Females have more urinary tract infections than men because of all of the following except____.
being sexually active
shorter ureter
all of the above are reasons
improper toileting habits
The Correct Answer is B
A. being sexually active: Intercourse can facilitate the movement of bacteria from the perineal region into the external urethral orifice, a phenomenon often referred to as "honeymoon cystitis." This mechanical action increases the risk of bladder colonization. It is a well-documented behavioral factor contributing to the higher incidence of UTIs in women.
B. shorter ureter: The ureters are the tubes that connect the kidneys to the bladder, and their length is relatively similar between sexes based on torso height. The factor that actually increases UTI risk is the shorter female urethra, not the ureter. A shorter urethra provides a much easier path for bacteria to reach the bladder.
C. all of the above are reasons: Since the statement regarding the "shorter ureter" is anatomically incorrect in the context of causing infections, this "all of the above" choice is invalidated. The primary anatomical vulnerability is related to the length of the urethra. Distinguishing between these two different tubular structures is essential for clinical accuracy.
D. improper toileting habits: Wiping from posterior to anterior can relocate enteric bacteria, such as Escherichia coli, from the anal region to the urethral opening. Due to the proximity of the anus and the urethra in females, this habit significantly increases the risk of ascending infections. This is a common preventable cause of recurrent cystitis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. collecting duct: While the collecting duct plays a critical role in final water reabsorption and urine concentration, it receives drainage from multiple nephrons. It is not considered the basic unit because it is shared among many functional units. Its activity is primarily regulated by antidiuretic hormone.
B. nephron: This is the microscopic structural and functional unit responsible for filtering blood and forming urine. Each kidney contains approximately 1 million nephrons, each consisting of a renal corpuscle and a renal tubule. It performs all primary renal functions including filtration, reabsorption, and secretion.
C. capsular space: This is the physical gap between the visceral and parietal layers of the glomerular capsule. It serves as the initial reservoir for glomerular filtrate before it enters the proximal tubule. It is merely a compartment within a larger structure rather than a complete functional unit.
D. nephron loop: Also known as the loop of Henle, this is a specific U-shaped segment of the renal tubule. It is essential for establishing the medullary osmotic gradient via the countercurrent multiplier system. It represents only one part of the entire nephron's complex tubular system.
E. glomerular capsule: This epithelial structure captures the fluid filtered from the glomerular capillaries. While it is a vital part of the renal corpuscle, it cannot function independently to produce urine without the associated glomerulus and tubules. It is a sub-component of the nephron unit.
Correct Answer is E
Explanation
examinations, self-exams, and mammography. A Pap smear involves collecting cells from the reproductive tract and cannot detect malignant transformations within the glandular tissue of the breast. These two screening processes target entirely different organ systems.
B. uterine cancer: While a Pap smear may occasionally pick up abnormal endometrial cells, it is not the standard diagnostic tool for uterine or endometrial cancer. Endometrial biopsy or transvaginal ultrasound are the preferred methods for evaluating the uterine lining. The Pap smear specifically targets the squamous and columnar cells of the lower tract.
C. penile cancer: This rare malignancy is usually identified through visual inspection and biopsy of lesions on the glans or shaft of the penis. The Pap smear is a gynecological procedure designed for female anatomy. There is no equivalent cytological brush test used as a standard screening for penile tissue in asymptomatic males.
D. testicular cancer: Testicular cancer is typically detected through physical palpation, scrotal ultrasound, and blood markers such as alpha-fetoprotein. Because the testes are sequestered within the scrotum and do not shed cells into a mucosal canal, a cytological smear is not a viable method for detecting these tumors.
E. cervical cancer: The Papanicolaou smear is a cytological screening test specifically designed to detect premalignant and malignant cells in the ectocervix and endocervical canal. By examining cells scraped from the transformation zone, clinicians can identify human papillomavirus (HPV) induced changes. This test has significantly reduced the mortality rate associated with cervical malignancy.
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