HESI RN
Reproductive System Exam Questions
1. Which of the following hormone ratios is MOST likely to be increased in a patient with PCOS?
- A. Progesterone/estrogen
 - B. LH/FSH
 - C. FSH/LH
 - D. Glucagon/insulin
 
Correct answer: B
Rationale: In patients with Polycystic Ovary Syndrome (PCOS), the LH/FSH ratio is most likely to be increased. This hormonal imbalance is a key characteristic of PCOS, where elevated LH levels relative to FSH contribute to the pathophysiology of the condition. Choice A, progesterone/estrogen ratio, is not typically a defining feature of PCOS. Choice C, FSH/LH ratio, is the reverse of what is commonly observed in PCOS. Choice D, glucagon/insulin ratio, is not directly related to the hormonal imbalances seen in PCOS.
2. What is an organelle that helps the sperm to penetrate the ovum?
- A. Acrosome
 - B. Zona pellucida
 - C. Megalis
 - D. None of the above
 
Correct answer: A
Rationale: The correct answer is Acrosome. The acrosome is an organelle located at the head of a sperm cell and contains enzymes that aid in the penetration of the ovum during fertilization. The Zona pellucida is a glycoprotein membrane surrounding the ovum, not an organelle. Megalis is not a relevant organelle in this context. Therefore, the correct choice is A, Acrosome.
3. What is required for privacy in reproductive health services?
- A. Covering windows and placing partitions between examination areas.
 - B. Placing examination tables so that women will be exposed during exams.
 - C. Allowing healthcare staff to discuss patients openly in the clinic.
 - D. Forcing patients to undergo procedures without proper explanation.
 
Correct answer: A
Rationale: Privacy in reproductive health services necessitates maintaining confidentiality and creating a private environment for patients. This includes covering windows and using partitions between examination areas to protect the patient's privacy. Choice B is incorrect as it suggests exposing women during exams, which violates privacy. Choice C is incorrect because discussing patients openly breaches confidentiality. Choice D is incorrect as it goes against informed consent and proper communication, which are essential components of respecting patient autonomy and privacy.
4. 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.
5. What does confidentiality in reproductive health services mean?
- A. All information regarding the patient is discussed only between the patient, provider, and supervisors.
 - B. Sharing patient information with all healthcare staff.
 - C. Sharing patient information with their family members.
 - D. Allowing patient information to be discussed in public areas.
 
Correct answer: A
Rationale: Confidentiality in reproductive health services means that all information regarding the patient should be discussed only among the patient, provider, and supervisors involved in their care. Choice B is incorrect because sharing patient information with all healthcare staff goes against the principle of confidentiality. Choice C is incorrect because sharing patient information with family members should only be done with the patient's explicit consent. Choice D is incorrect as allowing patient information to be discussed in public areas violates patient privacy and confidentiality.
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