HESI RN
Reproductive Health Exam
1. Which phase of the menstrual cycle is variable?
- A. Ovulatory
- B. Regenerative
- C. Secretory
- D. Menstrual
Correct answer: B
Rationale: The regenerative phase of the menstrual cycle is the phase in which the endometrium rebuilds after menstruation. This phase can vary in duration from woman to woman and cycle to cycle. Choice A, the ovulatory phase, is not variable as it typically lasts around 24 hours. Choice C, the secretory phase, is also relatively consistent in its duration. Choice D, the menstrual phase, is the shedding of the endometrial lining and usually lasts around 3-7 days.
2. Which one is not a barrier method for birth control?
- A. Diaphragms
- B. Cervical caps
- C. Vaults
- D. Intrauterine Devices (IUDs)
Correct answer: D
Rationale: The correct answer is D, Intrauterine Devices (IUDs). Barrier methods of birth control physically block sperm from reaching the egg. Diaphragms, cervical caps, and vaults are examples of barrier methods as they create a barrier that prevents sperm from reaching the cervix. In contrast, IUDs work by altering the cervical mucus and uterine lining, making it difficult for sperm to reach the egg, but they do not physically block sperm like barrier methods do.
3. 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.
4. What type of tissue lines the testes?
- A. Glandular tissue.
- B. Squamous epithelium.
- C. Transitional epithelium.
- D. Stratified epithelium.
Correct answer: A
Rationale: The correct answer is A: Glandular tissue. The testes are lined with seminiferous tubules, which contain germ cells and Sertoli cells that are involved in sperm production. These cells are part of the glandular tissue that makes up the testes. Choices B, C, and D are incorrect because squamous, transitional, and stratified epithelium are not typically found lining the testes. Squamous epithelium is a type of epithelial tissue found in areas like the skin, transitional epithelium lines organs like the bladder, and stratified epithelium is present in structures like the skin and esophagus.
5. Cryptorchidism is a condition where _________.
- A. One or both testes are not developed
- B. One or both testes fail to descend into the scrotum
- C. One or both testes are not formed
- D. None of the above
Correct answer: B
Rationale: Cryptorchidism is a condition where one or both testes fail to descend into the scrotum. This means that the testes do not properly move from the abdomen into the scrotum during fetal development. Choice A is incorrect because the issue is not about development but descent. Choice C is incorrect as it implies that the testes were never formed, which is not the case in cryptorchidism. Choice D is incorrect as cryptorchidism does involve the testes but rather their descent into the scrotum.
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