Nokea
Testosterone produces negative feedback to:
- A. the anterior pituitary to turn off follicle stimulating hormone secretion
- B. the anterior pituitary to turn off both luteinizing hormone and follicle stimulating hormone secretion
- C. Sertoli cells turn off inhibin secretion
- D. the anterior pituitary to turn off luteinizing hormone secretion
Correct Answer: D
Rationale: Step-by-step rationale:
1. Testosterone inhibits the release of luteinizing hormone (LH) through negative feedback.
2. LH is produced by the anterior pituitary.
3. Therefore, testosterone exerts negative feedback on the anterior pituitary to turn off LH secretion.
4. This maintains hormonal balance in the body.
Summary of other choices:
A. Incorrect because testosterone primarily affects LH secretion, not follicle stimulating hormone (FSH).
B. Incorrect as it inaccurately suggests that testosterone turns off both LH and FSH secretion.
C. Incorrect because Sertoli cells are involved in spermatogenesis, not LH regulation.
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Endometrium
- A. Lined by simple columnar epithelium
- B. Stratum functionalis is shed during menstrual phase
- C. Forming decidua of placenta during pregnancy
- D. Is penetrated by arcuate artery
Correct Answer: B
Rationale: The correct answer is B: Stratum functionalis is shed during menstrual phase. The endometrium is composed of two layers - the stratum functionalis and the stratum basalis. The stratum functionalis is the layer that undergoes cyclic changes during the menstrual cycle, thickening and then shedding during menstruation. This process is essential for preparing the endometrium for potential implantation of a fertilized egg.
Choice A is incorrect because the endometrium is actually lined by simple columnar epithelium with ciliated cells. Choice C is incorrect because the decidua is the name for the endometrium during pregnancy, but it is not specific to forming the decidua of the placenta. Choice D is incorrect because the arcuate artery is a branch of the uterine artery that runs along the myometrium, not penetrating the endometrium directly.
One treatment for erectile dysfunction requires the injection of a substance into the corpora cavernosa of the penis. The injection of which of the following causes an erection?
- A. Norepinephrine
- B. A substance that inhibits formation of nitric oxide
- C. Alprostadil
- D. Angiotensin II
Correct Answer: C
Rationale: Alprostadil is the correct answer because it is a prostaglandin E1 analog that dilates blood vessels in the corpora cavernosa, promoting blood flow and causing an erection. Norepinephrine (choice A) constricts blood vessels and inhibits erection. A substance that inhibits nitric oxide formation (choice B) is counterproductive as nitric oxide is essential for vasodilation. Angiotensin II (choice D) constricts blood vessels and does not promote erection. Therefore, C is the correct choice for inducing an erection through vasodilation in the corpora cavernosa.
When palpating the epididymis, the nurse considers which finding to be abnormal?
- A. The epididymis is located on the posterolateral surface of each testis.
- B. The epididymis feels like a tubular, comma-shaped structure.
- C. The epididymis collapses on palpation.
- D. The epididymis has an irregular, nodular surface.
Correct Answer: D
Rationale: The correct answer is D because an epididymis with an irregular, nodular surface is abnormal and may indicate a pathology such as epididymitis or a tumor. Step 1: Normal epididymis should feel smooth and firm, not irregular. Step 2: Nodular surface suggests a growth or inflammation. Step 3: Abnormal findings should prompt further evaluation. Incorrect choices: A is correct anatomical location, B describes the normal shape, and C collapsing is not a typical finding.
Mammary papilla means the;
- A. Areola
- B. Lactiferous duct
- C. Sinuses
- D. Nipple
Correct Answer: D
Rationale: The correct answer is D: Nipple. The mammary papilla refers to the nipple, the protruding part of the breast where milk is released during breastfeeding. It is the anatomical structure that connects the lactiferous ducts to the outside of the body. The other choices are incorrect because:
A: Areola is the darker area surrounding the nipple.
B: Lactiferous duct is the tube that carries milk from the mammary glands to the nipple.
C: Sinuses are not directly related to the mammary papilla.
The gonads, or primary sex organs, produce sex cells, also known as ________.
- A. zygotes
- B. interstitial cells
- C. gametes
- D. spermatids
Correct Answer: C
Rationale: The correct answer is C: gametes. Gonads produce sex cells, which are haploid cells involved in reproduction. Gametes are the mature, haploid male or female germ cells (sperm or egg) produced by the gonads. Zygotes are formed when gametes fuse during fertilization, not produced by gonads. Interstitial cells are found in the testes and produce hormones, not sex cells. Spermatids are immature male germ cells that develop into sperm, not the primary sex cells produced by gonads.