which of the following is a common presentation in women with polycystic ovarian syndrome

HESI RN

Reproductive Health Exam

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. In missed abortion, what will the woman often experience?

A. Severe cramping and lower abdominal pains
B. Brownish vaginal discharge
C. Profuse per vagina bleeding
D. Open cervical OS

Correct answer: B

Rationale: In missed abortion, the woman often experiences brownish vaginal discharge. This is known as a symptom of missed abortion. Severe cramping and lower abdominal pains (Choice A) are more characteristic of an incomplete abortion, where not all pregnancy tissue is expelled. Profuse per vagina bleeding (Choice C) is more commonly associated with a complete abortion. Open cervical OS (Choice D) is a physical finding and not a typical symptom reported by the woman in missed abortion.

3. What is Carboprost used for?

A. Affects milk production.
B. Relieve constriction ring.
C. Management of post-partum haemorrhage.
D. Induce labor.

Correct answer: C

Rationale: Carboprost is used in the management of post-partum haemorrhage. This medication helps to reduce excessive bleeding after childbirth. Choices A, B, and D are incorrect. Carboprost does not affect milk production, relieve constriction ring, or induce labor.

4. In order to provide services effectively and in the best interests of the whole family:

A. The wife's relatives need to be contacted
B. It's important to seek the services of a traditional healer
C. Health providers need to be aware of the roles and decision-making process within the family
D. Health providers need to conduct door-to-door sensitization on health matters

Correct answer: C

Rationale: The correct answer is C: 'Health providers need to be aware of the roles and decision-making process within the family.' To provide services effectively, health providers must understand the dynamics within a family, including who makes decisions and how roles are distributed. This knowledge helps them tailor their services to meet the needs and preferences of the whole family. Choices A and B are incorrect because contacting the wife's relatives or seeking the services of a traditional healer may not necessarily align with providing effective services based on family dynamics. Choice D is also incorrect as door-to-door sensitization may not directly address the internal dynamics of a family.

5. Which of the following investigations is done in Pelvic Inflammatory Disease?

A. Paracentesis
B. Culdocentesis
C. Hysterectomy
D. Douching

Correct answer: B

Rationale: Culdocentesis is the correct procedure performed to assess the pelvic cavity, often used in the diagnosis of Pelvic Inflammatory Disease. Paracentesis involves the aspiration of fluid from the abdominal cavity, not typically done for PID. Hysterectomy is the surgical removal of the uterus and is not a diagnostic investigation for PID. Douching is a hygiene practice and not a diagnostic procedure for PID.