Nursing Elites

1. What does MTP stand for?

• A. Medical Termination of Parturition
• B. Mechanical Transfer of Pollen
• C. Medical Termination of Pregnancy
• D. Maternally Transmitted Pathogens

Correct answer: C

Rationale: The correct expansion for MTP is Medical Termination of Pregnancy. This term is commonly used in healthcare to refer to the procedure of ending a pregnancy. Choices A, B, and D are incorrect because they do not accurately represent the expansion of the abbreviation MTP. Choice A refers to labor induction, choice B is related to plant reproduction, and choice D deals with the transmission of pathogens from mother to offspring.

2. 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.

3. When does threatened abortion occur?

• A. The patient experiences slight vaginal bleeding through an undilated cervix.
• B. The patient experiences heavy bleeding and cervical dilation.
• C. The patient experiences severe cramping and heavy bleeding.
• D. The patient experiences painless bleeding and an open cervix.

Correct answer: A

Rationale: Threatened abortion occurs when the patient experiences slight vaginal bleeding through an undilated cervix. This is characterized by bleeding without cervical dilation, distinguishing it from inevitable abortion (heavy bleeding and cervical dilation), incomplete abortion (severe cramping and heavy bleeding), and missed abortion (painless bleeding and an open cervix).

4. During a vaginal examination, which of the following statements is true?

• A. Cervical scrapes cytology can be taken in the same setting.
• B. Preferably done after bimanual examination.
• C. The cervix is best visualized with the Crisco's type of spectrum.
• D. During pregnancy, the cervix feels firm like the tip of the nose.

Correct answer: C

Rationale: The correct answer is C. The cervix is best visualized with the Cusco's type of spectrum. This statement is true and important during a vaginal examination. Choice A is incorrect because cervical cytology scrapes can be taken during the same setting as a vaginal examination, not necessarily prior to it. Choice B is incorrect as it states 'after' bimanual examination, which is not the typical sequence. Choice D is incorrect because during pregnancy, the cervix feels soft rather than firm like the tip of the nose.

5. Which phase of the menstrual cycle is variable?

• A. Ovulatory
• B. Regenerative
• C. Secretory
• D. Menstrual

Correct answer: B

Rationale: The regenerative phase of the menstrual cycle is the phase in which the endometrium rebuilds after menstruation. This phase can vary in duration from woman to woman and cycle to cycle. Choice A, the ovulatory phase, is not variable as it typically lasts around 24 hours. Choice C, the secretory phase, is also relatively consistent in its duration. Choice D, the menstrual phase, is the shedding of the endometrial lining and usually lasts around 3-7 days.

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