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Med-Surg Ch.20: Genitourinary and Reproductive Systems

True/False 20 questions Medicine & Health Sciences > Medical-Surgical Nursing by Sean Valentine
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True/False (20)

Question 1
Because urinary and reproductive organs lie close together, a disorder of one system can affect the other.
Correct Answer
True
True. The term genitourinary covers both systems because of their anatomic closeness. For example, an enlarged prostate can obstruct urine flow. Category: Genitourinary Structure
Question 2
In males, urine and semen can be released through the urethra at the same time.
Correct Answer
False
False. The male urethra carries both urine and semen, but urine flow stops during sexual arousal and ejaculation, so the two are not released together. Category: Genitourinary Structure
Question 3
Chlamydia and gonorrhea often occur together, so a patient tested for one is usually tested for the other.
Correct Answer
True
True. The two bacterial infections spread the same way, cause similar symptoms and frequently coexist, so testing usually covers both. Category: Sexually Transmitted Infections
Question 4
Chlamydia and gonorrhea are lifelong infections that antibiotics can control but not cure.
Correct Answer
False
False. Both are bacterial infections that are curable with antibiotics. Genital herpes, by contrast, is a lifelong viral infection with recurring outbreaks. Category: Sexually Transmitted Infections
Question 5
Gonorrhea can be passed from a parent to the newborn during vaginal birth.
Correct Answer
True
True. The infant can acquire the bacteria while passing through the birth canal, so finding and treating the infection during pregnancy protects the newborn. Category: Sexually Transmitted Infections
Question 6
Most human papillomavirus infections cause genital warts that require treatment.
Correct Answer
False
False. Most HPV types cause no symptoms and need no treatment. Some types cause genital warts, and high-risk types can cause cancers of the cervix, vagina, anus and throat. Category: Sexually Transmitted Infections
Question 7
Before an orchiectomy for testicular cancer, a patient may choose to bank sperm for future use.
Correct Answer
True
True. Cryopreservation lets the patient freeze a semen sample before surgery or other treatment that could affect fertility. Young patients may not think about future fertility, so the nurse raises it. Category: Male Reproductive Disorders
Question 8
Testicular cancer occurs mainly in older men.
Correct Answer
False
False. Testicular cancer is most often diagnosed in young adult men, although it can occur at other ages. This is why self-examination is taught to adolescent and young adult males. Category: Male Reproductive Disorders
Question 9
Benign prostatic hyperplasia becomes more common as men age.
Correct Answer
True
True. The prostate tends to enlarge with age, and benign prostatic hyperplasia affects a growing share of men in each older age group. As the gland enlarges it presses on the urethra, causing a weak stream, hesitancy, frequency and incomplete emptying. Category: Prostate Disorders
Question 10
Hematuria is an early sign of prostate cancer.
Correct Answer
False
False. Blood in the urine is a late sign of prostate cancer. Early disease is often found through a digital rectal examination or a PSA blood test before symptoms appear. Category: Prostate Disorders
Question 11
After a transurethral resection of the prostate, the nurse adjusts the flow of continuous bladder irrigation to keep the catheter draining freely.
Correct Answer
True
True. Irrigation through a multi-lumen catheter flushes blood and clots from the bladder. The nurse adjusts the rate to keep the catheter patent and watches for heavy bleeding. Category: Prostate Disorders
Question 12
Watchful waiting for prostate cancer means that no further monitoring is done.
Correct Answer
False
False. Watchful waiting is used for slow-growing cancer and includes regular rectal examinations and PSA testing. Treatment begins if symptoms become bothersome or the cancer progresses. Category: Prostate Disorders
Question 13
Endometriosis has no known cure, but its symptoms can be treated.
Correct Answer
True
True. Its cause is unknown, and treatment targets pain and bleeding with analgesics, hormonal therapy such as oral contraceptives and surgical removal of lesions. Category: Female Reproductive Disorders
Question 14
Uterine fibroids are a form of uterine cancer.
Correct Answer
False
False. Fibroids are benign, slow-growing tumors of uterine smooth muscle and are the most common benign tumor in women. They can still cause heavy bleeding, pelvic pain and urinary symptoms. Category: Female Reproductive Disorders
Question 15
Chemotherapy for breast cancer is a local treatment that acts only on the breast.
Correct Answer
False
False. Chemotherapy is systemic: it travels through the bloodstream to reach fast-growing cells throughout the body, often through an implanted chest port. Surgery and radiation are the local treatments. Category: Breast Cancer
Question 16
Patients receiving radiation for breast cancer should avoid perfumed soaps and sun exposure on the treated skin.
Correct Answer
True
True. Radiation makes the skin in the treatment field fragile. Avoiding perfumed soaps, tight clothing and sun exposure helps maintain skin integrity. Category: Breast Cancer
Question 17
Serum creatinine is a more specific marker of kidney function than blood urea nitrogen.
Correct Answer
True
True. Creatinine comes from muscle metabolism and rises when the kidneys cannot excrete it. Blood urea nitrogen also rises with dehydration and a high protein intake, so it is less specific. Category: Dialysis and Kidney Disease
Question 18
A newly created arteriovenous fistula can be used for hemodialysis right after surgery.
Correct Answer
False
False. A fistula must mature over several months before it can be used. Until then, a temporary dialysis catheter in a central vein is often needed. Category: Dialysis and Kidney Disease
Question 19
A decreased urine output can be one of the first signs of worsening kidney damage.
Correct Answer
True
True. A falling urine output may be an early cue of declining kidney function, so accurate intake and output records let the nurse spot it and report it along with rising creatinine and signs of fluid overload. Category: Dialysis and Kidney Disease
Question 20
Chronic kidney disease usually causes obvious symptoms in its early stages.
Correct Answer
False
False. Early chronic kidney disease is often silent. Later it causes fatigue, nausea, edema, hypertension, confusion and shortness of breath from fluid in the lungs. Category: Dialysis and Kidney Disease

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