Nursing Elites

1. Which of the following is a common presentation in women with polycystic ovarian syndrome?

• A. Oligomenorrhea, obesity, and hirsutism
• B. Amenorrhea, generalized hair loss, and weight gain
• C. Repeated ectopic pregnancies and chronic pelvic pain
• D. Fatigue, body aches, and menorrhagia

Correct answer: A

Rationale: The correct answer is A: Oligomenorrhea, obesity, and hirsutism. Polycystic ovarian syndrome (PCOS) commonly presents with irregular periods (oligomenorrhea), obesity, and increased hair growth (hirsutism) due to hormonal imbalances. Choice B is incorrect as amenorrhea (absence of periods), generalized hair loss, and weight gain are not typical features of PCOS. Choice C is incorrect as repeated ectopic pregnancies and chronic pelvic pain are not characteristic of PCOS. Choice D is incorrect as fatigue, body aches, and menorrhagia (excessive menstrual bleeding) are not primary symptoms seen in PCOS.

2. What lines the uterus?

• A. Endometrium.
• B. Myometrium.
• C. Perimetrium.
• D. Glandular tissue.

Correct answer: A

Rationale: The correct answer is A, Endometrium. The endometrium is the inner lining of the uterus where the fertilized egg implants and develops during pregnancy. Myometrium (Choice B) is the middle layer of the uterus consisting of muscle tissue. Perimetrium (Choice C) is the outer layer of the uterus. Glandular tissue (Choice D) is a broad term referring to tissue containing glands, but it does not specifically line the uterus.

3. What is Dinoprostone commonly used for?

• A. Cervical priming.
• B. Pain management during labor.
• C. Management of pre-term labor.
• D. Management of post-partum hemorrhage.

Correct answer: C

Rationale: Dinoprostone is commonly used for the management of pre-term labor. While it can be used for cervical priming, its primary indication is for pre-term labor. Choice A is partially correct but not the most common use of Dinoprostone. Choices B and D are incorrect as Dinoprostone is not primarily used for pain management during labor or for the management of post-partum hemorrhage.

4. In Primary Health care, the concept of accessibility requires that:

• A. Patients should be required to accept one service in order to gain access to another type of service.
• B. A referral network, including transportation, to higher-level facilities should be coupled to PHC services.
• C. Patients' access to services should be contingent on social or cultural backgrounds, age, and marital status.
• D. Patients' access to services should be based on one's educational status.

Correct answer: B

Rationale: In Primary Health care, accessibility entails having a referral network and transportation system in place to link patients to higher-level facilities when needed. Choice A is incorrect because patients should not be required to accept one service to access another. Choice C is incorrect as access to services should not be contingent on social or cultural backgrounds, age, or marital status. Choice D is also incorrect because educational status should not determine patients' access to healthcare services.

5. Which of the following is not a complication of menopause?

• A. Fractures
• B. Alzheimer's disease
• C. Congestive heart failure
• D. Painful intercourse

Correct answer: C

Rationale: Congestive heart failure is not typically associated with menopause. Menopause is linked to an increased risk of fractures due to bone density loss, a higher risk of Alzheimer's disease due to hormonal changes affecting the brain, and painful intercourse due to vaginal dryness and decreased lubrication. While cardiovascular health can be affected by menopause, congestive heart failure is not a direct complication of menopause.

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