The reproductive system, pregnancy, growth and development are being studied in this chapter. These cases will all relate to issues with endocrine organs and hormones.
Patient Case Information:
Carrie and Grant have been trying to get pregnant for over a year without success. They both go to a reproductive specialist. Carrie is a 25-year-old runner who is in good health. She is 5 foot 6 inches tall, and she weighs 85 pounds. Her percent body fat is 3%, and she reports having trouble finding clothes that fit in a young adult section.
1. From the case information given, what information would indicate Carrie should be having monthly menstrual cycles. Choose all that apply from the choices provided in the answer. (1.5 points)
2. From the case information given what information could indicate that Carrie is not having monthly menstrual cycles. Choose all that apply from the choices provided in the answer. (1.5 points)
Patient Case Information: Carrie tells the doctor that her periods were very irregular until she began birth control pills before she and Grant got married. She had never seen a doctor before that time, because it really did not bother her that she was not inconvenienced with a monthly period. The birth control pills straightened her cycles out, but her periods were very light. For the first few months after stopping the birth control pills, she still had the same type of periods as when she was taking the pill. For the past 9 months, Carrie has not had a period. Each month, she takes a pregnancy test, thinking she might be pregnant, but the tests always turn out negative.
3. Why did the birth control pills regulate Carrie’s monthly cycles and cause her to have a monthly period why she was taking the pill? Remember- KEEP YOUR ANSWER SIMPLE! Use your own words and make sure they are every day terms that even a child might understand. (3 points)
4. What hormone does a pregnancy test look for in your urine? Type the name of the hormone in lowercase letters with no abbreviations. (1 point)
5. Given Carrie’s history, it is not uncommon to find the lack of a menstrual cycle. Explain how the lack of a menstrual cycle is beneficial to the body given the vitals Carrie displays.
6. What could Carrie do to naturally trigger her menstrual cycle to begin? Type your answer as 2 words in lowercase answer. The answer is simple and obvious from looking at Carrie’s vitals and your explanation in question 5. (1 point)
Patient Case Information:
Grant is a 27-year old cyclist. At 16-years-old, Grant had a bad bicycle wreck, resulting in severe trauma to the right inguinal region. The trauma to the inguinal region caused the testis to twist position, and the blood vessels and vas deferens were twisted and kinked. In the weeks following the accident, the testis in that area became necrotic. Surgery had to be performed to remove this testis.
Questions: 7. Define necrotic. Since a definition was asked for, copied answers are acceptable. You may have to look up this word in a dictionary or online. (1 point)
8. Physiologically, what usually causes a tissue or an organ to become necrotic? Hint: Look at all the information given to see what happened in the accident and what might be cut off as a result. Think simple and obvious. (2 points) 9. Would you expect Grant to be able to father children? Type your answer as 1 word using lowercase letters. (1 point) 10. Explain your answer to
9- Why will Grant be able to father children? Or why will Grant not be able to father children? Remember- KEEP YOUR ANSWER SIMPLE! Use your own words and make sure they are every day terms that even a child might understand. (2 points)
Patient Case Information:
Grant tells the doctor that intercourse is not a problem for him, even with the loss of the testis. He has no trouble getting and maintaining an erection. He is able to ejaculate every time, and there is no pain with ejaculation. He has not noticed a decreased interest in having sex, which indicates there is no loss of sex drive. The doctor runs some tests on Grant’s semen and determines Grant has oligospermia.
10. Explain your answer to question 9- Why will Grant be able to father children? Or why will Grant not be able to father children?
11. What male sex hormone is produced by the testis? Type your answer using lowercase letters and do not use abbreviations. (1 point)
12. Why does the doctor ask Grant questions about his sex life, erections and ejaculations?
13. Define oligospermia. Since a definition was asked for, copied answers are acceptable. You may have to look up this word in a dictionary or online.
(1 point) 14. Will this condition prevent conception? Type your answer as 1 word using lower case letters. (1 point)
15. Assumjng Carrie’s issues are corrected, will knowing her cycle and timing sexual activity to the cycle increase or decrease the likelihood of conception? Use only the one word from the choices given typed in all lowercase letters. (1 point)
16. Would you suggest frequent (daily or every other day) or infrequent (once or twice a week, timed to the cycle) sexual activity to achieve conception? Be sure to consider the oligospermia and its implications in your answer. You answer should be 1 word from the choices given typed in all lowercase letters. (2 points)