Nursing Elites

1. What do you call a system involving other government Ministries, Non-Governmental Organizations, Politicians, Policy makers, Senior managers, the Community, Church organizations, and other concerned bodies and users of services?

• A. Community participation
• B. Peer consultation
• C. Multi-sectoral approach
• D. Appropriate technology

Correct answer: C

Rationale: A multi-sectoral approach involves collaboration among various sectors and stakeholders to address complex issues comprehensively. In this context, it ensures that different entities work together to provide inclusive and effective services. Choice A, 'Community participation,' focuses more on the involvement of the community specifically. Choice B, 'Peer consultation,' pertains to seeking advice or input from peers within the same field. Choice D, 'Appropriate technology,' refers to the use of suitable technology for a particular situation, which is not the primary focus of the described system.

2. What type of epithelium lines the urinary bladder?

• A. Transitional epithelium.
• B. Stratified epithelium.
• C. Glandular tissue.
• D. Endometrium.

Correct answer: A

Rationale: The correct answer is A: Transitional epithelium. The urinary bladder is lined with transitional epithelium, a specialized type of epithelial tissue that can stretch and recoil to accommodate changes in volume as the bladder fills and empties. Stratified epithelium (choice B) is not the main lining of the urinary bladder and is found in other areas like the skin. Glandular tissue (choice C) is responsible for producing secretions and is not typically found lining the urinary bladder. Endometrium (choice D) is the inner lining of the uterus and is not present in the urinary bladder.

3. During fertilization, the portion of the decidua covering the blastocyst is called:

• A. Decidua basalis
• B. Decidua Vera
• C. Decidua parietalis
• D. Decidua capsularis

Correct answer: D

Rationale: During fertilization, the decidua capsularis is the specific portion of the decidua that covers the blastocyst, providing protection and support. Decidua basalis refers to the part of the decidua located at the site of implantation on the maternal side. Decidua vera is the remainder of the decidua lining the uterus. Decidua parietalis is the portion of the decidua that lines the rest of the uterine cavity, except for the site of implantation. Therefore, in the context of fertilization, the decidua capsularis is the correct answer.

4. Which of the following is a symptom of menopause?

• A. Bleeding per vagina
• B. Sleeping all the time
• C. Insomnia
• D. Increased concentration

Correct answer: C

Rationale: Insomnia is a common symptom of menopause. During menopause, hormonal changes can lead to sleep disturbances, including difficulty falling asleep or staying asleep. Choice A, 'Bleeding per vagina,' is not a typical symptom of menopause but should prompt further evaluation. Choice B, 'Sleeping all the time,' is not a common symptom of menopause; in fact, insomnia, rather than excessive sleep, is more prevalent. Choice D, 'Increased concentration,' is not a symptom of menopause; cognitive changes like forgetfulness or difficulty concentrating may occur, but increased concentration is not a typical manifestation.

5. What laboratory values are not typically elevated in a patient with PCOS?

• A. LH
• B. Androgens
• C. Estrogens
• D. Prolactin

Correct answer: D

Rationale: The correct answer is D: Prolactin. Prolactin levels are not typically elevated in patients with PCOS. Elevated LH and androgens are commonly seen in PCOS patients. While estrogen levels can vary in PCOS, they are not consistently low or high in all cases.

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