Nokea
The egg is fertilized in which anatomical structure?
- A. Vagina
- B. Uterus
- C. uterine (fallopian) tube
- D. cervix
Correct Answer: B
Rationale: The correct answer is B: Uterus. After fertilization, the egg travels through the fallopian tube and implants in the uterus for further development. The vagina is the birth canal, not the site of fertilization. The fallopian tube is where fertilization typically occurs, but the actual implantation of the fertilized egg occurs in the uterus. The cervix is the lower part of the uterus that connects to the vagina and plays a role in pregnancy but is not where fertilization occurs.
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The outer serosal layer of the uterus is the _____.
- A. perimetrium
- B. cervix
- C. endometrium
- D. myometrium
Correct Answer: A
Rationale: The correct answer is A: perimetrium. The perimetrium is the outer serosal layer of the uterus, providing protection and support. The other choices are incorrect: B. cervix is the lower portion of the uterus, C. endometrium is the inner lining where implantation occurs, and D. myometrium is the middle muscular layer of the uterus. The perimetrium is the outermost layer, making it the correct choice.
The secondary oocyte completes its second meiotic division
- A. just after fertilization
- B. just after ovulation
- C. just before fertilization
- D. just before ovulation
Correct Answer: A
Rationale: The correct answer is A: just after fertilization. After fertilization, the secondary oocyte completes its second meiotic division, forming a mature ovum and a polar body. This process occurs to ensure the correct chromosome number in the resulting zygote. Choices B, C, and D are incorrect because the completion of the second meiotic division occurs specifically after fertilization, not before or just after ovulation or fertilization.
A professional athlete in her mid-20s has not had a menstrual cycle for 5 years, although a bone density scan revealed normal skeletal mineralization. Which of the following facts elicited during the taking of her medical history may explain these observations?
- A. She consumes a high-carbohydrate diet
- B. Her grandmother suffered a hip fracture at age 79
- C. Her blood pressure is greater than normal
- D. Her plasma estrogen concentration is very low
Correct Answer: D
Rationale: The correct answer is D: Her plasma estrogen concentration is very low. The absence of menstrual cycles in a young athlete with normal bone density suggests hypothalamic dysfunction affecting the menstrual cycle. This can result from low estrogen levels, which are essential for the regulation of menstrual cycles. Low estrogen levels can be caused by intense physical activity, leading to suppression of the hypothalamic-pituitary-ovarian axis.
Choice A is incorrect because a high-carbohydrate diet alone is unlikely to cause amenorrhea. Choice B is irrelevant to the absence of menstrual cycles and normal bone density in the athlete. Choice C, elevated blood pressure, is also unrelated to the situation described.
Which of these is not produced by the placenta?
- A. estrogen
- B. relaxin
- C. progesterone
- D. lactogen
Correct Answer: B
Rationale: The correct answer is B: relaxin. The placenta produces estrogen, progesterone, and lactogen to support pregnancy. Relaxin is primarily produced by the corpus luteum and later by the placenta. However, it is not exclusively produced by the placenta, making it the correct choice. Estrogen is crucial for fetal development and maintaining pregnancy. Progesterone helps in preparing the uterus for implantation and supporting the pregnancy. Lactogen (human placental lactogen) plays a role in regulating maternal metabolism and fetal growth.
A 67-year-old client with incomplete bladder emptying caused by BPH has a new prescription for tamsulosin (Flomax). Which statement about tamsulosin is most important to include when teaching this client?
- A. This medication will improve your symptoms by shrinking the prostate.
- B. The force of your urinary stream will probably increase.
- C. Your blood pressure will decrease as a result of taking this medication.
- D. You should avoid making sudden changes in position.
Correct Answer: D
Rationale: Tamsulosin can cause orthostatic hypotension, so advising the client to avoid sudden position changes is crucial.