Quiz 25: Alterations of the Male Reproductive System
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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
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
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
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
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
6. What term is used to identify an inflammation of the glans penis?
a. Glanitis c. Priapism
b. Balanitis d. Hydrocelitis
7. Cryptorchidism can be defined as which of the following?
a. Normal developmental state of the testes
b. Abnormal state in which the testes are overdeveloped
c. Lack of scrotum
d. Testicular maldescent
8. What is the most common infectious cause of orchitis and one that usually affects postpubertal boys?
a. Herpes c. Mumps
b. Escherichia coli d. Cytomegalovirus
9. The risk of which cancer is greater if the man has a history of cryptorchidism?
a. Penile c. Prostate
b. Testicular d. Epididymal
10. What are the clinical manifestations of testicular cancer?
a. Firm, nontender testicular mass c. Painful fluid-filled testicular mass
b. Painful, mobile, firm testicular mass d. Soft, nontender testicular mass
11. How does the epididymis become infected?
a. The pathogenic microorganisms ascend the vasa deferentia from an already infected urethra or bladder.
b. The pathogenic microorganisms are attached to sperm that travel through the genital tract.
c. The pathogenic microorganisms from the tunica vaginalis are transported to the epididymis.
d. The pathogenic microorganisms from the prostate fluid ascend to the epididymis.
12. Symptoms of benign prostatic hyperplasia (BPH) are a result of which pathophysiologic condition?
a. Infection of the prostate c. Ischemia of the urethra
b. Obstruction of the urethra d. Compression of the urethra
13. Which infection has clinical manifestations that include the sudden onset of malaise, low back pain, and perineal pain with high fever and chills, dysuria, nocturia, and urinary retention?
a. Orchitis c. Epididymitis
b. Balanitis d. Bacterial prostatitis
14. Priapism has been associated with the abuse of what substance?
a. Marijuana c. Cocaine
b. Alcohol d. Heroin
15. Which age group should be targeted for testicular cancer education and screening?
a. 15 to 35 year olds c. 30 to 55 year olds
b. 20 to 45 year olds d. 45 to 70 year olds
16. What is the reason breast cancer in men has such a poor prognosis?
a. Breast cancer is extremely aggressive in men.
b. Treatment is usually delayed as a result of late detection.
c. Chemotherapies are not as effective in men.
d. Breast tumors tend to be small and hard to isolate.
17. Which are clinical manifestations of male breast cancer? (Select all that apply.)
a. Ulceration present on the breast
b. Retraction of breast tissue
c. Nipple discharge
d. Palpable mass midline of the nipple
e. Unilateral solid mass
18. Which statements are true regarding urethritis? (Select all that apply.)
a. A purulent drainage may be present.
b. A clear mucus-like discharge may be present.
c. Symptoms include urethral tingling and itching or burning on urination.
d. A 24-hour urine test is required to diagnose the disorder.
e. Treatment includes appropriate antibiotic therapy.
19. Which statements are true regarding prostate cancer? (Select all that apply.)
a. It ranks second to lung cancer as being most common among American men.
b. A familial history of prostate cancer is a risk factor.
c. Dietary habits seem to play a role in its development.
d. African-American men have an increased risk for its development.
e. Being over 65 years of age increases the risk for developing prostate cancer.
Match the description with the disorder.
______ A. Painless diverticulum of the epididymis located between the head of the epididymis and the testis
______ B. Collection of fluid in the tunica vaginalis
______ C. Rotation of a testis, which twists blood vessels of the spermatic cord
______ D. Abnormal dilation of the vein within the spermatic cord
22. Testicular torsion