HESI RN
Reproductive Health Exam
1. What is the term used to describe the gestational sac surrounded by a blood clot and retained in the tube?
- A. A carneous mole.
- B. A hydatidiform mole.
- C. A vesicular mole.
- D. A chorionic mole.
Correct answer: A
Rationale: The correct answer is A: a carneous mole. A carneous mole occurs when a gestational sac is surrounded by a blood clot and retained in the tube. Choice B, a hydatidiform mole, is incorrect as it refers to an abnormal pregnancy characterized by the presence of hydropic chorionic villi. Choice C, a vesicular mole, is also incorrect as it is another term for a complete hydatidiform mole. Choice D, a chorionic mole, is not a recognized medical term and is therefore incorrect.
2. Where does the ovum receive the sperm?
- A. Animal pole
- B. Vegetal pole
- C. Zona pellucida
- D. None of the above
Correct answer: C
Rationale: The correct answer is C, 'Zona pellucida.' The ovum receives the sperm at the zona pellucida, which is the glycoprotein layer surrounding the plasma membrane of the oocyte. This layer plays a crucial role in preventing polyspermy. Choices A and B, 'Animal pole' and 'Vegetal pole,' are incorrect as they refer to different regions of the egg and are not where the sperm fertilizes the ovum. Choice D, 'None of the above,' is incorrect as the sperm indeed interacts with the zona pellucida during fertilization.
3. Which structure maintains the uterus in an anteverted and anteflexed position?
- A. Round ligaments
- B. Broad ligaments
- C. Cardinal ligaments
- D. Pubocervical ligaments
Correct answer: A
Rationale: The correct answer is the Round ligaments. The round ligaments are responsible for maintaining the uterus in an anteverted and anteflexed position. These ligaments attach from the sides of the uterus and extend through the inguinal canal to the labia majora. The other choices, Broad ligaments, Cardinal ligaments, and Pubocervical ligaments, have different functions and attachments within the pelvis. Broad ligaments are a double layer of peritoneum that encloses the uterus and supports the uterine tubes. Cardinal ligaments provide support to the cervix and upper vagina. Pubocervical ligaments support the cervix and bladder.
4. What is a characteristic of threatening abortion?
- A. Os open.
- B. Firm contracted uterus.
- C. Heavy bleeding.
- D. Severe cramping.
Correct answer: B
Rationale: Threatening abortion is characterized by a firm contracted uterus with an open os. This presentation indicates a risk of miscarriage. Choice A ('Os open') is not specific enough and does not fully describe the condition. Choices C ('Heavy bleeding') and D ('Severe cramping') can also be present in threatening abortion, but the primary characteristic is a firm contracted uterus with an open os.
5. The Wolffian duct is also known as ____________.
- A. Mesonephric duct
- B. Ejaculatory duct
- C. Major sublingual duct
- D. Cystic duct
Correct answer: A
Rationale: The correct answer is A: Mesonephric duct. The Wolffian duct is indeed also known as the mesonephric duct. This duct plays a vital role in the development of the male reproductive system by carrying sperm from the epididymis to the ejaculatory duct. Choice B, Ejaculatory duct, is incorrect as it refers to a different duct responsible for transporting semen from the vas deferens. Choices C and D, Major sublingual duct and Cystic duct, are unrelated to the Wolffian duct and are not correct answers in this context.
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