Nursing Elites

1. When does a broad ligament haematoma occur?

• A. Rupture occurs in the mesenteric border of the tube.
• B. Rupture occurs in the ovarian ligament.
• C. Rupture occurs in the broad ligament.
• D. Rupture occurs in the uterine wall.

Correct answer: A

Rationale: A broad ligament hematoma occurs when there is a rupture in the mesenteric border of the tube. This typically happens due to trauma or other underlying conditions. Choices B, C, and D are incorrect because a broad ligament hematoma specifically involves a rupture in the mesenteric border of the tube, not the ovarian ligament, broad ligament, or uterine wall.

2. Which of the following data should not be included in the identification data of gynecological history?

• A. Parity
• B. Lost normal menstrual period
• C. EDD (Expected date of delivery)
• D. Last delivery

Correct answer: C

Rationale: The correct answer is C: EDD (Expected date of delivery). In a gynecological history, EDD is not typically included as it pertains more to obstetric history. Parity, lost normal menstrual period, and last delivery are important components of gynecological history. Parity refers to the number of times a woman has given birth to a fetus past 20 weeks' gestation. Lost normal menstrual period can provide insight into potential gynecological issues, while last delivery details the most recent childbirth experience. Therefore, EDD is the outlier in this context.

3. Which of the following are signs and symptoms of vaginitis EXCEPT?

• A. Vaginal itching and irritation
• B. Heavy vaginal bleeding
• C. Pain during coitus
• D. Painful urination

Correct answer: B

Rationale: Vaginitis is characterized by symptoms such as vaginal itching, irritation, pain during coitus, and painful urination. However, heavy vaginal bleeding is not typically associated with vaginitis. Vaginal bleeding could be indicative of other conditions like cervical or endometrial issues, but it is not a common symptom of vaginitis.

4. Mrs. Banda is a patient at the ward with complaints of light menstrual periods, which occur at intervals greater than 35 days. Your diagnosis will be:

• A. Oligomenorrhea
• B. Menorrhagia
• C. Metrorrhagia
• D. Polymenorrhea

Correct answer: A

Rationale: The correct diagnosis for Mrs. Banda's condition is Oligomenorrhea. Oligomenorrhea is characterized by light menstrual periods occurring at intervals longer than 35 days. Choice B, Menorrhagia, refers to abnormally heavy menstrual bleeding. Choice C, Metrorrhagia, is bleeding at irregular intervals, and Choice D, Polymenorrhea, involves menstrual cycles occurring at intervals shorter than 21 days.

5. Which of the following are examples of external genitalia?

• A. Mons veneris
• B. Labia majora
• C. Vagina
• D. Cervix

Correct answer: A

Rationale: The correct answer is A: Mons veneris. The mons veneris and labia majora are considered external genitalia as they are visible externally. The vagina and cervix, on the other hand, are internal structures. The vagina is the canal leading from the external genitals to the cervix, which is the lower, narrow portion of the uterus.

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