HESI RN
Reproductive System Exam Questions
1. What is the typical measurement of the anterior wall of the vaginal canal?
- A. 10 cm
- B. 11 cm
- C. 11.5 cm
- D. 7.5 cm
Correct answer: D
Rationale: The typical measurement of the anterior wall of the vaginal canal is 7.5 cm. This measurement is anatomically accurate, making choice D the correct answer. Choices A, B, and C provide measurements that are larger than the typical measurement of the anterior wall of the vaginal canal and are therefore incorrect.
2. What lines the uterus?
- A. Endometrium.
- B. Myometrium.
- C. Perimetrium.
- D. Glandular tissue.
Correct answer: A
Rationale: The correct answer is A, Endometrium. The endometrium is the inner lining of the uterus where the fertilized egg implants and develops during pregnancy. Myometrium (Choice B) is the middle layer of the uterus consisting of muscle tissue. Perimetrium (Choice C) is the outer layer of the uterus. Glandular tissue (Choice D) is a broad term referring to tissue containing glands, but it does not specifically line the uterus.
3. 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.
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. Culdoscopy is a procedure performed to examine the rectouterine pouch and pelvic viscera through:
- A. The posterior vaginal wall
- B. The anterior vaginal wall
- C. The abdominal wall
- D. The rectal wall
Correct answer: A
Rationale: Culdoscopy is a procedure that involves examining the rectouterine pouch and pelvic viscera through the posterior vaginal wall. This approach allows direct visualization and access to the pelvic area. The other choices are incorrect because culdoscopy specifically involves entering through the posterior vaginal wall to reach the specified anatomical structures. The anterior vaginal wall, abdominal wall, and rectal wall are not the access points used in culdoscopy.
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