Nokea
Conditions that cause the fallopian tubes to be narrower than normal may result in:
- A. Excessive cramping and bleeding during menstruation.
- B. Increased likelihood of pregnancy during each cycle.
- C. More rapid propulsion of the ovum through the tube.
- D. Implantation of a fertilized ovum within the tube.
Correct Answer: D
Rationale: Narrower fallopian tubes can trap a fertilized ovum, leading to ectopic pregnancy.
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Which statement with regard to reproductive anatomy and physiology is inaccurate?
- A. Female patients who are past puberty and sexually active can become pregnant
- C. Puberty symptoms are more prominent in males than females.
- D. Females enter puberty earlier than their male counterparts.
Correct Answer: C
Rationale: The correct answer is C. Puberty symptoms are actually more prominent in females than males due to the complex hormonal changes leading to the development of secondary sexual characteristics. This is because the female reproductive system is more intricate and involves a more gradual and prolonged process compared to males. Choice A is true as sexually active females can indeed become pregnant. Choice D is also accurate as females generally enter puberty earlier than males.
The vulva consists of which structure?
- A. Labia majora, minora, clitoris, mons pubis, and vestibular glands
- B. Penis, scrotum, and prostate gland
- C. Internal female structures, including the uterus and ovaries
- D. Openings of the urethra and vagina
Correct Answer: A
Rationale: The correct answer is A because the vulva comprises the labia majora, labia minora, clitoris, mons pubis, and vestibular glands. The labia majora and minora are outer and inner folds of skin, the clitoris is a sensitive organ, the mons pubis is a fatty area overlying the pubic bone, and the vestibular glands secrete lubrication. Choices B, C, and D are incorrect because they do not accurately represent the structures of the vulva. B refers to male reproductive structures, C to internal female organs, and D to specific openings rather than the entire vulva.
A woman who has taken methadone during pregnancy and wants to breastfeed should
- A. take the lowest dose of methadone
- B. continue the same dose of methadone
- C. stop taking methadone
Correct Answer: B
Rationale: Continuing methadone at the same dose is safe for breastfeeding mothers and their infants.
A patient presenting with chronic pelvic pain and heavy menstrual bleeding will be evaluated for what conditions? Select all that apply.
- A. endometriosis
- B. uterine fibroids
- C. ovarian cysts
- D. uterine polyps
Correct Answer: A,B,D
Rationale: The correct answer includes endometriosis, uterine fibroids, and uterine polyps due to their association with chronic pelvic pain and heavy menstrual bleeding. Endometriosis causes inflammation and scarring, leading to pain and abnormal bleeding. Uterine fibroids are non-cancerous growths in the uterus that can cause pain and heavy periods. Uterine polyps are overgrowths of the endometrial lining that can result in heavy bleeding. Ovarian cysts, although they can cause pelvic pain, are not typically associated with heavy menstrual bleeding.
An ectopic pregnancy can occur in the:
- A. Uterus
- B. Pelvic cavity
- C. Uterine tubes
- D. Either B or C are correct.
Correct Answer: D
Rationale: An ectopic pregnancy can occur in the pelvic cavity or uterine tubes.