Nursing Elites

1. In Primary Health care, the concept of accessibility requires that:

• A. Patients should be required to accept one service in order to gain access to another type of service.
• B. A referral network, including transportation, to higher-level facilities should be coupled to PHC services.
• C. Patients' access to services should be contingent on social or cultural backgrounds, age, and marital status.
• D. Patients' access to services should be based on one's educational status.

Correct answer: B

Rationale: In Primary Health care, accessibility entails having a referral network and transportation system in place to link patients to higher-level facilities when needed. Choice A is incorrect because patients should not be required to accept one service to access another. Choice C is incorrect as access to services should not be contingent on social or cultural backgrounds, age, or marital status. Choice D is also incorrect because educational status should not determine patients' access to healthcare services.

2. What does Bidder's canal receive?

• A. Eggs
• B. Sperms
• C. Ammonia
• D. Oxygenated blood

Correct answer: B

Rationale: Bidder's canal is a part of the male reproductive system and receives sperm from the testes. The other choices are incorrect because Bidder's canal is not associated with receiving eggs, ammonia, or oxygenated blood.

3. Discuss the anatomical/physiological changes in pregnancy under the following: Uterus

• A. The uterus softens in the anterior midline, becomes flexible at the uterocervical junction, blood vasculature increases in size and number, and hypertrophy of myometrial cells occurs.
• B. The uterus decreases in size during pregnancy and remains rigid.
• C. The uterus size remains unchanged, and no changes occur in the blood vasculature.
• D. Uterus becomes more rigid and hypertrophies.

Correct answer: A

Rationale: During pregnancy, the uterus undergoes various anatomical and physiological changes. The correct answer, Choice A, accurately describes these changes. The uterus softens in the anterior midline, becomes flexible at the uterocervical junction, experiences an increase in blood vasculature size and number, and myometrial cells hypertrophy. This softening and increased vascularity are essential for accommodating the growing fetus and facilitating delivery. Choices B, C, and D are incorrect because they do not reflect the typical changes that occur in the uterus during pregnancy. The uterus does not decrease in size, remain unchanged in size, become more rigid, or hypertrophy without the described softening and vascular changes.

4. Through which arteries does the blood supply to the external genitalia primarily occur?

• A. Femoral arteries
• B. Inguinal arteries
• C. Pudendal arteries
• D. Internal iliac arteries

Correct answer: C

Rationale: The correct answer is C: Pudendal arteries. The pudendal arteries are responsible for supplying blood to the external genitalia. These arteries specifically provide blood flow to the perineum, including the external genitalia. Choice A, Femoral arteries, are not primarily responsible for supplying blood to the external genitalia. Choice B, Inguinal arteries, do not supply blood directly to the external genitalia. Choice D, Internal iliac arteries, are not the main suppliers of blood to the external genitalia.

5. What is a Carneous Mole defined as?

• A. Occurs when fluids drain from the blood mole, leaving a fresh firm mass.
• B. Occurs when the ovum dies and is expelled.
• C. Occurs when the fetus dies, and the membranes rupture.
• D. Occurs when the fetus survives after a failed abortion attempt.

Correct answer: A

Rationale: A Carneous Mole is defined as when fluids drain from the blood mole, leaving a fresh firm mass. This process leads to the formation of a solid mass resembling tissue. Choice B is incorrect as it describes a different concept known as a missed abortion, where the ovum dies and is expelled. Choice C is incorrect as it describes a situation related to fetal demise and membrane rupture, not specifically the formation of a Carneous Mole. Choice D is incorrect as it refers to a scenario where the fetus survives after a failed abortion attempt, which is distinct from the definition of a Carneous Mole.

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