Nursing Elites

1. What is the purpose of hysteroscopy?

• A. View the uterine cavity
• B. Perform a D&C procedure
• C. Remove the fetus
• D. Visualize the fallopian tubes

Correct answer: A

Rationale: Hysteroscopy is a procedure where a very narrow endoscope is inserted through the cervix to view the uterine cavity. This allows healthcare providers to diagnose and treat various uterine conditions such as polyps, fibroids, and adhesions. Choice B, performing a D&C procedure, involves dilating the cervix and scraping the uterine lining, which is a different procedure. Choice C, removing the fetus, is not the purpose of hysteroscopy and is a procedure done in specific circumstances such as pregnancy termination or miscarriage management. Choice D, visualizing the fallopian tubes, is typically done through a procedure called a hysterosalpingogram, which is different from hysteroscopy.

2. Culdoscopy is a procedure performed to examine the rectouterine pouch and pelvic viscera through:

• A. The posterior vaginal wall
• B. The anterior vaginal wall
• C. The abdominal wall
• D. The rectal wall

Correct answer: A

Rationale: Culdoscopy is a procedure that involves examining the rectouterine pouch and pelvic viscera through the posterior vaginal wall. This approach allows direct visualization and access to the pelvic area. The other choices are incorrect because culdoscopy specifically involves entering through the posterior vaginal wall to reach the specified anatomical structures. The anterior vaginal wall, abdominal wall, and rectal wall are not the access points used in culdoscopy.

3. The surgical procedure done in Bartholin's abscess is called:

• A. Hysterectomy
• B. Oophorectomy
• C. Marsupialization
• D. Salpingectomy

Correct answer: C

Rationale: The correct answer is C: Marsupialization. Marsupialization is the surgical procedure specifically performed for Bartholin's abscess. This procedure involves creating a new duct for the Bartholin's gland to prevent future abscess formation. Choices A, B, and D are incorrect because hysterectomy involves the removal of the uterus, oophorectomy involves the removal of the ovaries, and salpingectomy involves the removal of the fallopian tubes, none of which are the appropriate procedures for treating a Bartholin's abscess.

4. What is the estimated percentage of deaths due to unsafe abortions from 591 maternal deaths per 100,000 live births?

• A. 0.1
• B. 0.2
• C. 0.3
• D. 0.4

Correct answer: D

Rationale: To calculate the estimated percentage of deaths due to unsafe abortions, you divide the number of deaths due to unsafe abortions by the total number of maternal deaths and then multiply by 100 to get the percentage. In this case, with 591 maternal deaths and 40% estimated to be due to unsafe abortions, the calculation is (591 * 0.4) / 100, which equals 2.36. Therefore, the estimated percentage of deaths due to unsafe abortions from 591 maternal deaths per 100,000 live births is 0.4 or 40%. Choices A, B, and C are incorrect percentages that do not reflect the provided information.

5. After fertilization, cell division occurs through a process of:

• A. Binary fission
• B. Meiosis
• C. Budding
• D. Mitosis

Correct answer: D

Rationale: After fertilization, the zygote undergoes cell division through the process of mitosis. Mitosis is the type of cell division that results in two daughter cells with the same number of chromosomes as the parent cell. Choice A, binary fission, is a form of asexual reproduction in prokaryotes, not the process that occurs after fertilization in multicellular organisms. Choice B, meiosis, is a type of cell division that leads to the formation of gametes with half the number of chromosomes, not the process that occurs after fertilization. Choice C, budding, is a form of asexual reproduction seen in some organisms like yeast, but it is not the process of cell division after fertilization.

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