Questions and Answers
Which group has a higher risk of developing cervical cancer due to a weakened immune system?
What is the risk factor associated with giving birth before the age of 17?
How does having multiple pregnancies affect cervical cancer risk?
What effect does long-term use of the contraceptive pill have on cervical cancer risk?
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Which sexually transmitted diseases are linked with a higher risk of cervical cancer?
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What stage of cervical cancer is defined as carcinoma strictly confined to the cervix?
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In which stage has cervical cancer spread beyond the cervix but not onto the pelvic wall?
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What is indicated by Stage IIIa of cervical cancer?
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What is defined as a couple's inability to achieve pregnancy after one year of regular, unprotected intercourse?
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Which type of infertility occurs when a couple has never conceived after at least 12 months of trying?
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In the overall distribution of infertility cases, what percentage of cases is attributed to female factors?
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What condition is characterized by a sperm count of fewer than 20 million?
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What is the cause of infertility where sperm cannot swim effectively to reach the egg?
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Which factor is NOT mentioned as a cause of infertility in men?
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What lifestyle factor may contribute to overheating of the testicles and potentially affect fertility in men?
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Which of the following represents a genetic factor affecting male infertility?
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What is the primary purpose of estrogen cream or suppositories for postmenopausal women?
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Which surgical method is primarily used to repair weakened pelvic floor tissues?
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Which factor is NOT considered when choosing surgical treatment for uterine prolapse?
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What type of surgery involves the removal of the uterus when indicated for severe prolapse?
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What complication can arise from kinking of the ureter in cases of procidentia?
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What is one suggested method to help prevent uterine prolapse?
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Which surgical approach is NOT commonly used to perform a hysterectomy?
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Which symptom might indicate a chronic urinary tract infection due to a large cystocele?
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What characterizes Stage IVa cervical cancer?
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Which diagnosis method involves examining the structure of tissue from the cervix?
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What is the success rate for early-stage cervical cancer treatment?
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What is a common side effect of chemotherapy for cervical cancer?
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Which of the following tests is NOT typically used in the diagnosis of cervical cancer?
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What treatment method combines cisplatin-based chemotherapy for advanced cervical cancer?
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During which stage of cervical cancer might a patient experience the lowest success rate for treatment?
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Which symptom can chemotherapy for cervical cancer potentially cause?
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What is a common indication for hysterectomy in middle- and old-aged women?
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Which degree of uterine prolapse involves the cervix descending into the vagina?
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What is the term used for the condition where the entire uterus is outside the vagina?
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Which type of prolapse involves the herniation of the upper front vaginal wall?
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What symptom is commonly associated with enterocele?
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What additional condition is associated with uterine prolapse and involves difficulty in bowel movements?
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Which structures are primarily responsible for supporting the uterus and vagina?
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Which of the following conditions may lead to urinary retention?
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Study Notes
Infertility Overview
- Infertility is the inability to achieve pregnancy after one year of regular, unprotected intercourse.
- Types:
- Primary infertility: Couples who have never conceived despite trying for at least one year.
- Secondary infertility: Couples who have previously conceived but cannot again.
Causes of Infertility
- Responsible parties:
- Male factors account for about 30%.
- Female factors account for about 40%.
- Both parties contribute to the remaining 30%.
Factors Affecting Reproductive Performance
- Age of both partners significantly influences fertility.
- Frequency and duration of intercourse are crucial for conception.
Male Infertility Causes
- Low Sperm Count (Oligospermia): Fewer than 20 million sperm per ejaculation affects approximately one-third of couples.
- Low Sperm Motility (Asthenospermia): Impaired ability of sperm to swim toward the egg.
- Abnormal Sperm Morphology (Teratospermia): Unusual sperm shape hinders movement and fertilization.
- Medical Conditions: Testicular infections, cancer, and past surgeries can impair fertility.
- Overheated Testicles: Influenced by tight clothing, hot environments, or conditions like varicocele.
- Ejaculation Disorders: Blockages can lead to semen being ejaculated into the bladder.
- Hormonal Imbalance: Conditions like hypogonadism can lead to testosterone deficiency.
- Genetic Factors: Chromosomal abnormalities can contribute to infertility issues.
Uterine Prolapse Overview
- Uterine prolapse, also known as pelvic organ prolapse, occurs when supporting structures of the uterus weaken.
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Types of Prolapse:
- Cystocele: Bladder bulges into the vagina, causing urinary issues.
- Enterocele: Small intestine herniates into the upper vagina.
- Rectocele: Rectum bulges into the vagina, complicating bowel movements.
Stages of Uterine Prolapse
- First Degree: Cervix descends into the vagina.
- Second Degree: Cervix reaches the vaginal opening.
- Third Degree: Cervix is outside the vagina.
- Fourth Degree: Entire uterus is outside the vagina (procidentia).
Surgical Treatments for Uterine Prolapse
- Pelvic Floor Repair: Repair involves vaginal or abdominal approaches, using grafts for support.
- Hysterectomy: Removal of the uterus may be needed in severe cases, correcting sagging pelvic organs.
Complications of Uterine Prolapse
- Kinking of the ureter can lead to renal damage.
- Chronic urinary tract infections may arise, especially in large cystoceles.
Prevention of Uterine Prolapse
- Encourage weight reduction and a high-fiber diet to prevent constipation.
- Kegel exercises may strengthen pelvic muscles.
Risk Factors for Cervical Cancer
- Weakened immune systems, young maternal age at first childbirth, repeated pregnancies, long-term contraceptive use, STDs, and genetic factors increase risk.
Cervical Cancer Staging
- Stage 0: Carcinoma in situ, limited to the epithelial layer.
- Stage I: Confined to the cervix; subdivided into micro-invasive (Ia) and clinical lesions (Ib).
- Stage II: Extends beyond the cervix without pelvic wall involvement.
- Stage III: Spreads to surrounding pelvic structures.
- Stage IV: Extension beyond the true pelvis to adjacent and distant organs.
Diagnosis of Cervical Cancer
- Involves history taking, pelvic examinations, cervical screenings, HPV testing, biopsies, and imaging (CT, MRI, ultrasound).
Management of Cervical Cancer
- Early-stage treatment success rate is 85-90%.
- Treatment options include chemotherapy, radiotherapy, and surgery, often in combination.
Chemotherapy for Cervical Cancer
- Common drug: Cisplatin, used with radiotherapy.
- Side effects include nausea, hair loss, fatigue, and potential infertility.
Radiotherapy
- Effective for advanced stages when combined with chemotherapy, especially cisplatin-based regimens.
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Description
This quiz covers the definition of infertility and its types, including primary and secondary infertility. Learn about the challenges couples face in achieving pregnancy and the implications of prolonged inability to conceive. Test your knowledge on the causes and classifications of infertility.
