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Lewis 51 part II
reproductive system continued
Question | Answer |
---|---|
What mechanism causes the response to a stimulus that is already activated to increase? | Positive feedback mechanisms |
What mechanism causes the response to a stimulus that is already activated to go the other direction, reduce, turn off? | Negative feedback mechanisms |
the physiologic cessation of menses associated with declining ovarian function | Menopause |
absence of menstruation | amenorrhea |
What is the difference between men and women in regards to the four stages of sexual response? | Women do not have to go through a refractory/resolution phase before they can be orgasmic again. |
What are most of the changes that take place in the female reproductive system related to? | altered estrogen production associated with menopause |
What two hormonal changes take place in postmenopausal women? | a reduction in circulating estrogen and an increase in androgens |
What body changes take place in postmenopausal women? | breast and genital atrophy, reduction in bone mass, and increased rate of atherosclerosis |
Breast and genital atrophy, reduction in bone mass and increased rate of atherosclerosis in postmenopausal women can be attributed to what cause? | reduction in circulating estrogen and an increase in androgens |
Dyspareunia-What is it? What causes it in postmenopausal women? | dyspareunia – difficult or painful sexual intercourse. The decrease in estrogen causes friable vaginal mucosa. |
What is the gradual hormonal decline in males sometimes called? | male menopause |
What are some of the effects of aging on the male reproductive system (one increase, 4 decreases)? | Increase prostrate size, decreased testosterone level, sperm production, muscle tone of the scrotum , size and firmness of the testicles |
What are two possible results of the physical changes in the male reproductive system due to aging? | Erectile and sexual dysfunction |
Name 5 changes in sexual function due to the effects of aging in men. | Increased stimulation required for erection, Decreased force of ejaculation, ability to attain erection, size and rigidity at full erection, and libido/interest in sex |
Name 5 changes in sexual function due to the effects of aging in women. | Decreased vaginal lubrication, sensitivity with labia shrinking and more clitoris exposed, and libido/interest in sex; difficulty maintaining arousal, and achieving orgasm after stimulation |
What is amlodipine (Norvasc) for and what drug class is it? | Amlodipine (Norvasc) is for hyptertension and angina. It is a calcium channel blocker. |
What is the surgery for repair of a hernia? | herniorrhaphy |
What is the surgery for removal of one or both testes? | Orchiectomy |
What is the surgery for removal of the prostate gland? | prostatectomy |
What is the surgery for the correction of axial rotation of the spermatic cord, which cuts of circulation to the testicle, epididymis, and other structures? | Repair of testicular torsion |
What is the surgery for the repair of varicose vein of the scrotum? | varicocelectomy |
What is the surgery for the removal of part of the ductus deferens? | vasectomy |
According to the American Cancer Society men over age 50 should have which two tests yearly? | digital rectal exame and Prostate-Specific Antigen |
How does smoking affect a woman’s reproductive system? | delay conception, increase risk of morbidity with oral contraceptives, early menopause |
How does smoking affect a man’s reproductive system? | decreased sperm count, erectile dysfunction, or decreased libido |
What relevance does a sulfonamide or penicillin allergy have to the reproductive system? | Sulfonamides and penicillin are used frequently in the treatment of reproductive and genitourinary problems such as vaginitis and gonorrhea. |
What relevance does an allergy to latex or rubber have to a patient’s reproductive health? | They would be precluded from using rubber or latex diaphragms or condoms. They would need an alternate method of birth control and protection from STDs. |
What is a common blood deficit in women in their reproductive years? | Anemia |
What nutrient should be in a woman’s diet to address anemia? | Iron |
What nutrients are important for the prevention of osteoporosis later in life? | Vitamin D and Calcium |
What kind of birth defects can result from a deficiency of folic acid? | Spinal bifida and neural tube defects |
What eating disorder could lead to amenorrhea and subsequent problems related to menopause such as osteoporosis? | Anorexia |
What problem common to older men can cause retention and difficulty initiating the urine stream? | benign prostatic hyperplasia |
Having children and getting older predisposes women to what elimination disorders due to relaxation of the pelvic musculature? | stress and urge incontinence |
How do vaginal infections affect the urinary tract? | Can lead to infections of the urinary tract |
What does affect does the lack of exercise have on bones? | Lack of stress on bones secondary to lack of exercise is an important factor in the development of osteoporosis. |
What kind of exercise decreases the risk of osteoporosis? | weight bearing exercise |
What kind of exercise can cause amenorrhea and why? | excessive exercise because estrogen is stored in fat tissue (Yes, finally, a reason to be happy about gaining weight!) |
How does anemia affect the activities of daily living? | Anemia can result in fatigue and activity intolerance that can interfere with activities of daily living. |
Name some periods of time associated with the reproductive system of a woman when she may experience disturbances in her sleep rest cycle. | postpartum period and while raising young children; Peri-menopause due to insomnia, hot flashes, night sweats |
Name a problem for older men that may interrupt sleep patterns. | Frequent urination at night associated with prostate enlargement |
Ejaculation in which the seminal fluid is discharged into the bladder rather than through the urethra. | Retrograde ejaculation – possible complication for men with DM |
What surgery of the female reproductive system uses subfreezing temperatures to destroy tissue or abnormal cells? | cryosurgery |
What female surgery involves dilation of the uterus and scraping of the endometrium? | Dilation and Curettage |
What is the surgery that removes the uterus? | Hysterectomy |
What surgery removes breast? | Mastectomy |
What is the surgery called for the removal of ovaries? | Oophroectomy |
What is the surgery called for the correction of the protrusion of the bladder through the vaginal wall? | Repair of Cystocele |
What is the surgery called for the correction of the protrusion of the rectum into the vagina? | Repair of rectocele |
What is the surgery called for the removal of fallopian tubes? | Salpingectomy |
What is the surgery called for the ligation of fallopian tubes? | Tubal sterilization |