Chapter 25: Alterations of the Male Reproductive System

Chapter 25: Alterations of the Male Reproductive System

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. In the 95% of those with delayed puberty, the problem is caused by which condition?

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 cases, delayed puberty is a physiologic delay; that is, hormonal levels are normal and the hypothalamic-pituitary-gonadal (HPG) axis is intact, but maturation is happening slowly. This selection is the only option that accurately describes 95% of those with delayed puberty.

 

PTS:   1                    REF:   Page 886

 

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

a.	Thickening of the scrotal skin	c.	Enlargement of the testes
b.	Growth of pubic hair	d.	Change in voice

 

 

ANS:  C

The first sign of puberty in boys is an enlargement of the testes and a thinning of the scrotal skin.

 

PTS:   1                    REF:   Page 886

 

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 (i.e., virilization of a girl or feminization of a boy) causes the child to develop some secondary sex characteristics of the opposite sex. This selection is the only option that accurately identifies the type of precocious puberty described.

 

PTS:   1                    REF:   Page 887

 

4. What term is used to identify a condition in which the foreskin cannot be retracted over the glans penis?

a.	Paraphimosis	c.	Prephimosis
b.	Priapism	d.	Phimosis

 

 

ANS:  D

Phimosis is the only term used to identify the condition in which the foreskin cannot be retracted back over the glans.

 

PTS:   1                    REF:   Page 888

 

5. What term is used to identify a fibrotic condition that causes lateral curvature of the penis during erection, which is associated with a local vasculitis-like inflammatory reaction and decreased tissue oxygenation?

a.	Phimosis	c.	Lateral paraphimosis
b.	Lateral phimosis	d.	Peyronie disease

 

 

ANS:  D

Peyronie disease (bent nail syndrome) is a fibrotic condition of the tunica albuginea of the penis, resulting in varying degrees of curvature and sexual dysfunction (see Figure 25-2). Although the exact cause is unknown, a local vasculitis-like inflammatory reaction occurs and decreased tissue oxygenation results in fibrosis and calcification. Peyronie disease is the only term used to identify the pathophysiologic condition described.

 

PTS:   1                    REF:   Pages 889-890