HESI RN
Reproductive System Exam Questions
1. What is the primary purpose of using pethidine?
- A. Relieve constriction ring.
- B. Relieve pain.
- C. Affect milk production.
- D. Induce labor.
Correct answer: B
Rationale: Pethidine is primarily used to relieve pain. It is an opioid analgesic commonly used for pain relief in various medical settings. Choices A, C, and D are incorrect as pethidine is not indicated for relieving constriction ring, affecting milk production, or inducing labor.
2. Approximately how many primordial follicles are present in the cortex of the ovary at birth?
- A. 250,000
- B. 200,000
- C. 150,000
- D. 100,000
Correct answer: A
Rationale: The correct answer is A: 250,000. At birth, there are approximately 250,000 primordial follicles in the cortex of each ovary. These primordial follicles represent the reserve of oocytes that a female will have throughout her reproductive life. Choice B, 200,000, is incorrect as the number is higher. Choices C and D, 150,000 and 100,000 respectively, are also incorrect as they underestimate the actual number of primordial follicles present at birth.
3. What is the area of the uterus where the fallopian tubes are inserted known as?
- A. Fundus
- B. Corpus or body
- C. Cavity
- D. Cornua
Correct answer: D
Rationale: The correct answer is D, Cornua. The cornua refers to the upper, horn-like parts of the uterus where the fallopian tubes are inserted. The fundus (choice A) is the rounded top portion of the uterus, the corpus or body (choice B) is the main part of the uterus excluding the cervix and fundus, and the cavity (choice C) refers to the internal space within the uterus. Therefore, choices A, B, and C are incorrect as they do not specifically denote the area where the fallopian tubes are inserted.
4. Which of the following hormone ratios is MOST likely to be increased in a patient with PCOS?
- A. Progesterone/estrogen
- B. LH/FSH
- C. FSH/LH
- D. Glucagon/insulin
Correct answer: B
Rationale: In patients with Polycystic Ovary Syndrome (PCOS), the LH/FSH ratio is most likely to be increased. This hormonal imbalance is a key characteristic of PCOS, where elevated LH levels relative to FSH contribute to the pathophysiology of the condition. Choice A, progesterone/estrogen ratio, is not typically a defining feature of PCOS. Choice C, FSH/LH ratio, is the reverse of what is commonly observed in PCOS. Choice D, glucagon/insulin ratio, is not directly related to the hormonal imbalances seen in PCOS.
5. What is Carboprost used for?
- A. Affects milk production.
- B. Relieve constriction ring.
- C. Management of post-partum haemorrhage.
- D. Induce labor.
Correct answer: C
Rationale: Carboprost is used in the management of post-partum haemorrhage. This medication helps to reduce excessive bleeding after childbirth. Choices A, B, and D are incorrect. Carboprost does not affect milk production, relieve constriction ring, or induce labor.
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