HESI RN
Reproductive System Exam Questions
1. _______ is a lytic enzyme released by the sperm.
- A. Hyaluronidase
 - B. Trypsin
 - C. Helicase
 - D. None of the above
 
Correct answer: A
Rationale: Hyaluronidase is the correct answer. It is a lytic enzyme released by the sperm to help penetrate the egg's protective layer. Trypsin is a digestive enzyme produced in the pancreas, not released by sperm. Helicase is an enzyme involved in DNA replication, not released by sperm. 'None of the above' is incorrect as hyaluronidase fits the description provided in the question.
2. According to the Medical Termination of Pregnancy (MTP) Act, 1971, how many weeks of pregnancy is Medical Termination of Pregnancy considered safe up to?
- A. 8 Weeks
 - B. 12 Weeks
 - C. 18 Weeks
 - D. 6 Weeks
 
Correct answer: B
Rationale: According to the Medical Termination of Pregnancy (MTP) Act, 1971, Medical Termination of Pregnancy is considered safe up to 12 weeks of pregnancy. This timeframe is crucial to ensure the safety and well-being of the individual undergoing the procedure. Choices A, C, and D are incorrect because they do not align with the legal provisions outlined in the MTP Act, 1971.
3. Basal body temperature rise of _____ is seen in the luteal phase due to the thermogenic effects of a metabolite of progesterone in a normal cycle:
- A. 0.1-0.5
 - B. 0.2-0.5
 - C. 1.0-2.0
 - D. 1.5-2.0
 
Correct answer: B
Rationale: A basal body temperature rise of 0.2-0.5 degrees Celsius is typically seen in the luteal phase of the menstrual cycle due to the thermogenic effects of a metabolite of progesterone. This temperature rise helps to indicate ovulation has occurred. Choices A, C, and D are incorrect as they do not reflect the usual range of temperature increase observed during the luteal phase. A rise of 0.1-0.5 degrees Celsius is too narrow (eliminating choice A), while ranges of 1.0-2.0 and 1.5-2.0 degrees Celsius are too high and not consistent with the expected basal body temperature changes during the menstrual cycle.
4. What is one goal of family planning?
- A. Ensuring that all couples and individuals have the basic right to decide freely and responsibly the number and spacing of their children
 - B. Limiting couples and individuals to one or two children
 - C. Forcing couples and individuals to have only one child and adopt siblings from an orphanage
 - D. Providing a permanent method of family planning after having three children
 
Correct answer: A
Rationale: The correct answer is A. Family planning aims to ensure that all couples and individuals have the basic right to decide freely and responsibly the number and spacing of their children. This promotes reproductive autonomy and allows individuals to make informed choices about their family size. Choices B, C, and D are incorrect because they involve imposing restrictions or decisions on family size rather than empowering individuals to make their own choices.
5. In missed abortion, what will the woman often experience?
- A. Severe cramping and lower abdominal pains
 - B. Brownish vaginal discharge
 - C. Profuse per vagina bleeding
 - D. Open cervical OS
 
Correct answer: B
Rationale: In missed abortion, the woman often experiences brownish vaginal discharge. This is known as a symptom of missed abortion. Severe cramping and lower abdominal pains (Choice A) are more characteristic of an incomplete abortion, where not all pregnancy tissue is expelled. Profuse per vagina bleeding (Choice C) is more commonly associated with a complete abortion. Open cervical OS (Choice D) is a physical finding and not a typical symptom reported by the woman in missed abortion.
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