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. Which of the following is a complication of abortions?
- A. Malnutrition
- B. Peritoneum
- C. Fibroids
- D. Septicaemia
Correct answer: D
Rationale: Septicaemia is a severe complication that can result from abortions due to infections introduced during the procedure. Malnutrition, peritoneum, and fibroids are not typically direct complications of abortions.
3. What structure lies posterior to the vagina?
- A. Pouch of Douglas
- B. Rectum
- C. Perineal body
- D. Structures of the vulva
Correct answer: B
Rationale: The correct answer is B: Rectum. The rectum is located posterior to the vagina in the pelvic cavity. The Pouch of Douglas (choice A) is a peritoneal pouch located between the rectum and the uterus. The perineal body (choice C) is a fibrous structure located between the vagina and the anus. Structures of the vulva (choice D) are external genital structures surrounding the vaginal opening, not posterior to the vagina.
4. How many autosomes does a human primary spermatocyte have?
- A. 34
- B. 44
- C. 54
- D. 33
Correct answer: B
Rationale: A human primary spermatocyte has 44 autosomes. Autosomes are chromosomes that are not involved in determining an individual's sex. In humans, there are a total of 46 chromosomes in a somatic cell, with 22 pairs of autosomes and one pair of sex chromosomes. Therefore, the correct answer is 44 autosomes, making choice B the correct answer. Choices A, C, and D are incorrect as they do not represent the accurate number of autosomes in a human primary spermatocyte.
5. At 6-8 weeks of pregnancy, the breast changes include:
- A. Colostrum can be expressed.
- B. Breasts become tender.
- C. Montgomery's tubercles are prominent.
- D. Nipples become prominent and mobile.
Correct answer: C
Rationale: At 6-8 weeks of pregnancy, one of the changes in the breast includes the prominence of Montgomery's tubercles. These sebaceous glands around the nipple become more noticeable at this stage. Colostrum production usually occurs later in pregnancy, typically closer to the third trimester. While breast tenderness is a common symptom of early pregnancy, it is not specific to the 6-8 week timeframe. Nipples becoming more prominent and mobile may happen later in pregnancy as the body prepares for breastfeeding, but it is not a typical change seen specifically at 6-8 weeks.
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