also are common. The other options are not usually associated with gonococcal
infections.
PTS: 1 REF: Page 921
5. What is the primary site for uncomplicated local gonococci infections in men?
a. Epididymis c. Urethra
b. Lymph nodes d. Prostate
ANS: C
Uncomplicated local infections are observed primarily as urethral infections in men.
PTS: 1 REF: Page 921
NURSINGTB.COM
6. What local complication of a gonococcal infection is diagnosed in approximately 10% of
affected women?
a. Acute salpingitis c. Vaginitis
b. Cystitis d. Cervicitis
ANS: A
Acute salpingitis, or pelvic inflammatory disease (PID), is the most common local
complication in women. Approximately 10% of women with untreated cervical gonorrhea
develop PID.
PTS: 1 REF: Page 921
7. Which laboratory test is considered adequate for an accurate and reliable diagnosis
of gonococcal urethritis in a symptomatic man?
a. Ligase chain reaction (LCR) c. Polymerase chain reaction (PCR)
b. Gram-stain technique d. DNA testing
ANS: B
Microscopic evaluation of Gram-stained slides of clinical specimens is deemed positive
for Neisseria gonorrhoeae if gram-negative diplococci with the typical “kidney bean”
morphologic appearance are found inside polymorphonuclear leukocytes. Such a finding is
considered adequate for the diagnosis of gonococcal urethritis in a symptomatic man. The
NURSINGTB.COM
, PATHOPHYSIOLOGY 9TH EDITION MCCANCE TEST
other options are not relevant to the diagnosis of this condition.
NURSINGTB.COM
