Nursing Elites

1. 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.

2. What is another name for the breast?

• A. Sebaceous glands
• B. Racemose glands
• C. Mammary glands
• D. Axillary glands

Correct answer: C

Rationale: The correct answer is C: Mammary glands. The mammary glands are the specific glands in the breast responsible for producing milk. Sebaceous glands (choice A) are oil-producing glands in the skin, racemose glands (choice B) are not a recognized term, and axillary glands (choice D) refer to glands found in the armpit region, not the breast.

3. What is the role of the corpus luteum during the menstrual cycle?

• A. The corpus luteum produces estrogen to maintain the endometrium.
• B. The corpus luteum produces progesterone to maintain the endometrium.
• C. The corpus luteum produces testosterone to inhibit ovulation.
• D. The corpus luteum has no significant role during the menstrual cycle.

Correct answer: B

Rationale: The correct answer is B: The corpus luteum produces progesterone to maintain the endometrium during the menstrual cycle. This hormone helps prepare the uterine lining for implantation in case fertilization occurs. Choice A is incorrect because estrogen is mainly produced by the developing follicles in the ovaries. Choice C is incorrect as testosterone is produced in smaller amounts by the ovaries and adrenal glands but does not play a significant role in maintaining the endometrium. Choice D is incorrect as the corpus luteum plays a crucial role in producing progesterone to support the endometrium.

4. Practices such as female genital mutilation and unsafe male circumcision are categorized as:

• A. Harmful traditional practices
• B. Encouraged in rural Zambia
• C. Recommended in modern surgery and IRH
• D. Safer sex practices

Correct answer: A

Rationale: Practices like female genital mutilation and unsafe male circumcision are considered harmful traditional practices due to the physical and psychological harm they cause. Choice A is correct as these practices are not safe or recommended. Choice B is incorrect, as harmful traditional practices are not encouraged anywhere. Choice C is incorrect as modern surgery and organizations like IRH aim to eliminate such practices, not recommend them. Choice D is incorrect as these practices are not related to safer sex practices but rather harmful practices that need to be eradicated.

5. Risk of endometrial hyperplasia is greatest in individuals who do not menstruate for at least _____ months and require immediate referral:

• A. 2 months
• B. 3 months
• C. 4 months
• D. 5 months

Correct answer: C

Rationale: The correct answer is C: '4 months.' The risk of endometrial hyperplasia is highest in individuals who do not menstruate for at least 4 months. This prolonged exposure to unopposed estrogen can lead to endometrial hyperplasia. Choices A, B, and D are incorrect because the risk is greatest after at least 4 months of not menstruating, not 2, 3, or 5 months.

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