Discuss the anatomical/physiological changes in pregnancy under the following: Cardiovascular system
- A. The heart is displaced upward and to the left by the enlarging uterus, cardiac capacity increases, and blood pressure declines slightly.
- B. The heart is displaced downward and to the right, and blood pressure increases.
- C. The cardiovascular system remains unchanged during pregnancy.
- D. Cardiovascular changes include increased peripheral resistance and reduced cardiac output.
Correct Answer: A
Rationale: During pregnancy, the cardiovascular system undergoes changes such as the heart being displaced upward and to the left by the enlarging uterus, increased cardiac capacity, and a slight decline in blood pressure. Choice B is incorrect as the heart is displaced upwards, not downwards, and blood pressure typically decreases slightly. Choice C is incorrect as the cardiovascular system does undergo changes during pregnancy. Choice D is incorrect as cardiovascular changes in pregnancy involve increased cardiac output rather than reduced output.
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The endometrial tissue of the cervix is arranged in folds known as:
- A. Racemose glands
- B. Rugae
- C. Arbor vitae
- D. Peritoneum
Correct Answer: B
Rationale: The endometrial tissue of the cervix is arranged in folds known as rugae, not Arbor vitae. Rugae are commonly found in anatomical structures like the stomach and bladder to allow expansion. Choices A, C, and D are incorrect. Racemose glands refer to branched compound glands, Arbor vitae is the tree-like appearance of the cerebellum, and Peritoneum is the serous membrane lining the abdominal cavity.
A woman is considered to be in menopause if she has experienced the cessation of her menses for a period of:
- A. 6 months
- B. 12 months
- C. 18 months
- D. 24 months
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Incomplete abortion is characterized by:
- A. Heavy bleeding.
- B. Open os.
- C. Severe cramping.
- D. Light bleeding.
Correct Answer: B
Rationale: Incomplete abortion is characterized by an open os, which means that the cervix is dilated, allowing for passage of tissue. This condition typically presents with heavy bleeding as parts of the products of conception are expelled. Severe cramping may also be present due to uterine contractions. Therefore, the correct characteristic of incomplete abortion is an open os (Choice B). Choices A, C, and D are incorrect as heavy bleeding and severe cramping are symptoms associated with incomplete abortion, but they do not specifically define it, and light bleeding is not characteristic of incomplete abortion.
Which of the following are outcomes of an ectopic pregnancy EXCEPT?
- A. Tubal abortion
- B. Tubal rupture
- C. Intra-tubal bleeding
- D. Secondary abdominal pregnancy
Correct Answer: D
Rationale: Ectopic pregnancy occurs when a fertilized egg implants outside the uterus. Common outcomes include tubal abortion (spontaneous termination of ectopic pregnancy within the fallopian tube), tubal rupture (rupture of the fallopian tube leading to internal bleeding), and intra-tubal bleeding. Secondary abdominal pregnancy, on the other hand, is a rare occurrence and not a typical outcome of an ectopic pregnancy. It involves the implantation of a fertilized egg in the peritoneal cavity rather than the uterus.
Which of the following are types of induced abortions?
- A. Therapeutic abortion
- B. Missed abortion
- C. Inevitable abortion
- D. Threatened abortion
Correct Answer: A
Rationale: The correct answer is A, therapeutic abortion, which is a type of induced abortion performed for medical reasons. Missed abortion, inevitable abortion, and threatened abortion are types of spontaneous abortions, not induced abortions. Missed abortion refers to a non-viable pregnancy, inevitable abortion is a miscarriage that cannot be stopped, and threatened abortion is when there is bleeding during pregnancy without cervical dilation.