Nursing Elites

1. What is the most common site for an ectopic pregnancy?

• A. Isthmus
• B. Ampulla
• C. Interstitial
• D. Infundibulum

Correct answer: C

Rationale: The correct answer is C, Interstitial. An ectopic pregnancy most commonly occurs in the interstitial portion of the fallopian tube. This is because the interstitial part is narrow and not suitable for the growing embryo, leading to implantation outside the uterus. Choices A, B, and D are incorrect because although ectopic pregnancies can occur in various locations, the interstitial portion of the fallopian tube is the most frequent site for such pregnancies.

2. Polymenorrhoea is defined as:

• A. Menstruation that occurs at an interval less than 35 days
• B. Menstruation that occurs at an interval greater than 35 days
• C. Menstruation that occurs at an interval less than 21 days
• D. Menstruation that occurs at an interval greater than 21 days

Correct answer: C

Rationale: Polymenorrhoea is defined as menstruation that occurs at intervals shorter than 21 days. Choice A is incorrect because it describes menstruation at intervals less than 35 days. Choice B is incorrect as it describes menstruation at intervals greater than 35 days. Choice D is incorrect as it describes menstruation at intervals greater than 21 days.

3. Which of the following are outcomes of an ectopic pregnancy EXCEPT?

• A. Tubal abortion
• B. Tubal rupture
• C. Intra-tubal bleeding
• D. Secondary abdominal pregnancy

Correct answer: D

Rationale: Ectopic pregnancy occurs when a fertilized egg implants outside the uterus. Common outcomes include tubal abortion (spontaneous termination of ectopic pregnancy within the fallopian tube), tubal rupture (rupture of the fallopian tube leading to internal bleeding), and intra-tubal bleeding. Secondary abdominal pregnancy, on the other hand, is a rare occurrence and not a typical outcome of an ectopic pregnancy. It involves the implantation of a fertilized egg in the peritoneal cavity rather than the uterus.

4. Which of the following is NOT a strategy for family planning?

• A. Integrating family planning services with other Reproductive Health programs
• B. Expanding access to family planning through non-public delivery systems
• C. Targeting family planning services to priority groups
• D. Expanding programs of immunization

Correct answer: D

Rationale: The correct answer is D. Expanded programs of immunization are not considered a strategy for family planning. Immunization programs focus on preventing diseases through vaccines and are distinct from family planning strategies, which aim to help individuals and couples plan their desired family size and spacing of children. Choices A, B, and C are all valid strategies for family planning. Integrating family planning services with other reproductive health programs, expanding access to family planning through non-public delivery systems, and targeting family planning services to priority groups are common approaches to improve the availability and effectiveness of family planning services.

5. Which of the following is used to differentiate abdominal mass from pelvic mass on clinical examination?

• A. Size
• B. Site
• C. Margins
• D. Lower border

Correct answer: D

Rationale: The lower border is used to differentiate between an abdominal mass and a pelvic mass during clinical examination. The lower border of the mass provides important information about its location and origin. The size (Choice A) alone may not always clearly distinguish between abdominal and pelvic masses. The site (Choice B) and margins (Choice C) are also important factors, but they are not as specific in differentiating between abdominal and pelvic masses as the lower border.

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