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. When does missed abortion occur?

A. The fetus dies and is retained in utero with the placenta and membranes.
B. All products of conception are expelled with minimal bleeding.
C. The cervix remains closed, and the products of conception remain in the uterus.
D. The cervix remains closed, but there is heavy bleeding.

Correct answer: C

Rationale: Missed abortion occurs when the cervix is closed, and the products of conception remain in the uterus. Choice A describes a missed abortion, not choice C. Choice B describes a complete abortion. Choice D describes a threatened abortion, where the cervix remains closed but there is heavy bleeding.

3. During which phase of the menstrual cycle does the Graafian follicle rupture?

A. Regenerative
B. Menstruation
C. Ovulation
D. Proliferative

Correct answer: C

Rationale: The correct answer is C: Ovulation. The Graafian follicle ruptures during the ovulation phase, releasing the mature egg from the ovary. This process marks the midpoint of the menstrual cycle. Choice A, Regenerative, is incorrect as it does not correspond to a specific phase of the menstrual cycle. Choice B, Menstruation, is incorrect because menstruation is the shedding of the uterine lining and occurs after ovulation if fertilization does not occur. Choice D, Proliferative, is incorrect as it refers to the phase in which the uterine lining thickens in preparation for a potential embryo implantation, which happens after ovulation.

4. At what age does the first menstrual period typically occur?

A. 9 and 15 years
B. 2 and 10 years
C. 1 and 5 years
D. 18 and 20 years

Correct answer: A

Rationale: The first menstrual period, known as menarche, typically occurs between the ages of 9 and 15 years. This marks the onset of puberty in females. Choices B, C, and D are incorrect because the first menstrual period does not occur as early as 2 years old, 1 year old, or as late as 18 to 20 years old.

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.