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Patho-Reproductive
| Question | Answer |
|---|---|
| Decreased Vaginal Secretion, Painful Sexual Intercourse, Behavorial Changes, hot flashes, night sweats, and decreased bone density are all symptoms of _________. | Menopause |
| ________ gland is found on both sides of the vaginal opening and provides Lubrication during intercourse. It often becomes infected, ruptures, or abcessed. | Bertholins |
| A hormone from the pituitary gland that prompts milk production | Prolactin |
| Urethreal meatus occurs of the dorsal penis surface and may extend penis length. | Epispadis |
| Urethreal meatus is on the ventral side of the penis surface and may extend the entire penis length. | Hypospadis |
| Downward curvature of the penis is known as ______. | Chordee |
| Which impairs function more, epispadis or hypospadis? | Hypospadis |
| One or both testes do not descend from abdomen to scrotum prior to birth. | Cryptorchidism |
| If the testicle moves back and forth between the scrotum and the lower abdomen it is _____. | Retractable. |
| If the testicle has returned to lower abdomen and cannot easily be guided back to the scrotum it is _______. | Ascending |
| 3 Causes of Male Infertility. | 1. Decreased Sperm or Sperm Abnormalties 2. Hormone Deviations 3. Physical Impediments |
| 4 causes of female infertility | 1. Ovulation Dysfunction 2. Hormone Deviation 3. Physical Obstruction 4. Severe Reproductive Tract Infections |
| If unsuccessful in conceiving after ______, a fertility expert should be consulted. | 1 yr |
| Inability to maintain or attain a penile erection sufficient to complete sexual intercourse. | Erectile Dysfunction |
| Causes of erectile dysfuntion (7). | 1. Diabetes 2. multiple schlerosis 3. hypertension 4. circulatory problems 5. excessive alcohol/tobacco use 6. cirrhosis of the liver 7. low testosterone levels |
| When the Foreskin cannot be retracted from Glans penis this is known as _____. It can be problematic after ___ yrs of age. | Phimosis; 3 |
| Phimosis is generally caused by 3 things. | 1. poor hygiene 2. inflammation 3. infection |
| Complications of phimosis are _____. | Urinary obstruction and pain. |
| When the foreskin is retracted and cannot be returned over the glans penis this is known as _________. | Paraphimosis |
| Paraphimosis is a medical emergency because ______. | Pain becomes constricted and edamatous. Gangrene can set it. |
| A prolonged painful erection not caused by sexual stimulation is known as _______. | Priprism |
| 2 causes of priaprism | 1. Too much blood flow (high flow/nonischemic) 2. Blood Trapping (Low flow/ischemic) |
| Priaprism is a medical emergency if it lasts longer than ____. | 4 hours |
| Priaprism can be treated by | 1. cold application 2. needle aspiration 3. shunt placement 4. injection of meds into penis |
| Fluid accumulation between the layers of the tunica vaginalis or along spermatic cord is known as _______. | Hydrocele |
| Hydrocele is diagnosed by: | Painful scrotum enlargement that transilluminates and scrotal heaviness |
| Hydrocele is treated by: | 1. Scrotal elevation 2. sitz bath 3. hot/cold compress 4. aspiration 5. removal |
| A sperm containing cyst that develops between the testes and epididymis is known as ______. | Spermatocyle |
| An intervention for spermatocyle would be to | increase scrotal support by wearing briefs or boxer briefs |
| A dilated vein in the spermatic cord is called ________ & it results from ______. | Varicocele; valve issues that allow blood to pool in the veins |
| What is the most common cause for low sperm count & decreased sperm quality? Why? | Varicocele because of testicular ischemia |
| Varicocele is said to feel like having | a heavy scrotum with a "bag of worms" feeling |
| Abnormal Rotattion of the testes on the spermatic cord is _______. | Testicular Torsion |
| Absence of menstruation is known as | amenorrhea |
| Painful menstruation that is characterized by cramping that interrupts ADLS is known as | Dysmenorrhea. |
| Dysmenorrha can be caused by 3 things | 1. unknown 2. reproductive conditions 3. following childbirth |
| Bleeding abnormalties cause _____. | Lack of ovulation |
| Increased Menstrual Flow blood amount is called | Menorrhagia |
| Vaginal Bleeding between periods in premenopausal woman is known as | metrorragia |
| Short menstrual cycles occursing less than every 21 days is known as | polymenorrhea |
| Long Menstrual cycles resulting in infrequent menstruation is known as | Oligomenorrhea |
| Physical and emotional symptoms affecting many women for reasons not fully understood is known as | Premenstrual Syndrome |
| Premenstrual Syndrome usually occurs when? | 5 to 11 days before menstruation |
| Severe form of PMS that is characterized by severe depression, tension, and irritability | Premenstrual Dysphoric Syndrome |
| To help treat Premenstrual dysphoric syndrome, what may be eliminated from a persons diet? | Caffeine, Soda, Chocolate, Fat, Processed Sugars, Alcohol |
| Bladder protrudes through the wall of the vagina | Cystocele |
| Cystocele is caused by | weakened pelvic support caused by straining such as childbirth, chronic constipation, or heavy lifting |
| A complication of cystocele is | recurring cystitis (bladder infection) |
| Rectum protrudes thought the posterior vaginal wall | Rectocele |
| Rectocele is caused by | conditions that strain the fascia and menopause |
| Descent of the uterus or cervix into the vagina is known as ___________ and caused by _____, | Uterine Prolapse; conditions that stretch or weaken pelvic support |
| When the cervix has dropped into the vagina what degree of uterine prolapse is this? | 1st |
| What degree of uterine prolapse is it when the cervix is apparent at the vaginal opening? | 2nd |
| When the uterine and cervix bulge through the vaginal opening this is what degree of utericne prolapse? | 3rd |
| _______ occurs when endometrium grows outside of the uterus & blood becomes trapped & irritates surrounding tissue. | Endometriosis |
| Complications of endrometriosis | 1. infertility 2. scarring 3. adhesions 3. pain 4. cysts |
| 4 manifestations of endometriosis | 1. dysmenorrhea 2. menorragia 3. pelvic pain 4. infertility |
| Firm, rubbery growths of the myometrium | Leiomyoma |
| Leiomyoma usually occur as | multiple, well-defined, encapsulated masses |
| The causes of leiomyoma is unknown but they seem to grow in the presence of | estrogen & shrink after menopause |
| Leiomyoma usually does not interfere with fertility but does increase the risk of | spontaneous abortion and preterm labor |
| Benign fluid filled sacs on the ovary are _____. they often form during ____. | Ovarian Cysts; ovulation |
| Complications of Ovarian Cysts | 1. hemorrhaging 2. peritonitis 3. infertility 3. amenorrhea |
| Polycytic Ovary Syndrome is | when the ovary enlarges and contains numerous cysts |
| Hirutism, acne, male-patterned baldness, and amenorrhea, and infertility are characteristics of _____. | Polycytic Ovary Syndrome |
| Numerous Benign Nodules in the breast | Fibrocystic Breast Disease |
| Fibrocystic Breast Disease is more common when? | during childbearing years |
| The difference in Fibrocystic Breast Disease and Cancer in that... | cancer does not hurt |
| Firm movable masses that become more prominent during menstruation is | Fibrocystic Breast Disease |
| Irregular and Bumpy Breast Tissue; Heavy Breast Pain and Tenderness; Occasional Nonbloody Nipple Discharge are all characteristics of _____. | Fibrocystic Breast Disease |
| Breast tissue inflammation associated with infection is | Mastitis |
| Mastitis usually develops when? | 6 weeks after childbirth |
| Mastitis usually occurs because.. | Staph or Strep bacteria is introduced to the nipple through the breastfeeding process |
| Complication of mastitis is | Blockage of milk flow and abcess |
| Inflammation of the prostate that can be acute or chronic is ________ & it can be caused by _____. | Prostatitis; conditions that trigger the inflammatory process |
| Acute Bacterial Prostatitis is catagory __. It usually results from ______. | 1; urinary tract infections |
| Chronic Bacterial Prostatitis is catagory ___. It usually results from ______. | 2; recurrent urinary tract infection |
| Chronic Prostatitis/Chronic Pelvic Pain is catagory ____. It results from _____. | 3; no clear etiology and may be noninflammatory |
| Asymptomatic Inflammatory Prostatitis is Catagory ___. It is caused by ____. | 4; no clear etiology but immune cells can be found |
| Recurrent Urinary tract infections, difficulty urinating, pain in the abodmen/lower back/perineum/genitals, pain ejaculation, indications of infection are all signs and symptoms of | prostatitis |
| Inflammation of the epididymis is | Epididymitis |
| Ascending bacterial infections, STIs, TB, and Antidysrhythmic medication are all causes of | Epididymitis |
| Complications of epididymitis are | 1. abcesses 2. fistulas 3. testicular necrosis 4. infertility |
| Manifestations of Epididymitis are | 1. penile discharge 2. bloody semen 3. pain |
| Most common cause of vaginitis | Candidiasis |
| Causes of Candidiasis | 1. bubble bath 2. feminine products 3. decreased immune response 4. increased glucose in vaginal secretions |
| Think and white vaginal discharge that resembles cottage cheese, vulvular erythemia and edema, itching,burning, and white patches on vaginal wall are all signs of | Candidiasis/yeast infection |
| Infection on the female reproductive system is_____ and it occurs when_____. | PID; bacteria ascend from the vagina |
| PID can be caused by | 1. STDS 2. bacteria from childbirth 3. endometrial procedures and abortions 4. bacterial invasion from the blood stream |
| Complications of PID | 1. septicemia 2. ectopic pregnancies 3. infertility 4. obstructions 5. abcesses |
| Manifestations of PID | 1. pelvic tenderness 2. abnormal vaginal/cervial discharge 3. bleeding after sex 4. painful sex 5. PID Shuffle* |
| Most common STD is | Chlamydia |
| Which STD manifests as a sore throat and white blisters that darken and dissappear? | Gonorrhea |
| Which STD causes a constant dripping discharge? | Gonorrhea |
| Ulcerative infection caused by Treponema Pallidium, a spirochete that requires a moist warm environment | Syphillis |
| Which STD can be transmitted through skin or mucous membrane contact with chancres? | Syphillis |
| Which stage of syphillis has painless chancres formed at a site of infection that disappear? How long does it take for them to form and when do they disappear? | Primary; form 2-3 wks after infection and disappear 4-6 wks later |
| Secondary Syphillis occurs ______ weeks after 1st chancres form. This stage is identified by | Non-pruritic, brown-red rash, malaise, fever, patchy hair loss. |
| When does tertiary syphillis begin and how long does it last? | It begins when secondary symptoms disappear and lasts 1-4 yrs. |
| Complication of Teritiary syphilis | 1-blindness 2-paralysis 3-dementia 4-CVD 5-death |
| When are pregnant women screened for syphillis? Should they be retested after treatment? | Prior to the 4th month of gestation; yes, in the last trimester |
| HSV type 1 occurs _____. | above the waist and manifests as a cold sore |
| HSV type 2 occurs ____. | below the waist |
| How is HSV spread? | 1. sexual 2. direct skin to skin 3. maternal to fetus |
| When are HSV patient contagious? When are they contagious the most? | They are contagious at any time but they are the most contagious when lesions are present. |
| What risks does HSV pose to a fetus? | spontaneous abortion, Encephalitis, brain damage |
| HSV outbreaks begin with a tingling or burning sensation at the site just before lesions appear. This is known as _______. | Prodrome |
| Describe a HSV lesion. | It appears as a vesicle surrounded by erythema. It bursts leaving a painful ulcerative lesion with watery exudate that crusts over. It heals spontaneously in 3-4 wks. |
| Which stage of genital herpes begins at the time of infection and antibody development? How long does it take it to occur? | Primary; 2-20 days |
| What stage of genital herpes begins once antibodies are formed? | latent |
| What stage of genital herpes occurs when the virus is reactivated but no symptoms occur? | Shedding |
| What stage of genital herpes is characterized by the reactivation of the virus and manifestations? | Recurrent |
| Recurrent Genital Herpes can be triggered by | stress, illness, menstration |
| Polymerase Chain Reaction test is used to diagnose | Herpes and genital warts |
| Benign growths caused by a group of virusus called the HPV | condylomata Acuminata/Genital Warts |
| HPV can have an incubation period that can last up to ____ | 6 months |
| In men, trichomoniasis primarily resides in the _______ & causes______. | urethra and causes no symptoms |
| In women, Trichomoniasis primarily resides in the ______ and causes______. | vagina; becomes symptomatic when vaginal microbial imbalance occurs |
| Trichomoniasis cannot survive in the ____ or _____. | mouth or rectum |
| Trichomoniasis occcurs through ____ or ____. | Sexual contant or prolonged exposure to moisture |
| Cervical cancer is caused by | -HPV (#1 cause) -Trichomoniasis |
| Copious amounts of frothy, white, or yellow-green vaginal discharge is a sign of | Trichomoniasis |
| Flagyl is used to treat | Trichomoniasis |
| Penile cancer appears as what kind of lesion? | Thick, grey-white lesion or a red, shiny lesion |
| The most common cancer in men is | prostate cancer |
| Risk factors of prostate cancer are | 1. STIs 2. family history 3. high-fat diet 4. androgen hormone replacement |
| In prostate cancer, What happen to the prostate as the tumor grows? | It impedes the urethra |
| 2 main manifestations of prostate cancer are | 1. bloody semen 2. hematuria |
| What age is testicular cancer most common in? | 15-35 |