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68WM6 Repro
Reproductive System
| Question | Answer |
|---|---|
| functions of the testes | sperm production; testosterone production |
| stores sperm cells until they mature | epididymis |
| transports sperm; makes up the spermatic cord | vas deferens |
| secretes slightly alkaline fluid which comprises 60% of semen volume | seminal vesicle |
| short tube beginning at seminal vesicle and ending in the prostate gland; transports sperm and seminal fluid to the urethra | ejaculatory duct |
| secretes thin milky alkaline fluid which promotes sperm motility | prostate gland |
| 2 structures located below the prostate gland that lubricate the end of penis for intercourse | cowpers glands |
| sperm ned to develop in a region that is how much lower than body temperature | 2-3 degrees |
| pair of dorsally located cylinders of erectile tissue | corpora cavernosa |
| single cylinder of erectile tissue, surrounds the urethra and forms the glans penis | corpora sponiosum |
| release progesterone and estrogen | ovaries |
| pair of ducts opening at one end into the fundus, the other into the peritoneal cavity | fallopian tubes |
| fingerlike progections attached to the lateral end of the ovary | fimbrae |
| funnel shaped region of the fallopian tubes near the ovary | infundibulum |
| move the egg cell to the uterus | cilia |
| large midsection of uterus | body |
| upper rounded portion of of body superior to the fallopian tubes | fundus |
| smaller narrow end of uterus extending into the upper portion of the vagina | cervix |
| three layer of uterine wall | endometrium, myometrium, perimetrium |
| protects inner structures, contains sensory nerve endings, sebaceous and sudoriferous glands of the female reproductive system | labia majora |
| function of this organ is sexual arousal (female) | clitoris |
| lubricates vagina for sexual intercourse | bartholin's glands |
| specialized glands that secrete milk following pregnancy | mammary |
| hormone that causes milk production | prolactin |
| hormone that allows milk to be released | oxytocin |
| endometrial tissue in various places in the pelvic cavity | endometriosis |
| signs and symptoms of endometriousis include | pain, menstrual irregularities, and bleeding associated with menstrual cycle |
| treatment fo endometriosis | contraceptives, pregnancy, surgery, ovulation suppression |
| this medication should not be used for pain associated with endometriosis | aspirin |
| fistula connecting urethra to vagina | urethrovaginal |
| fistula connecting bladder to vagina | vesicovaginal |
| fistula connecting rectum to vagina | rectovaginal |
| signs and symptoms of fistula | urine, feces or flatus from vagina |
| cystocele, rectocele, prolapse, urethrocele, and enterocele are all caused by | relaxed pelvic floor muscles |
| firm rubber doughnut shaped device that is inserted into the upper vagina to reposition and give support to the uterus | pessary |
| three types of uterine displacement | anteflexion, retroversion, retroflexion |
| white or clear discharge from the vagina | leukorrhea |
| absence of mensruation | amenorrhea |
| painful menstruation | dysmenorrhea |
| removal of a fallopian tube | salpingectomy |
| functions of estrogen | growth and development of female sex organs, maintainance of secondary sex characteristics |
| metabolic effects of estrogen | lowers choleterol, aids in protein synthesis, and causes retention of sodium and water |
| contraindications of estrogen | thromboembolism, vaginal bleeding, liver dysfunction, pregnancy, lactation, breast cancer (estrogen dependent) |
| indications for methroxyprogesterone | decrease endometrial hyperplasia, treatment of amenorrhea and abnormal uterine bleedidng |
| contraindications to medroxyprogesterone | pregnancy, thromboembolism, CV disease, liver disease, cancer |
| side effects of medroxyprogesterone | weight gain, edema, bone loss |
| indications for megestrol | endometrial or brease carcinoma; treatment of anorexia, weight loss, and cachexia associated with AIDS |
| contraindications of megestrol | pregnancy, lactation, vaginal bleeding, liver disease |
| women with diabetes are more prone to this | vaginitis |
| types of vaginitis | bacterial, fungal, estrogen loss with age |
| bacterial vaginitis s/s | milky discharge with odor |
| T. vaginalis vaginitis s/s | profuse, foamy discharge |
| C. albicans vaginitis s/s | thick cheese-like discharge |
| inflammation or infection of the cervix | cervicitis |
| s/s of cervicitis | leukorrhea, dyspareuneia, back pain |
| any acute, subacute, recurrent, or chronic infection of the cervix, ovaries, fallopian tubes or uterus that has extended to the connective tissues lying between the broad ligaments | PID |
| s/s of PID | malodorous, purulent discharge, backache, pelvic/abdominal pain, fever, chills, malaise, nausea, vomiting |
| PID treatment | antibiotics, palliative measures |
| causes TSS | staphylococcus aureus |
| s/s of TSS | high fever, chills, myalgia, red, macular palmar rash |
| to avoid TSS, it is recommended that tampons be changed how often? | every 4 hours |
| contraindications to antifungal agents | liver failure, kidney failure |
| all women should do a BSE how often | every month |
| BSE should be timed for how long after menses | 3-8 days |
| annual mammograms should begin at what age? | 40 |
| inflammation of breast tissue | mastitis |
| most common benign breast lesion | fibrycystic breast (cystic mastitis or mammary dysplasia) |
| solid benign mass of connective tissue and glandular tissue | fibroadenoma |
| s/s of fibroadenoma | painless, nontender, encapsulated mobile lump |
| acute mastitis is usually caused by | staph or strep |
| acute mastits most often occurs during | lactation |
| treatment of acute mastitis | warm packs, good bra, antibiotics |
| condition in which the prepuce is to small to allow retraction of the foreskin over the glans | phimosis |
| accumulation of fluid between the membranes covering the testicle and the membrane enclosing the testicle | hydrocele |
| dilated veins within the scrotum | varicocele |
| twisting of the spermatic cord resulting in a kinking of the artery, compromising blood flow to the testicle | testicular torsion |
| key sign of testicular torsion | pain on elevation |
| men should perform a TSE monthly beginning at what age | 15 |
| the inability of an adult man to achieve penile erection | impotence |
| a common sign of excessive androgen use | fluid retention |
| acute or chronic infection of the prostate gland | prostatitis |
| in prostatitis, the pH of prostate fluid is generally | elevated |
| inflammation of the epididymis | epididymitis |
| s/s of epididymitis | pain, scrotal edema/tenderness, pyuria, "duck walk" |
| infections that are usually transmitted during intimate sexual contact | STI's |
| s/s of this STI include vesicular lesions of the genitals or anus that heal spontaneous after 7 to 10 days | herpes |
| 3 medications used in the treatment of herpes | acyclovir, valacyclovir, famciclyvir (zovirax, valtrex, famvir) |
| s/s of primary syphilis | chancre |
| s/s of secondary syphilis | rashes on body |
| s/s of latent syphilis | dementia, leg pain |
| preferred medical management of syphilis | penicillin |
| preferred medical management of gonorrhea | ceftriaxone (rocephin), cefixime (suprax) |
| preferred medical management of trichmoniasis | metronidazole (flagyl) |
| what should a patient avoid while taking flagyl? | alcohol |
| cure for HPV | there isn't one |
| mild fungal infection caused by candida albicans or candida tropicalis | candidiasis |
| treatment for candidiasis | nystatin (mycostatin) |
| medications for chlamydia | tetracycline, doxycycline, azithromycin, erythromycin |
| drug of choice for treatment of chlamydia during pregnancy | erythromycin |
| a person with gonorrhea most likely also has | chlamydia |
| thia medication can turn the urine dark brown or aroange | flagyl |
| failure rate of depo | 3% |
| depo is not recommended to be used for more than | 2 years |
| leading contraceptive method used in the US | oral contraceptives |
| these oral contraceptives contain only progesterone | mini-pills |
| how long should contraceptive patches be used for | 1 week each for three weeks, then 1 week without a patch |
| how long is nuva-ring left in place | 3 weeks, then removed for 1 week |
| emergency contraceptives are most effective if used within how many hours? | 72 |
| emergency contraceptives CAN be used up to how many hours after sex? | 120 |
| how long should a sponge remain in place after sex? | 6 hours |
| how long can a cervical cap remain in place? | 48 hours |
| how often should a cervical cap be replaced | every 2 years |