Nursing Elites

1. The structures of the vulva lie ____________ to the vagina.

• A. Posterior
• B. Inferior
• C. Lateral
• D. Superior

Correct answer: B

Rationale: The correct answer is 'Inferior.' The structures of the vulva are positioned below the vagina, making them inferior. Choice A, 'Posterior,' refers to structures located at the back, not below the vagina. Choice C, 'Lateral,' means to the side, which is not the correct orientation in this context. Choice D, 'Superior,' indicates above, which is the opposite of the correct relationship described in the question.

2. Which of the following is used to differentiate abdominal mass from pelvic mass on clinical examination?

• A. Size
• B. Site
• C. Margins
• D. Lower border

Correct answer: D

Rationale: The lower border is used to differentiate between an abdominal mass and a pelvic mass during clinical examination. The lower border of the mass provides important information about its location and origin. The size (Choice A) alone may not always clearly distinguish between abdominal and pelvic masses. The site (Choice B) and margins (Choice C) are also important factors, but they are not as specific in differentiating between abdominal and pelvic masses as the lower border.

3. 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.

4. What causes the changes in appearance seen in boys at the time of puberty?

• A. Prolactin
• B. Adrenaline
• C. Estrogen
• D. Testosterone

Correct answer: D

Rationale: During puberty, boys experience physical changes such as growth of facial and body hair, deepening of the voice, and muscle development. These changes are primarily driven by the hormone testosterone. Testosterone is responsible for the development of male secondary sexual characteristics. Therefore, the correct answer is testosterone. Choices A, B, and C are incorrect because prolactin, adrenaline, and estrogen do not play a significant role in the development of male secondary sexual characteristics during puberty.

5. What is an organelle that helps the sperm to penetrate the ovum?

• A. Acrosome
• B. Zona pellucida
• C. Megalis
• D. None of the above

Correct answer: A

Rationale: The correct answer is Acrosome. The acrosome is an organelle located at the head of a sperm cell and contains enzymes that aid in the penetration of the ovum during fertilization. The Zona pellucida is a glycoprotein membrane surrounding the ovum, not an organelle. Megalis is not a relevant organelle in this context. Therefore, the correct choice is A, Acrosome.

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