Chapter 24: Alterations of the Female Reproductive System

Chapter 24: Alterations of the Female Reproductive System

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. In 95% of children of delayed puberty, the problem is caused by:

a.	Disruption in the hypothalamus	c.	Deficit in estrogen or testosterone
b.	Disruption of the pituitary	d.	Physiologic hormonal delays

 

 

ANS:  D

In 95% of children with delayed puberty, the delay is physiologic; that is, hormonal levels are normal and the hypothalamic-pituitary-gonadal (HPG) axis is intact, but maturation is slowly happening. This option is the only answer that accurately describes the most common cause of delayed puberty.

 

PTS:   1                    REF:   Page 802

 

2. What is the first sign of puberty in girls?

a.	Breast enlargement	c.	Menstruation
b.	Growth of pubic hair	d.	Vaginal discharge

 

 

ANS:  A

Of the options available, the first sign of puberty in girls is usually thelarche or breast development.

 

PTS:   1                    REF:   Page 802

 

3. Which type of precocious puberty causes the child to develop some secondary sex characteristics of the opposite sex?

a.	Mixed	c.	Isosexual
b.	Incomplete	d.	Homosexual

 

 

ANS:  A

Mixed precocious puberty, which is virilization of a girl or feminization of a boy, causes the child to develop some secondary sex characteristics of the opposite sex. This option is the only answer that accurately identifies the type of precocious puberty described.

 

PTS:   1                    REF:   Page 804

 

4. The release of which chemical mediator causes primary dysmenorrhea?

a.	Leukotrienes	c.	Bradykinin
b.	Prostaglandins	d.	C-reactive protein

 

 

ANS:  B

Primary dysmenorrhea is painful menstruation associated with the release of prostaglandins in ovulatory cycles. This option is the only answer that accurately identifies the chemical mediator associated with dysmenorrhea.

 

PTS:   1                    REF:   Page 804

 

5. Considering the pathophysiologic characteristics of primary amenorrhea, what anatomic structure is involved in compartment II?

a.	Ovary	c.	Hypothalamus
b.	Anterior pituitary	d.	Vagina

 

 

ANS:  A

Compartment II disorders involve only the ovary.

 

PTS:   1                    REF:   Page 805