Week 5 Post Class Exam – A—Benign Prostatic Hyperplasia

Question 2The following three questions pertain to Case 5.A—Benign Prostatic Hyperplasia. Which of the following statements is correct about Benign Prostatic Hyperplasia (BPH)? Select one:

a.         BPH actually involves a hypertrophy process rather than hyperplasia.

b.         BPH often includes urine storage symptoms including urinary frequency and urgency, and nocturia. 

c.         Incomplete voiding in BPH decreases the risk of a urinary tract infection.

d.         BPH is caused by too little testosterone that stimulates the prostate.

 

Question 3Diagnosis of BPH includes:

 

Select one:

a.         Presentation of clinical symptoms often related to urinary frequency or hesitancy

b.         A rectal examination to feel for an enlarged prostate gland

c.         Evaluation of blood for PSA levels, which are often elevated

d.         All of the above may be used to help diagnose BPH 

 

Question 4Enlargement of the prostate gland compresses the urethral canal making it difficult for urine outflow in benign prostatic hyperplasia.

 

True 

False

 

Question 5The following three questions pertain to Case 5.B: Male Hypogonadism.

Which of the following scenarios would most likely be associated with primary hypogonadism? Select one:

a.         Lack of GnRH production by the hypothalamus

b.         Lack of LH production by the anterior pituitary

c.         Lack of FSH production by the anterior pituitary

d.         Lack of testosterone production by the testes 

 

 

Question 6Testosterone is responsible for Select one:

a.         Deepening of the voice

b.         Muscular development

c.         Sperm production

d.         All of the above 

 

 

Question 7Hypogonadism may be caused by an inherited (congenital) trait or something that happens later in life (acquired) such as injury or infection.

 

True 

False

 

Question 8The following three questions pertain to Case 5.C: Endometriosis. Major symptoms of endometriosis include

Select one:

a.         Dysmenorrhea

b.         Chronic pelvic pain

c.         Dyspareunia (painful sexual intercourse)

d.         Any of the above 

 

Question 9The pathogenesis of endometriosis is believed to involve Select one:

a.         Hereditary factors

b.         Exposure to environmental toxins

c.         Compromised immune system

d.         Some combination of hereditary factors, exposure to environmental toxins, and compromise to the immune system. 

 

Question 10The theory of retrograde menstruation suggests that during menstruation some endometrial material exits the uterus through the fallopian tubes and attaches itself to the peritoneal surface setting up endometriosis.

 

True 

False

 

Question 11The following three questions pertain to Case 5.D: PCOS. Typical symptoms of PCOS include

Select one:

a.         Excess weight

b.         Loss of menstruation

c.         Facial hair

d.         All of the above 

 

 

Question 12The relationship between insulin and obesity is best described by the phrase:

 

Select one:

a.         Insulin resistance leads to excess blood glucose levels that are converted into fat by the liver 

b.         Insulin helps glucose get into the adipose cells so that fat stores are increased

c.         Excess insulin leads to increase uptake of glucose

d.         Insulin levels and action are typically normal in a person with PCOS

 

Question 13Infertility is an important consequence of PCOS and many women with PCOS have difficulty becoming pregnant.

 

True 

False

 

Question 14Inflammation of the prostate is best described as Select one:

a.         Enlarged Prostate

b.         Prostatitis 

c.         Benign Prostatic Hypertrophy

d.         Prostate Cancer

 

 

Question 15 A man with low sperm count is found to have low testosterone levels. He is given GnRH, which does not change testosterone levels. He is given LH, which raises testosterone levels to normal levels. Based upon this information you can determine that the problem with this man is most likely that his:

Select one:

a.         Hypothalamus is not releasing GnRH

b.         Anterior pituitary is not releasing LH 

c.         Leydig cells cannot produce testosterone

d.         Sertoli cells cannot produce androgen binding protein

 

 

Question 16Painful menstruation is best described by the term Select one:

a.         Amenorrhea

b.         Menopause

c.         Dysmenorrhea 

d.         Leiomyoma

 

Question 17 During embryonic development, the nervous system is derived from which of the following primary germ layers?

Select one:

a.         Ectoderm 

b.         Mesoderm

c.         Endoderm

d.         Somatoderm

 

Question 18During pregnancy there are a number of hormones that help maintain the pregnancy and prepare for delivery and lactation. Which of the following hormones is responsible for increasing maternal metabolism during pregnancy?

Select one:

a.         Relaxin

b.         Human placental lactogen

c.         Human chorionic thyrotropin 

d.         Human chorionic gonadotropin

 

Question 19Infertility resulting from damage or blockage of the fallopian tubes would most likely be associated with which of the following:

Select one:

a.         Uterine fibroids

b.         Disorders of the hypothalamus

c.         Endometriosis 

d.         Polycystic ovary disease

 

Question 20Pelvic Inflammatory Disease can be caused by bacterial infections and give rise to infertility. Select one:

True   False

 

Question 21Human Chorionic Gonadotrophin (hCG) is produced by the corpus luteum after fertilization and until the placenta is formed.

True 

False

 

Question 22Colostrum is a nutrient rich substance secreted from breast tissue before breast milk is formed. Select one:

True False 

 

Question 23A high sperm count is required for fertility, as many sperm release the contents of their acrosomes to help degrade the zona pellucida. This process best described as a block to polyspermy.

True

False