Between puberty and menopause, monthly, the following occurs :
- A. the maturation of a single secondary ovarian follicle;
- B. the transformation of a primordial follicle into a secondary one;
- C. the release of an oocyte;
- D. the release of a de Graaf follicle;
Correct Answer: C
Rationale: The correct answer is C: the release of an oocyte. During the menstrual cycle, ovulation occurs where a mature egg (oocyte) is released from the ovary. This typically happens around the middle of the cycle in response to hormonal changes. This process is essential for fertilization and pregnancy to occur.
A, B, and D are incorrect because:
A: the maturation of a single secondary ovarian follicle - This occurs before ovulation, not during the menstrual cycle.
B: the transformation of a primordial follicle into a secondary one - This is an earlier stage in follicle development, not a monthly occurrence.
D: the release of a de Graaf follicle - The Graafian follicle is the mature follicle that releases the oocyte during ovulation, not a monthly event.
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A client is undergoing sentinel lymph node mapping. A nurse explains that this new technique reduces the likelihood of which
- A. Lymphedema
- B. Excessive scarring
- C. Cellulitis
- D. None of the above
Correct Answer: A
Rationale: Sentinel lymph node mapping helps reduce the risk of lymphedema by limiting the number of lymph nodes removed.
A 24-yr-old woman says she wants to begin using oral contraceptives. Which information from the nursing assessment is important to report to the health care provider before a prescription is considered?
- A. The patient quit smoking 5 months previously.
- B. The patient’s blood pressure is 150/86 mm Hg.
- C. The patient has not been vaccinated for rubella
- D. The patient has chronic iron-deficiency anemia
Correct Answer: B
Rationale: Step 1: Elevated blood pressure (BP) is a contraindication for oral contraceptives due to increased risk of cardiovascular events.
Step 2: BP of 150/86 mm Hg falls in the hypertensive range.
Step 3: Reporting high BP to the healthcare provider is crucial for assessing the patient's cardiovascular risk.
Step 4: Other choices are not immediate contraindications for oral contraceptives: A - Smoking cessation is a positive factor, C - Rubella vaccination can be addressed separately, D - Iron-deficiency anemia can be managed alongside oral contraceptives.
What is the function of the prolactin hormone?
- A. Prolactin promotes the production of milk from elements in the blood.
- B. Prolactin stimulates the development of alveoli.
- C. Prolactin stimulates increased production of tubules and ducts.
- D. Prolactin promotes the growth and development of the breasts' fatty tissue.
Correct Answer: A
Rationale: Prolactin is primarily responsible for milk production in the mammary glands.
A 22 year old male presents in your clinic, c/o pain in his testicle and penis. The pain began last night and has steadily become worse. He hurts when he urinates. He has not attempted intercourse since the pain began. He has tried Tylenol and Ibuprofen without improvement. Denies fever or night sweats. He has had 4 previous sexual partners and has had a new partner for the last month. She is using oral contraceptives and they do not use a condom. On exam, you see a young man lying on his side, mildly ill. His temp is 100.2. There are no visible lesions on the penis, or discharge from the meatus. The scrotum appears normal. Palpation of the testes reveals severe tenderness at the superior pole of the normal-sized left testicle. He also has tenderness when you palpate the structures superior to the testicle through the scrotal wall. The right testicle is unremarkable. An examining finger is placed through each inguinal ring without bulges noted with bearing down. Urine analysis shows WBCs and bacteria. What diagnosis of the male genitalia is most likely?
- A. Acute orchitis
- B. Acute epididymitis
- C. Torsion of the spermatic cord
- D. Prostatitis
Correct Answer: B
Rationale: The correct answer is B: Acute epididymitis. The patient's symptoms of pain in the testicle and penis, worsened pain with urination, and presence of WBCs and bacteria in the urine analysis are indicative of an infection. The severe tenderness at the superior pole of the left testicle and tenderness on palpation of structures superior to the testicle through the scrotal wall suggest involvement of the epididymis. The risk factors of multiple sexual partners and recent unprotected intercourse also support the diagnosis of epididymitis, which is commonly caused by sexually transmitted infections. Acute orchitis (choice A) typically presents with swelling and tenderness of the entire testicle, not just the epididymis. Torsion of the spermatic cord (choice C) presents with sudden onset severe testicular pain and may have a high-riding testicle. Prostatitis (choice D) presents with symptoms related to the prostate gland, such as pelvic
The female reproductive system includes the following structures:
- A. ovary;
- B. Fallopian tubes;
- C. vagina;
- D. vulva;
Correct Answer: A
Rationale: The correct answer is A: ovary. The female reproductive system includes the ovaries, which are responsible for producing eggs and hormones like estrogen and progesterone. The Fallopian tubes are passageways for eggs to travel from the ovaries to the uterus, not a part of the system itself. The vagina is the birth canal and where sperm enters during intercourse, but it is not a reproductive organ. The vulva includes external genitalia like the labia and clitoris, but it is not a reproductive structure. Therefore, the ovary is the only structure directly involved in the reproductive process.