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NURS 6616
Primary Care: Sexuality & Reproduction Across the Lifespan
UNIT II & III QUIZ
Spring 2004
Instructions: You may use any reference to answer these questions but you may not
discuss the quiz with any other person. Highlight the ONE BEST answer to each
question in yellow and submit your quiz to your instructor by return e-mail. Deadline
for completion is 5 PM February 8.
1. A 24-year-old woman has regular, predictable menstrual cycles that began at
age 13. Which of the following statements about the luteal phase of the cycle are
correct?
a. Progesterone is the predominant steroid hormone.
b. Endocervical mucus is thick, sticky and tenacious.
c. Basal body temperature is elevated.
d. It is during this phase of the reproductive cycle that some women develop
cyclic emotional, physical and behavioral symptoms.
e. All of the above
2. When evaluating a young adult with amenorrhea and normal secondary sex
characteristics, the purpose of the progesterone challenge is determining the
presence ofa. Endogenous estrogen.
b. Thyroxine.
c. Prolactin.
d. Adequate body fat.
3. The endometrial cycle is often described in three phases. Select the correct
phases:
a.
b.
c.
d.
Follicular, menstrual, and luteal.
Proliferative, luteal, and menstrual.
Follicular, secretory, and menstrual.
Proliferative, secretory, and menstrual.
4. Which hormone is not released from the anterior pituitary gland?
a. Follicle-stimulating hormone (FSH).
b. Luteinizing hormone (LH).
c. Oxytocin.
d. Prolactin.
5. A middle-aged female presents with dysfunctional uterine bleeding. A hormonal
profile reveals increased FSH and LH levels. The most likely cause for these
findings is:
a. Hypothalmic disorder.
b. Onset of climacteric.
c. Premature ovarian failure.
d. Anterior pituitary disorder.
6. The most common cause of dysfunctional uterine bleeding is:
a.
b.
c.
d.
Thyroid disorder.
Blood dyscrasia.
Anovulation.
Uterine tumor.
7. What is a cause of secondary amenorrhea?
a.
b.
c.
d.
Testicular feminization.
Hypogonadotropic hypogonadism.
Congenital absence of uterus.
Extreme exercise.
8. Select the response that places the Master’s and Johnson phases of sexual
response in order from earliest to latest.
a. Orgasm, excitement, plateau, resolution
b. Excitement, orgasm, plateau, resolution
c. Excitement, plateau, orgasm, resolution
d. Excitement, orgasm, resolution, plateau
9. Which of the following statements accurately explains the effects of menopause
on female sexual function?
a. Loss of estrogen leads to increased cornification of the vaginal epithelium
with subsequent vaginal atrophy.
b. Increased production of androgens sometimes leads to an increase in
libido.
c. Loss of estrogen leads to decreased cornification of vaginal epithelium
with subsequent vaginal atrophy.
d. Loss of estrogen decreases vaginal lubrication and may contribute to
dyspareunia.
e. Both a. and b.
f. Both b and c
g. Answers a. b. and d.
h. Answers b, c, and d
10. When premenstrual syndrome symptoms do not respond to other therapies,
which of the following drugs may you try?
a.
b.
c.
d.
Antidepressants
Diuretics
Gonadotropin-releasing hormone agonists
All of the above
11. Which of the following conditions may result in dyspareunia?
a.
b.
c.
d.
Vulvovaginitis
An incompletely stretched hymen
Vaginismus
All of the above
12. When a woman complains of dyspareunia in the lower back during orgasm, you
should consider:
a.
b.
c.
d.
endometriosis.
cystitis.
vaginitis.
pelvic inflammatory disease-related causes.
13. Dysfunctional uterine bleeding is usually associated with:
a.
b.
c.
d.
pregnancy.
anovulation.
genital tumor.
inflammation.
14. Toxic shock syndrome may be caused by:
a.
b.
c.
d.
tampon contamination with Staphylococcus aureus.
damaged cervical and vaginal mucosa.
the use of superabsorbent tampons for an extended period of time.
all of the above.
15. A clinical consequence of persistent anovulation is:
a.
b.
c.
d.
infertility.
menstrual bleeding problems.
an increased risk of cardiovascular disease.
all of the above.
16. There are many causes of amenorrhea. In ballet dancers or marathon runners,
where is the location of the problem?
a. Outflow tract
b. Ovary
c. Anterior pituitary
d. Hypothalamus
17. For a diagnosis of premenstrual syndrome to be "assigned, " which of the
following criteria must be met?
a. Symptoms occur in the luteal phase and resolve within 1-2 days of onset
of menses, followed by a symptom-free period during the follicular phase.
b. Symptoms must be documented through several menstrual cycles and be
sufficient to disrupt a woman's life to some degree.
c. Other medical and psychologic disorders must be ruled out.
d. All of the above.
18. Which form of estrogen is the most potent and secreted in the greatest amount
by the ovaries during the reproductive years?
a.
b.
c.
d.
Estrone (El).
Estradiol (E2).
Estriol (E3).
The potency and secretion of all of the above are in equal amounts.
19. Unilateral galactorrhea may be present in:
a.
b.
c.
d.
fibrocystic breast disease.
intraductal papilloma.
carcinoma.
all of the above.
20. Procidentia is a:
a.
b.
c.
d.
cystocele.
rectocele.
vaginal fistula.
third-degree uterine prolapse.
21. Which type of cyst or polyp of the female reproductive system results in pain,
redness, a perineal mass, and dyspareunia?
a.
b.
c.
d.
Ovarian cyst
Bartholin cyst
Endometrial polyp
Cervical polyp
22. Psychogenic causes of dyspareunia include:
a.
b.
c.
d.
fear of vaginal penetration.
sexual dysfunction as result of vaginismus.
pain from vaginal penetration.
all of the above.
23. Which of the following conditions is considered a relative emergency in a
teenager with amenorrhea?
a. Vaginal agenesis
b. Turner’s syndrome
c. Uterine anomaly
d. Imperforate hymen
e. Androgen insensitivity syndrome
24. A 24 year-old nulligravida stopped taking birth control pills in order to conceive.
She had a menstrual flow after her last pack of birth control pills and then was
amenorrheic for six months. Which would be most appropriate to order?
a. Gonadotropin levels
b. Serum prolactin
c. Progesterone challenge
d. TSH
e. Serum testosterone
25. A 24-year-old woman with previously normal menstrual cycles and anovulation.
Serum prolactin levels are elevated. Which would be most appropriate to order?
a. Gonadotropin levels
b. Serum prolactin
c. Progesterone challenge
d. TSH
e. Serum testosterone