Nursing Elites

1. What is the inner lining of the non-pregnant uterus called?

• A. Decidua
• B. Myometrium
• C. Endometrium
• D. Sponge layer

Correct answer: C

Rationale: The correct answer is C, Endometrium. The endometrium is the inner lining of the non-pregnant uterus that undergoes cyclic changes in response to hormonal fluctuations during the menstrual cycle. Choice A, Decidua, is the specialized membrane formed during pregnancy. Choice B, Myometrium, refers to the middle layer of the uterine wall composed of smooth muscle. Choice D, Sponge layer, is not a term used to describe the inner lining of the uterus.

2. What is the most important factor in ensuring accessibility in reproductive health services?

• A. Ensuring that primary health care (PHC) services are available within a reasonable distance.
• B. Requiring patients to access multiple services to get the care they need.
• C. Providing reproductive health services only to those who can afford it.
• D. Providing health services only in urban areas.

Correct answer: A

Rationale: The correct answer is A: Ensuring that primary health care (PHC) services are available within a reasonable distance. Accessibility in reproductive health services is crucial for ensuring that individuals can easily access the care they need. Option B is incorrect because requiring patients to access multiple services can create barriers to care. Option C is incorrect as accessibility should not be limited based on financial means. Option D is incorrect because healthcare services should be available in both urban and rural areas to reach a wider population.

3. The menstrual disorder in which there is an absence or suppression of the normal menstrual period is called:

• A. Dysmenorrhoea
• B. Polymenorrhoea
• C. Menorrhagia
• D. Amenorrhoea

Correct answer: D

Rationale: Amenorrhoea is the correct term for the absence or suppression of the menstrual period. Dysmenorrhoea refers to painful menstruation, Polymenorrhoea is characterized by frequent, short menstrual cycles, and Menorrhagia is excessive menstrual bleeding. Therefore, 'Amenorrhoea' is the most appropriate term for the described menstrual disorder.

4. In Reproductive Health services, decision-making about RH matters is mostly done by:

• A. The Woman's parents
• B. The Man's parents
• C. The Husband
• D. The Wife

Correct answer: C

Rationale: In many societies, the husband often plays a significant role in decision-making about reproductive health matters, making choice C the correct answer. While the woman's parents might have some influence in certain cultures, the husband typically has a more direct role in such decisions. Choices A and B are less likely as the focus is on the immediate family unit rather than extended family members. Choice D, the wife, is less common in patriarchal societies where men usually have more authority in decision-making regarding reproductive health matters.

5. Which of the following hormone ratios is MOST likely to be increased in a patient with PCOS?

• A. Progesterone/estrogen
• B. LH/FSH
• C. FSH/LH
• D. Glucagon/insulin

Correct answer: B

Rationale: In patients with Polycystic Ovary Syndrome (PCOS), the LH/FSH ratio is most likely to be increased. This hormonal imbalance is a key characteristic of PCOS, where elevated LH levels relative to FSH contribute to the pathophysiology of the condition. Choice A, progesterone/estrogen ratio, is not typically a defining feature of PCOS. Choice C, FSH/LH ratio, is the reverse of what is commonly observed in PCOS. Choice D, glucagon/insulin ratio, is not directly related to the hormonal imbalances seen in PCOS.

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