Chapter 19: Reproductive System Disorders
VanMeter and Hubert: Gould’s Pathophysiology for the Health Professions, 7th
Edition
MULTIPLE CHOICE
1. Which statement about the testes is TRUE?
a. Each testis contains the ductus deferens.
b. The testes are suspended by the spermatic cord.
c. Each testis has its own scrotal sac and seminal vesicle.
d. The testes must be kept at a temperature slightly above body temperature.
ANS> B
2. Which statement about spermatogenesis is TRUE?
a. The complete process takes about 28 days.
b. Maturation of sperm takes place in the seminal vesicles.
c. It is controlled by follicle-stimulating hormone (FSH) and testosterone.
d. The process is initiated after each ejaculation.
ANS> C
3. Which of the following may result from cryptorchidism?
a. Infertility
b. Testicular cancer
c. Both infertility and testicular cancer
d. Neither infertility nor testicular cancer
ANS> C
4. Which term refers to excessive fluid collecting between the layers of the tunica vaginalis?
a. Varicocele
b. Hypospadias
c. Spermatocele
d. Hydrocele
ANS> D
5. Which of the following are common early significant signs of acute prostatitis?
a. A hard nodule in the gland and pelvic pain
b. Soft, tender, enlarged gland and dysuria
c. Hesitancy and increased urinary output
d. Mild fever, vomiting, and leucopenia
ANS> B
6. Which of the following applies to benign prostatic hypertrophy?
a. The tumor usually becomes malignant in time.
b. The gland becomes small, nodular, and firm.
c. Manifestations include hesitancy, dribbling, and frequency.
d. Lower abdominal or pelvic pain develops.
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ANS> C
7. Why does frequent need for urination occur with benign prostatic hypertrophy?
a. Increased volume of dilute urine
b. Irritation of the bladder and urethra
c. Impaired micturition reflex
d. Incomplete emptying of the bladder
ANS> D
8. Which of the following is the common first site for metastasis from prostatic cancer?
a. Bone
b. Lungs
c. Liver
d. Testes
ANS> A
9. What is a useful serum marker during treatment for prostatic cancer?
a. Human chorionic gonadotropin
b. Alpha-fetoprotein
c. Prostate-specific antigen
d. Luteinizing hormone
ANS> C
10. Which of the following is NOT a characteristic of leukorrhea during the reproductive years?
a. It is clear or whitish.
b. It has a pH of 4 to 5.
c. It does not contain any cells.
d. It contains mucus.
ANS> C
11. Which of the following applies to the corpus luteum?
a. It forms a mature ovarian follicle.
b. It secretes human chorionic gonadotropin (hCG).
c. It secretes estrogen and progesterone during the latter half of the menstrual cycle.
d. It produces gonadotropins for the next cycle.
ANS> C
12. Why does severe pain occur with each menstrual cycle in endometriosis?
a. Obstruction in the fallopian tubes
b. Inflammation due to blood irritating the endometrial tissue
c. Hormonal imbalance causing uterine contractions
d. Fibrous tissue responding to hormonal changes
ANS> B
13. With pelvic inflammatory disease, why does infection spread easily into the peritoneal cavity?
a. The fallopian tubes are obstructed, and purulent exudate cannot drain into the
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uterus.
b. The uterus is perforated because of infection, allowing bacteria to leak out.
c. Most of the primary infections do not respond to antimicrobial drugs.
d. Microbes are highly virulent.
ANS> A
14. Which of the following is a common complication of leiomyomas?
a. Development of malignancy
b. Irregular menstrual cycles
c. Interference with ovulation
d. Abnormal bleeding such as menorrhagia
ANS> D
15. Which of the following refers to fibrocystic breast disease?
a. Progressive development of fluid-filled cysts and fibrous tissue
b. Proliferation of atypical cells with high risk of malignancy
c. Benign tumors that develop after menopause
d. Any tissue changes other than the normal response to hormonal changes
ANS> A
16. Which of the following applies to carcinoma of the breast?
a. It presents as a tender, painful, firm nodule.
b. Tumor cells may demonstrate estrogen receptors on the membrane.
c. Occasionally, a genetic factor may have a small role in tumor development.
d. The tumor is invasive but does not metastasize until very late.
ANS> B
17. Which is considered to be the stage of carcinoma in situ in cervical cancer?
a. The invasive stage
b. The stage of mild dysplasia
c. The time before it can be detected by a Pap test
d. Noninvasive severe dysplasia
ANS> D
18. What is a major predisposing factor to cervical cancer?
a. High estrogen levels
b. Familial incidence
c. Infection with herpes simplex virus (HSV)
d. Early age for onset of menstrual cycles
ANS> C
19. What is a significant early sign of endometrial carcinoma?
a. A positive Pap test
b. Minor vaginal bleeding or spotting
c. Infection resistant to treatment
d. Painful intercourse