HESI RN
Reproductive Health Exam
1. A menstrual disorder with irregular or continuous bleeding from the uterus is known as:
- A. Menorrhagia
- B. Metrorrhagia
- C. Polymenorrhoea
- D. Epimenorrhoea
Correct answer: B
Rationale: Metrorrhagia is the correct term for irregular or continuous bleeding from the uterus. Menorrhagia refers to heavy menstrual bleeding, not necessarily irregular. Polymenorrhoea is characterized by frequent menstrual periods, while Epimenorrhoea is not a recognized medical term related to menstrual disorders.
2. What is the most common site for an ectopic pregnancy?
- A. Isthmus
- B. Ampulla
- C. Interstitial
- D. Infundibulum
Correct answer: C
Rationale: The correct answer is C, Interstitial. An ectopic pregnancy most commonly occurs in the interstitial portion of the fallopian tube. This is because the interstitial part is narrow and not suitable for the growing embryo, leading to implantation outside the uterus. Choices A, B, and D are incorrect because although ectopic pregnancies can occur in various locations, the interstitial portion of the fallopian tube is the most frequent site for such pregnancies.
3. What action does the copper used in Copper T have?
- A. Blastocidal
- B. Bacteriostatic
- C. Bacteriocidal
- D. Spermicidal
Correct answer: D
Rationale: The correct answer is D, Spermicidal. The copper in Copper T exerts its action by affecting sperm viability and motility, thus preventing fertilization. Choices A, B, and C are incorrect because Copper T primarily works by preventing sperm from reaching and fertilizing the egg, rather than acting on blastocysts, bacteria, or bacteriocins.
4. How does human sperm move?
- A. Flagella
- B. Cilia
- C. Neutrophils
- D. None of the above
Correct answer: A
Rationale: Human sperm moves using flagella, which are whip-like structures that aid in propulsion. Flagella are tail-like structures found in sperm cells and help them swim towards the egg for fertilization. Cilia are shorter, hair-like structures that are not involved in the movement of sperm. Neutrophils are a type of white blood cell involved in the immune response and are not related to sperm locomotion.
5. Laparoscopy uses a small instrument known as a laparoscope to:
- A. Take very detailed photographs
- B. Insert a hysteroscope for D&C
- C. Perform an abortion procedure
- D. Perform a hysterectomy
Correct answer: A
Rationale: Laparoscopy uses a small instrument known as a laparoscope to take very detailed photographs of the pelvic organs. This procedure is commonly used for diagnostic purposes, to visualize internal organs, and to perform minimally invasive surgeries. Choice B, inserting a hysteroscope for D&C, is incorrect as hysteroscopy is a different procedure used to examine the inside of the uterus, not the pelvic organs. Choice C, performing an abortion procedure, is incorrect as laparoscopy is not used for abortion. Choice D, performing a hysterectomy, is incorrect as although laparoscopy can be used in some cases for hysterectomy, its primary purpose is not for this procedure.
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