which of the following hormone ratios is most likely to be increased in a patient with pcos

HESI RN

Reproductive System Exam Questions

1. 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.

2. Discuss the anatomical/physiological changes in pregnancy under the following: Kidney/renal system

A. Kidneys increase in size, pelvis dilates, ureters elongate and dilate, and the glomerular filtration rate increases.
B. Kidneys decrease in size, and glomerular filtration rate decreases.
C. There is no change in kidney size or ureter function, but the glomerular filtration rate decreases.
D. Kidneys shrink, and ureters remain the same.

Correct answer: A

Rationale: During pregnancy, the kidneys increase in size, the pelvis dilates, ureters elongate and dilate, and the glomerular filtration rate increases. This is due to the increased metabolic demands and hormonal changes during pregnancy. Choice B is incorrect as the kidneys do not decrease in size, and the glomerular filtration rate actually increases. Choice C is incorrect as there are changes in kidney size and ureter function during pregnancy. Choice D is incorrect as the kidneys do not shrink during pregnancy.

3. What is a Carneous Mole defined as?

A. Occurs when fluids drain from the blood mole, leaving a fresh firm mass.
B. Occurs when the ovum dies and is expelled.
C. Occurs when the fetus dies, and the membranes rupture.
D. Occurs when the fetus survives after a failed abortion attempt.

Correct answer: A

Rationale: A Carneous Mole is defined as when fluids drain from the blood mole, leaving a fresh firm mass. This process leads to the formation of a solid mass resembling tissue. Choice B is incorrect as it describes a different concept known as a missed abortion, where the ovum dies and is expelled. Choice C is incorrect as it describes a situation related to fetal demise and membrane rupture, not specifically the formation of a Carneous Mole. Choice D is incorrect as it refers to a scenario where the fetus survives after a failed abortion attempt, which is distinct from the definition of a Carneous Mole.

4. Which of the following is incorrect about oral contraceptive pill 'Saheli'?

A. It is taken by females
B. It has very few side effects
C. It is a steroidal preparation
D. It is 'Once a week' pill

Correct answer: C

Rationale: Saheli' is not a steroidal preparation, it is a non-steroidal oral contraceptive.

5. Pelvic Inflammatory Disease (PID) affects the fallopian tubes resulting in a condition called:

A. Oophoritis
B. Endometritis
C. Salpingectomy
D. Salpingitis

Correct answer: D

Rationale: Pelvic Inflammatory Disease (PID) is known to affect the fallopian tubes, leading to inflammation, which is termed as salpingitis. Choice A, Oophoritis, refers to inflammation of the ovaries, not the fallopian tubes. Choice B, Endometritis, is inflammation of the endometrium, the inner lining of the uterus, not the fallopian tubes. Choice C, Salpingectomy, is a surgical procedure to remove a fallopian tube and is not a condition caused by PID.