Nursing Elites

1. Treatment for condylomata acuminata includes the following EXCEPT:

• A. Vulvectomy
• B. Podophyllin application
• C. Laser therapy
• D. Electrocautery

Correct answer: A

Rationale: The correct answer is A. Vulvectomy is not a standard treatment for condylomata acuminata, which are genital warts caused by human papillomavirus (HPV). Surgical removal of the vulva (vulvectomy) is an extreme measure and not typically indicated for treating this condition. Choices B, C, and D are valid treatments for condylomata acuminata. Podophyllin application, laser therapy, and electrocautery are commonly used to remove or destroy genital warts caused by HPV. These treatments aim to eliminate the visible warts and clear the infection.

2. Which of the following are signs and symptoms of vaginitis EXCEPT?

• A. Vaginal itching and irritation
• B. Heavy vaginal bleeding
• C. Pain during coitus
• D. Painful urination

Correct answer: B

Rationale: Vaginitis is characterized by symptoms such as vaginal itching, irritation, pain during coitus, and painful urination. However, heavy vaginal bleeding is not typically associated with vaginitis. Vaginal bleeding could be indicative of other conditions like cervical or endometrial issues, but it is not a common symptom of vaginitis.

3. Which of the following tests is positive in pelvic inflammatory disease?

• A. Cervical excitation test
• B. Chadwick sign
• C. Jacquiners sign
• D. Palmers sign

Correct answer: A

Rationale: The correct answer is A: Cervical excitation test. The cervical excitation test is positive in pelvic inflammatory disease. This test involves pain or tenderness upon movement of the cervix, indicating inflammation of the pelvic organs. Chadwick sign (choice B) refers to a bluish discoloration of the cervix, vagina, and labia due to increased vascularity and is not a test for PID. Jacquiners sign (choice C) and Palmers sign (choice D) are not recognized clinical signs or tests for PID, making them incorrect choices.

4. Which of the following are examples of external genitalia?

• A. Mons veneris
• B. Labia majora
• C. Vagina
• D. Cervix

Correct answer: A

Rationale: The correct answer is A: Mons veneris. The mons veneris and labia majora are considered external genitalia as they are visible externally. The vagina and cervix, on the other hand, are internal structures. The vagina is the canal leading from the external genitals to the cervix, which is the lower, narrow portion of the uterus.

5. 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.

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