Nokea
The day after having a radical prostatectomy, your client has many blood clots in the urinary catheter and states he has frequent bladder spasms. You notice occasional urine leakage around the catheter at the urinary meatus. The client says that his right calf is sore and complains that he feels short of breath. Which action will you take first?
- A. Irrigate the catheter with 50 mL of sterile saline.
- B. Administer oxybutynin (Ditropan) 5 mg orally.
- C. Dorsiflex the foot to check for Homans' sign.
- D. Obtain an oxygen saturation using pulse oximetry.
Correct Answer: D
Rationale: Shortness of breath and calf soreness suggest a pulmonary embolism; obtaining oxygen saturation is critical.
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Which of the following statements is incorrect.
- A. a female has approximately 2-4 million oocytes at birth
- B. a female has approximately 6 million oogonia during fetal development
- C. a female ovulates about 2,000 to 4,000 oocytes during her life
- D. only approximately 1-5 oocytes are fertilized
Correct Answer: C
Rationale: The correct answer is C because a female actually ovulates only about 400-500 oocytes during her lifetime, not 2,000 to 4,000. This is due to the process of follicular atresia where many oocytes are lost before ovulation. Choice A is correct as females have a finite number of oocytes at birth. Choice B is correct as oogonia differentiate into primary oocytes during fetal development. Choice D is incorrect as typically only one oocyte is fertilized during each menstrual cycle.
_______ is a lytic enzyme released by the sperm.
- A. Hyaluronidase
- B. Trypsin
- C. Helicase
- D. None of the above
Correct Answer: A
Rationale: The correct answer is A: Hyaluronidase. This enzyme is released by the sperm to help penetrate the outer layer of the egg during fertilization. Hyaluronidase specifically breaks down hyaluronic acid present in the cumulus cells surrounding the egg. Trypsin is a digestive enzyme found in the pancreas, not involved in sperm function. Helicase is an enzyme involved in DNA replication and repair, not released by sperm. "None of the above" is incorrect as hyaluronidase is indeed released by the sperm.
The pregnancy period is:
- A. 120 days;
- B. nine weeks;
- C. 280 weeks;
- D. 280 days;
Correct Answer: D
Rationale: The correct answer is D: 280 days. The pregnancy period, also known as gestation, typically lasts around 280 days from the first day of the last menstrual period to the birth of the baby. This duration is calculated based on the average length of a full-term pregnancy, which is approximately 40 weeks. It is important to note that individual pregnancies may vary slightly in duration, but the standard reference is 280 days.
Explanation of other choices:
A: 120 days - This is too short for a full-term pregnancy.
B: Nine weeks - This is only around 63 days, which is far less than the average gestation period.
C: 280 weeks - This is equivalent to around 1960 days, which is much longer than a typical pregnancy duration.
How many fused parts form sacrum?
- A. 4
- B. 5
- C. 6
- D. 3
Correct Answer: A
Rationale: The sacrum is formed by the fusion of 5 originally separate sacral vertebrae. However, the coccyx is the result of the fusion of 4 originally separate coccygeal vertebrae. Therefore, the sacrum itself is formed by the fusion of 4 parts, making choice A correct. Choices B, C, and D are incorrect as they do not accurately reflect the anatomical structure of the sacrum.
A scientist studying developmental physiology performs an experiment in which a substance is given to pregnant rats that give birth to pups that have XY chromosomes but female genital organs. What was the substance given to the rats?
- A. An antibody that blocked the effect of human chorionic gonadotropin in the embryo and fetus
- B. A large quantity of estrogen-like compounds
- C. Follicle-stimulating hormone
- D. Testosterone
Correct Answer: A
Rationale: The correct answer is A: An antibody that blocked the effect of human chorionic gonadotropin in the embryo and fetus. Human chorionic gonadotropin (hCG) is crucial for male sexual differentiation. Blocking its effects would lead to the development of female genital organs in pups with XY chromosomes. Estrogen-like compounds (B) and follicle-stimulating hormone (C) are not directly involved in male sexual differentiation. Testosterone (D) is responsible for male sexual development, so giving testosterone would not result in female genital organs in XY pups.