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Lewis 51 part II

reproductive system continued

QuestionAnswer
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
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