Pathophysiology, 5th Edition By Lee-Ellen C. Copstead
Pathophysiology, 5th Edition By Lee-Ellen C. Copstead
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Chapter 33: Alterations in Female Genital and Reproductive Function
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | cardinal ligaments. |
| b. | abdominal organs. |
| c. | cervix. |
| d. | vaginal musculature. |
ANS: A
Alterations in uterine position and pelvic support may occur anytime during a woman’s reproductive years. The major support for the uterus and upper part of the vagina is provided by the thickenings of the endopelvic fascia known as the cardinal ligaments. If the support of the vaginal wall is also compromised, the pressure of the abdominal organs on the uterus will gradually force it downward through the vagina into the introitus. The relaxation of the cardinal ligaments permits the cervix to sag into the vagina. Uterine prolapse can occur when the supporting structures and the cardinal ligaments relax and allow the uterus to sag into the vagina.
REF: Pg. 673
| a. | the endometrium sloughs continuously. |
| b. | ectopic endometrial tissue is present. |
| c. | an abnormal Pap smear is diagnostic. |
| d. | the endometrium proliferates and does not shed. |
ANS: B
Endometriosis is the presence of endometrial tissue outside the lining of the uterine cavity. The only normal location for endometrial tissue is the endometrial lining of the uterus, but with endometriosis, the tissue is found outside the uterine cavity. Endometriosis is not diagnosed with a Pap smear. Diagnosis is made by a physician based on symptoms. The most prominent symptom of endometriosis is dysmenorrheal.
REF: Pg. 678
| a. | increased metabolic rate. |
| b. | 30% to 40% increase in cardiac output. |
| c. | increased oxygen consumption. |
| d. | increased urinary protein. |
ANS: D
Pregnancy induced hypertension is characterized by a rapid rise in arterial blood pressure associated with the loss of large amounts of protein in the urine. An increased metabolic rate is a normal finding in a pregnant woman. Increased cardiac output would be an expected finding during pregnancy. Pregnant women are expected to have an increase in oxygen consumption during pregnancy.
REF: Pg. 680
| a. | amenorrhea. |
| b. | metrorrhagia. |
| c. | menorrhagia. |
| d. | dysmenorrhea. |
ANS: A
Amenorrhea is the absence or suppression of menstruation in a female age 16 or older. Metrorrhagia is bleeding between menstrual periods. Menorrhagia is an often debilitating increase in the amount or duration of menstrual bleeding. Dysmenorrhea is menstruation that is painful enough to limit normal activity.
REF: Pg. 671
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