HESI RN
Reproductive System Exam Questions
1. What should be included in the differential diagnosis of ectopic pregnancy?
- A. Inevitable abortion
- B. Dysmenorrhea
- C. Twisted ovarian cyst
- D. Fibroids
Correct answer: C
Rationale: In the differential diagnosis of ectopic pregnancy, conditions such as twisted ovarian cysts should be considered. Twisted ovarian cysts can present with similar symptoms to ectopic pregnancy, making it important to include them in the differential diagnosis. Choices A, B, and D are not typically part of the differential diagnosis of ectopic pregnancy. Inevitable abortion refers to an imminent miscarriage, dysmenorrhea is characterized by painful menstruation, and fibroids are benign growths in the uterus, none of which are directly related to ectopic pregnancy.
2. Which of the following are layers of the anterior abdominal wall?
- A. Linear albicantes
- B. Superficial fascia
- C. Visceral peritoneum
- D. Fascia transversalis
Correct answer: A
Rationale: The correct answer is A: Linear albicantes and B: Superficial fascia. Linear albicantes are stretch marks, and the superficial fascia is one of the layers of the anterior abdominal wall. Choices C and D, Visceral peritoneum and Fascia transversalis, respectively, are not layers of the anterior abdominal wall. The visceral peritoneum is a membrane covering the abdominal organs, and the fascia transversalis is a layer deep to the transversus abdominis muscle.
3. In which part of the fallopian tube is tubal abortion most common?
- A. Ampullary portion
- B. Isthmus
- C. Interstitial portion
- D. Infundibulum
Correct answer: C
Rationale: Tubal abortion is most common when the ovum implants in the interstitial portion of the fallopian tube. This location is the narrowest part of the tube, making it more prone to obstruction or difficulty in the passage of the fertilized ovum. Choices A, B, and D are incorrect because tubal abortion is more likely to occur in the interstitial portion rather than the ampullary portion, isthmus, or infundibulum of the fallopian tube.
4. 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.
5. What does confidentiality in reproductive health services mean?
- A. All information regarding the patient is discussed only between the patient, provider, and supervisors.
- B. Sharing patient information with all healthcare staff.
- C. Sharing patient information with their family members.
- D. Allowing patient information to be discussed in public areas.
Correct answer: A
Rationale: Confidentiality in reproductive health services means that all information regarding the patient should be discussed only among the patient, provider, and supervisors involved in their care. Choice B is incorrect because sharing patient information with all healthcare staff goes against the principle of confidentiality. Choice C is incorrect because sharing patient information with family members should only be done with the patient's explicit consent. Choice D is incorrect as allowing patient information to be discussed in public areas violates patient privacy and confidentiality.
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