Nursing Elites

1. 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.

2. At what age are women likely to enter menopause?

• A. 35 - 40 years
• B. 40 - 45 years
• C. 45 - 50 years
• D. 25 - 30 years

Correct answer: C

Rationale: Women generally enter menopause between the ages of 45 - 50 years. During this stage, women experience a decline in estrogen production, leading to the cessation of menstrual cycles. Choices A, B, and D are incorrect as they do not fall within the typical age range for menopause onset. Menopause typically occurs later in life, around the age of 45 to 50 years, although individual variations exist.

3. Laparoscopy uses a small instrument known as a laparoscope to:

• A. Take very detailed photographs
• B. Insert a hysteroscope for D&C
• C. Perform an abortion procedure
• D. Perform a hysterectomy

Correct answer: A

Rationale: Laparoscopy uses a small instrument known as a laparoscope to take very detailed photographs of the pelvic organs. This procedure is commonly used for diagnostic purposes, to visualize internal organs, and to perform minimally invasive surgeries. Choice B, inserting a hysteroscope for D&C, is incorrect as hysteroscopy is a different procedure used to examine the inside of the uterus, not the pelvic organs. Choice C, performing an abortion procedure, is incorrect as laparoscopy is not used for abortion. Choice D, performing a hysterectomy, is incorrect as although laparoscopy can be used in some cases for hysterectomy, its primary purpose is not for this procedure.

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. _______ is a lytic enzyme released by the sperm.

• A. Hyaluronidase
• B. Trypsin
• C. Helicase
• D. None of the above

Correct answer: A

Rationale: Hyaluronidase is the correct answer. It is a lytic enzyme released by the sperm to help penetrate the egg's protective layer. Trypsin is a digestive enzyme produced in the pancreas, not released by sperm. Helicase is an enzyme involved in DNA replication, not released by sperm. 'None of the above' is incorrect as hyaluronidase fits the description provided in the question.

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