Nokea
The external genitalia of the female are collectively called the
- A. labia
- B. vulva
- C. clitoris
- D. mons pubis
Correct Answer: B
Rationale: The correct answer is B: vulva. The vulva includes all external female genital structures, such as the labia, clitoris, and mons pubis. The term "vulva" is the most inclusive and accurate choice, encompassing all components of the external female genitalia. The other options, A, C, and D, refer to specific parts of the vulva, making them incorrect in this context. The labia are the outer and inner folds surrounding the vaginal opening, the clitoris is a highly sensitive organ involved in sexual pleasure, and the mons pubis is the fatty tissue overlying the pubic bone.
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Which of the following statements relating to lactation is incorrect.
- A. plasma prolactin releasing factor stimulates the release of prolactin from the anterior pituitary.
- B. mechanical stimulation and neural inputs stimulate the anterior pituitary to secrete prolactin releasing factor and oxytocin.
- C. plasma oxytocin stimulates the contraction of breast glands causing milk ejection.
- D. progesterone helps prepare the mammary glands for lactation
Correct Answer: B
Rationale: The correct answer is B because mechanical stimulation and neural inputs do not directly stimulate the anterior pituitary to secrete prolactin releasing factor and oxytocin. The release of prolactin is primarily controlled by the hypothalamus through the release of prolactin inhibitory hormone (dopamine) and prolactin releasing hormone. Oxytocin release is controlled by the hypothalamus in response to suckling. Choices A, C, and D are all correct statements about lactation. Plasma prolactin releasing factor (prolactin releasing hormone) does stimulate the release of prolactin, plasma oxytocin does stimulate milk ejection, and progesterone does prepare the mammary glands for lactation.
Twins resulting from the fertilization of separate ova by separate sperm cell are called:
- A. Paternal twins
- B. Maternal twins
- C. Fraternal twins
- D. Identical twins
Correct Answer: C
Rationale: The correct answer is C: Fraternal twins. Fraternal twins result from the fertilization of separate ova by separate sperm cells, leading to siblings who share 50% of their genetic material. This is different from identical twins (choice D), which result from the fertilization of a single egg by a single sperm cell, leading to siblings who share 100% of their genetic material. Choices A and B are incorrect as they do not accurately describe the process of fraternal twinning. Paternal twins (choice A) and maternal twins (choice B) are not commonly used terms in genetics to describe types of twinning.
The fructose in semen is secreted by
- A. the epididymis.
- B. the seminiferous tubules.
- C. the seminal vesicles.
- D. the prostate glands.
Correct Answer: C
Rationale: The correct answer is C, the seminal vesicles. Seminal vesicles secrete fructose in semen to provide energy for sperm motility. This process occurs after sperm leave the epididymis and seminiferous tubules, ruling out choices A and B. The prostate glands contribute to the alkaline fluid in semen, not fructose, eliminating choice D. Therefore, choice C is correct due to its role in providing energy for sperm function.
While giving a history, a patient reports having a weak urinary stream and feeling that his bladder is not empty after urination. Based on these data, what finding does the nurse anticipate upon examination?
- A. An enlarged prostate gland palpated on the anterior wall of the rectum
- B. An indirect hernia palpated through the inguinal ring when the patient coughs
- C. The foreskin of the penis cannot be returned to position after retraction behind the glans
- D. A nodular prostate gland palpated on the posterior wall of the rectum
Correct Answer: A
Rationale: The correct answer is A: An enlarged prostate gland palpated on the anterior wall of the rectum. In this case, the patient's weak urinary stream and feeling of incomplete bladder emptying are classic symptoms of benign prostatic hyperplasia (BPH). During a rectal examination, an enlarged prostate gland can be felt as a smooth, rubbery, and symmetrically enlarged mass on the anterior wall of the rectum. This finding correlates with the patient's urinary symptoms, indicating obstruction of the urethra by the enlarged prostate.
Choice B is incorrect because an indirect hernia is not typically associated with urinary symptoms. Choice C is incorrect as it describes paraphimosis, a condition where the foreskin cannot be returned to its original position. Choice D is incorrect as a nodular prostate gland palpated on the posterior wall of the rectum is more characteristic of prostate cancer rather than BPH, which is typically felt on the anterior wall.
Which blood vessel in the fetus has the highest Po2?
- A. Ductus arteriosus
- B. Ductus venosus
- C. Ascending aorta
- D. Left atrium
Correct Answer: B
Rationale: The correct answer is B: Ductus venosus. The ductus venosus carries oxygenated blood from the umbilical vein to the inferior vena cava, bypassing the liver. This blood has the highest Po2 among the choices because it is coming directly from the placenta, where oxygen exchange occurs. The other choices (A, C, D) carry deoxygenated blood or blood with lower oxygen content in the fetal circulation. The ductus arteriosus shunts blood from the pulmonary artery to the aorta, so it carries deoxygenated blood. The ascending aorta and left atrium receive mixed oxygenated and deoxygenated blood, not the highest Po2.