which of the following is not a phase of the menstrual cycle

HESI RN

Reproductive Health Exam Questions And Answers

1. Which of the following is NOT a phase of the menstrual cycle?

A. Follicular phase
B. Ovulatory phase
C. Luteal phase
D. Secretory phase

Correct answer: D

Rationale: The secretory phase is not considered a distinct phase of the menstrual cycle; it is actually part of the luteal phase. During the luteal phase, the endometrium thickens due to progesterone secretion, preparing for implantation. The follicular phase is characterized by follicle development, leading to ovulation. The ovulatory phase is when the mature egg is released from the ovary. Therefore, the secretory phase is the correct answer as it is not a standalone phase but a part of the luteal phase.

2. How can menopause affect health?

A. Causing conjunctivitis
B. Leading to colitis or bowel upsets
C. Increasing the risk of cancer
D. Triggering urinary infections

Correct answer: D

Rationale: Menopause can lead to changes in the urinary tract, such as decreased estrogen levels, which can increase the likelihood of urinary tract infections. While menopause can impact various aspects of health, including bone density and heart health, it is not directly linked to conjunctivitis, colitis, or an increased risk of cancer. Therefore, the correct answer is D.

3. Discuss the anatomical/physiological changes in pregnancy under the following: Uterus

A. The uterus softens in the anterior midline, becomes flexible at the uterocervical junction, blood vasculature increases in size and number, and hypertrophy of myometrial cells occurs.
B. The uterus decreases in size during pregnancy and remains rigid.
C. The uterus size remains unchanged, and no changes occur in the blood vasculature.
D. Uterus becomes more rigid and hypertrophies.

Correct answer: A

Rationale: During pregnancy, the uterus undergoes various anatomical and physiological changes. The correct answer, Choice A, accurately describes these changes. The uterus softens in the anterior midline, becomes flexible at the uterocervical junction, experiences an increase in blood vasculature size and number, and myometrial cells hypertrophy. This softening and increased vascularity are essential for accommodating the growing fetus and facilitating delivery. Choices B, C, and D are incorrect because they do not reflect the typical changes that occur in the uterus during pregnancy. The uterus does not decrease in size, remain unchanged in size, become more rigid, or hypertrophy without the described softening and vascular changes.

4. 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.

5. _______ is a lytic enzyme released by the sperm.

A. Hyaluronidase
B. Trypsin
C. Helicase
D. None of the above

Correct answer: A

Rationale: Hyaluronidase is the correct answer. It is a lytic enzyme released by the sperm to help penetrate the egg's protective layer. Trypsin is a digestive enzyme produced in the pancreas, not released by sperm. Helicase is an enzyme involved in DNA replication, not released by sperm. 'None of the above' is incorrect as hyaluronidase fits the description provided in the question.