HESI RN
Reproductive Health Exam
1. Which technique is used to detect HIV/AIDS?
- A. Northern blot and ELISA
- B. Immunoblot and ELISA
- C. Western blot and ELISA
- D. Southern blot and ELISA
Correct answer: C
Rationale: The correct answer is C: Western blot and ELISA. Western blot and ELISA are commonly used techniques in the detection of HIV/AIDS. Western blot is used to confirm the presence of HIV antibodies in a patient's blood after an initial positive ELISA test. Northern blotting is a technique used for RNA analysis, not for detecting HIV/AIDS (Choice A). Immunoblotting is another term for Western blotting, so Choice B is incorrect. Southern blotting is used for DNA analysis, not for detecting HIV/AIDS (Choice D).
2. Which hormone is released from the testes?
- A. Progesterone
- B. Vasopressin
- C. Testosterone
- D. None of the above
Correct answer: C
Rationale: The correct answer is testosterone. Testosterone is the primary male sex hormone produced in the testes. Progesterone is a female sex hormone primarily produced in the ovaries, not in the testes. Vasopressin is a hormone released by the pituitary gland to regulate water balance in the body, not produced by the testes. Therefore, choices A, B, and D are incorrect.
3. Treatment for condylomata acuminata includes the following EXCEPT:
- A. Vulvectomy
- B. Podophyllin application
- C. Laser therapy
- D. Electrocautery
Correct answer: A
Rationale: The correct answer is A. Vulvectomy is not a standard treatment for condylomata acuminata, which are genital warts caused by human papillomavirus (HPV). Surgical removal of the vulva (vulvectomy) is an extreme measure and not typically indicated for treating this condition. Choices B, C, and D are valid treatments for condylomata acuminata. Podophyllin application, laser therapy, and electrocautery are commonly used to remove or destroy genital warts caused by HPV. These treatments aim to eliminate the visible warts and clear the infection.
4. At 34-40 weeks of pregnancy, the breast changes include:
- A. Nipples become prominent and mobile.
- B. Colostrum can be expressed.
- C. Breasts become tender.
- D. Montgomery's tubercles are prominent.
Correct answer: D
Rationale: During the 34-40 weeks of pregnancy, Montgomery's tubercles become prominent. These are sebaceous glands on the areola, not the nipples. Choice A is incorrect as it describes the changes in nipples, not Montgomery's tubercles. Choice B is incorrect as colostrum production usually starts around the 16th week. Choice C is incorrect as breast tenderness is more common in early pregnancy due to hormonal changes.
5. What does confidentiality in reproductive health services mean?
- A. All information regarding the patient is discussed only between the patient, provider, and supervisors.
- B. Sharing patient information with all healthcare staff.
- C. Sharing patient information with their family members.
- D. Allowing patient information to be discussed in public areas.
Correct answer: A
Rationale: Confidentiality in reproductive health services means that all information regarding the patient should be discussed only among the patient, provider, and supervisors involved in their care. Choice B is incorrect because sharing patient information with all healthcare staff goes against the principle of confidentiality. Choice C is incorrect because sharing patient information with family members should only be done with the patient's explicit consent. Choice D is incorrect as allowing patient information to be discussed in public areas violates patient privacy and confidentiality.
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