which of the following is positive in pelvic inflammatory disease

HESI RN

Reproductive Health Exam

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. The GIFT technique is recommended for which of the following females?

A. Females who cannot produce an ovum
B. Females who cannot provide a suitable environment for fertilization
C. Females who cannot retain the embryo inside the uterus
D. All of the above

Correct answer: D

Rationale: The correct answer is D, 'All of the above.' The GIFT technique is recommended for females who cannot produce an ovum, provide a suitable environment for fertilization, or retain the embryo inside the uterus. This technique involves transferring the unfertilized eggs and sperm directly into the fallopian tube, bypassing the need for the ovum to travel through the fallopian tube. Choices A, B, and C all represent different scenarios where the GIFT technique would be a suitable option, making option D the correct choice.

3. At 8-12 weeks of pregnancy, the breast changes include:

A. Prickling, tingling sensation.
B. Nipples become prominent and mobile.
C. Darkening of the nipple.
D. Breast start producing milk

Correct answer: D

Rationale: At 8-12 weeks of pregnancy, the breast changes typically include the onset of colostrum production, not just tenderness. Colostrum is the first milk produced by the mammary glands during pregnancy. While some women may experience prickling or tingling sensations, prominent and mobile nipples, and darkening of the nipple, the key change during this time period is the production of colostrum. This substance is rich in antibodies and important for the newborn's initial nutrition. Therefore, the correct answer is not listed among the choices provided.

4. Which of the following is a common presentation in women with polycystic ovarian syndrome?

A. Oligomenorrhea, obesity, and hirsutism
B. Amenorrhea, generalized hair loss, and weight gain
C. Repeated ectopic pregnancies and chronic pelvic pain
D. Fatigue, body aches, and menorrhagia

Correct answer: A

Rationale: The correct answer is A: Oligomenorrhea, obesity, and hirsutism. Polycystic ovarian syndrome (PCOS) commonly presents with irregular periods (oligomenorrhea), obesity, and increased hair growth (hirsutism) due to hormonal imbalances. Choice B is incorrect as amenorrhea (absence of periods), generalized hair loss, and weight gain are not typical features of PCOS. Choice C is incorrect as repeated ectopic pregnancies and chronic pelvic pain are not characteristic of PCOS. Choice D is incorrect as fatigue, body aches, and menorrhagia (excessive menstrual bleeding) are not primary symptoms seen in PCOS.