Human Anatomy & Physiology Plus Mastering A&P with Pearson eText -- Access Card Package (11th Edition) (What's New in Anatomy & Physiology)
11th Edition
ISBN: 9780134756363
Author: Elaine N. Marieb, Katja Hoehn
Publisher: PEARSON
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Chapter 27, Problem 2CCS
23-Year-Old Female with Menstrual Irregularity
Jasmine Herrera, 23, has been referred to the endocrinology clinic. She is very overweight, with obvious acne and facial hair. She complains of irregular menstrual cycles. “My husband and I want to use the rhythm method," she says, “but I don’t have any rhythm!”
2. NCLEX-STYLE Jasmine’s doctor has ordered measurement of her androgen levels. Which of the following statements is most accurate about this test?
a. It should come back negative, because women do not produce any androgens.
b. It depends on the phase of her cycle; androgens are only synthesized during the luteal phase of the ovarian cycle.
c. It depends on her muscle mass; androgens are anabolic steroids and cause muscle growth, so more muscle means more androgens.
d. Levels should be low but not absent, because the ovaries produce androgens but convert most of them into estrogens.
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Women’s Health Prescribing Case
Ann is a 57 y/o female who presents today with c/o vaginal dryness and dyspareunia. She says that this has been an issue for the last 2 years or so, but it has gotten worse. She went through natural menopause at the age of 53—and did not take any oral estrogens—she said it was her preference not to, and that she really did not have any systemic signs/symptoms of menopause—just the vaginal dryness for the last 2 years or so.
She says that she has used OTC products without benefit—and she uses Astroglide or some type of lubricant when she is sexually active with her husband—but it is still uncomfortable because she just thinks her tissue are so dry. Ann tells you that she usually does not have any itching or discharge but has in the last few days—which she attributes to a recent round of Amoxicillin for a tooth infection. So she thinks she may need something for that also—she has not used any OTC meds for the discharge.
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Patient's Profile: A 22-year-old woman in her 2 pregnancy has arrived in the labor ward at 38 weeks 3 days She had a normal delivery 18 months ago. This pregnancy has been complicated by persistent vomiting until 20 weeks and more recently by anemia. She reports contractions commencing approximately 4 hours ago. She took paracetamol at home and tried to relieve the pain with a bath, but now she feels she cannot cope with the pain She had a show 2 days ago but has had no bleeding since then and has not noticed any vaginal leak. She has felt the baby moving normally all day.
Physical Examination: BP is 110/58 mmHg, heart rate is 98/min. The presentation is cephalic with 2/5 palpable abdominally, Uterine contractions are palpable and the uterus is non-irritable. On vaginal examination the cervix is 5 cm dilated and the head is 1 cm above the ischial spines. The fetus is right occipitotransverse with mild caput and molding. The membranes are intact but rupture spontaneously during…
Patient History
"A week before period starts, I experience lower abdominal pain that radiates into the lower
back and both legs. I have been trying to get pregnant for the past two years with no success."
Medical History
• T.Ris 29 years old white female who is at the OB/Gyn office. She has painful irregular periods
that start a weck before menstruation starts. The menstrual flow is heavy (need to change pads
every 2 hours) with dots. She explained that she has been trying to get pregnant for the past
two years.
Physical Exam
Abdomen Exam
. LQ and RLO palpation: Tenderness
Female exam
No tears, swelling of vaginal canal
Normal cervical mucous, cervix of normal length, and no obstruction to cervical opening
No signs of infection internally/externally of vagina and labia
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1. Research: What is the most common cause of chronic pelvic pain and infortility in women of
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2 is this disease estrogen-dependent? What ussue is stimulated to…
Chapter 27 Solutions
Human Anatomy & Physiology Plus Mastering A&P with Pearson eText -- Access Card Package (11th Edition) (What's New in Anatomy & Physiology)
Ch. 27 - Prob. 3RQCh. 27 - 2. The usual site of embryo implantation is (a)...Ch. 27 - 4. Which of the following is correct relative to...Ch. 27 - 5. Secondary sex characteristics are (a) present...Ch. 27 - 6. Which of the following produces the male sex...Ch. 27 - 7. Which will occur as a result of nondescent of...Ch. 27 - Prob. 1RQCh. 27 - 9. Relative to differences between mitosis and...Ch. 27 - 10. Match the key choices with the descriptive...Ch. 27 - Prob. 12RQ
Ch. 27 - FSH is to estrogens as high levels of estrogens...Ch. 27 - 13. Which of the following does not add a...Ch. 27 - Prob. 11RQCh. 27 - Prob. 14RQCh. 27 - Prob. 15RQCh. 27 - Prob. 21RQCh. 27 - Prob. 16RQCh. 27 - Prob. 17RQCh. 27 - Prob. 18RQCh. 27 - Prob. 19RQCh. 27 - Prob. 20RQCh. 27 - 1. Gina Marciano, a 44-year-old mother of eight...Ch. 27 - Grant, a sexually active adolescent, visited his...Ch. 27 - Prob. 24RQCh. 27 - Prob. 25RQCh. 27 - Prob. 26RQCh. 27 - Prob. 1CCSCh. 27 - 23-Year-Old Female with Menstrual...Ch. 27 - Prob. 3CCSCh. 27 - 23-Year-Old Female with Menstrual Irregularity...Ch. 27 - 23-Year-Old Female with Menstrual Irregularity...Ch. 27 - 23-Year-Old Female with Menstrual...
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