HESI RN
Reproductive System Exam Questions
1. What is the purpose of hysteroscopy?
- A. View the uterine cavity
- B. Perform a D&C procedure
- C. Remove the fetus
- D. Visualize the fallopian tubes
Correct answer: A
Rationale: Hysteroscopy is a procedure where a very narrow endoscope is inserted through the cervix to view the uterine cavity. This allows healthcare providers to diagnose and treat various uterine conditions such as polyps, fibroids, and adhesions. Choice B, performing a D&C procedure, involves dilating the cervix and scraping the uterine lining, which is a different procedure. Choice C, removing the fetus, is not the purpose of hysteroscopy and is a procedure done in specific circumstances such as pregnancy termination or miscarriage management. Choice D, visualizing the fallopian tubes, is typically done through a procedure called a hysterosalpingogram, which is different from hysteroscopy.
2. What laboratory values are not typically elevated in a patient with PCOS?
- A. LH
- B. Androgens
- C. Estrogens
- D. Prolactin
Correct answer: D
Rationale: The correct answer is D: Prolactin. Prolactin levels are not typically elevated in patients with PCOS. Elevated LH and androgens are commonly seen in PCOS patients. While estrogen levels can vary in PCOS, they are not consistently low or high in all cases.
3. After fertilization, cell division occurs through a process of:
- A. Binary fission
- B. Meiosis
- C. Budding
- D. Mitosis
Correct answer: D
Rationale: After fertilization, the zygote undergoes cell division through the process of mitosis. Mitosis is the type of cell division that results in two daughter cells with the same number of chromosomes as the parent cell. Choice A, binary fission, is a form of asexual reproduction in prokaryotes, not the process that occurs after fertilization in multicellular organisms. Choice B, meiosis, is a type of cell division that leads to the formation of gametes with half the number of chromosomes, not the process that occurs after fertilization. Choice C, budding, is a form of asexual reproduction seen in some organisms like yeast, but it is not the process of cell division after fertilization.
4. Which of the following methods is used for permanent contraception in males?
- A. Vasectomy
- B. Tubal ligation
- C. Condoms
- D. Coitus interruptus
Correct answer: A
Rationale: The correct answer is A: Vasectomy. Vasectomy is a surgical procedure for permanent contraception in males by cutting or blocking the vas deferens. Choice B, Tubal ligation, is a method for permanent contraception in females by blocking or sealing the fallopian tubes. Choice C, Condoms, provide a barrier method of contraception but are not permanent. Choice D, Coitus interruptus, involves withdrawing the penis before ejaculation and is not a reliable method of contraception.
5. Complete abortion is characterized by:
- A. Os closed.
- B. Firm contracted uterus.
- C. Heavy bleeding.
- D. Heavy cramping.
Correct answer: A
Rationale: Complete abortion is characterized by a firm contracted uterus with a closed os. This closure of the os indicates that the products of conception have been completely expelled from the uterus. Choices B, C, and D are incorrect because a firm contracted uterus with a closed os is the hallmark sign of a complete abortion, not heavy bleeding, heavy cramping, or any other features.
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