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. What is the primary use of Bromocriptine?

• A. Relieve constriction ring.
• B. Manage post-partum hemorrhage.
• C. Affect milk production.
• D. Be used in pre-eclampsia.

Correct answer: C

Rationale: Bromocriptine is primarily used to affect milk production. It is a medication commonly prescribed to help suppress lactation, particularly in cases of postpartum breast engorgement or when stopping breastfeeding. Choices A, B, and D are incorrect as Bromocriptine is not indicated for relieving constriction ring, managing post-partum hemorrhage, or treating pre-eclampsia.

3. 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.

4. The weight of the non-pregnant uterus is approximately ___________grams.

• A. 57
• B. 80
• C. 66
• D. 71

Correct answer: B

Rationale: The correct answer is B: 80. The non-pregnant uterus typically weighs around 80 grams. This weight may vary slightly among individuals, but 80 grams is a commonly accepted average. Choices A, C, and D are incorrect as they do not reflect the typical weight of the non-pregnant uterus. It is important to remember this approximate weight for medical reference and understanding of normal anatomical variations.

5. What should be included in the differential diagnosis of ectopic pregnancy?

• A. Inevitable abortion
• B. Dysmenorrhea
• C. Twisted ovarian cyst
• D. Fibroids

Correct answer: C

Rationale: In the differential diagnosis of ectopic pregnancy, conditions such as twisted ovarian cysts should be considered. Twisted ovarian cysts can present with similar symptoms to ectopic pregnancy, making it important to include them in the differential diagnosis. Choices A, B, and D are not typically part of the differential diagnosis of ectopic pregnancy. Inevitable abortion refers to an imminent miscarriage, dysmenorrhea is characterized by painful menstruation, and fibroids are benign growths in the uterus, none of which are directly related to ectopic pregnancy.

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