Nokea
What is an example of a patient’s comment that demonstrates the patient understands fibroids?
- A. I will only need to treat the fibroids when I am menopausal.
- B. A sonogram can help determine the size of my fibroids.
- C. There is little treatment to help my fibroids.
- D. Oral contraceptives will only make my fibroids worse.
Correct Answer: B
Rationale: The correct answer is B because mentioning the use of a sonogram to determine the size of fibroids shows understanding of the diagnostic process. This indicates awareness of the importance of imaging in assessing fibroids. Choice A is incorrect as fibroids may require treatment before menopause. Choice C is incorrect as there are various treatment options available. Choice D is incorrect as oral contraceptives do not necessarily worsen fibroids.
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Connective tissue fibers include:
- A. Purkinje, elastic and reticular fibers
- B. Purkinje, elastic and collagen fibers
- C. Reticular, elastic and collagen fibers
- D. Purkinje, reticular and collagen fibers
Correct Answer: C
Rationale: The correct answer is C: Reticular, elastic, and collagen fibers. Reticular fibers provide structural support, elastic fibers allow flexibility, and collagen fibers offer strength to connective tissues. Purkinje fibers are specialized cardiac muscle fibers, not connective tissue fibers. Choice A is incorrect because it includes Purkinje fibers, which are not part of connective tissue. Choice B is incorrect as it includes Purkinje fibers instead of reticular fibers. Choice D is incorrect because it lacks elastic fibers, which are essential for tissue flexibility. Therefore, choice C is the correct answer as it includes all three types of essential connective tissue fibers.
What are the factors that explain why a woman is fertile only a few days out of each monthly cycle?
- A. (1) Sperm usually cannot survive in the female reproductive tract for more than a few days, (2) an ovum must unite with a sperm during the first 24 hours after ovulation, before it reaches the uterus, so it will be ready for implantation, and (3) the cyclical mechanisms of female reproductive function limit the release of ova.
- B. (1) Sperm usually cannot survive in the female reproductive tract for more than 24 hours, (2) an ovum must unite with a sperm within the first 12 hours after ovulation, before it reaches the uterus, so it will be ready for implantation, and (3) the cyclical mechanisms of female reproductive function limit the release of ova.
- C. (1) Sperm usually cannot survive in the female reproductive tract for more than a few days, (2) an ovum must unite with a sperm within 12 hours after ovulation, before it reaches the uterus, so it will be ready for implantation, and (3) the cyclical mechanisms of female reproductive function limit the release of ova.
- D. (1) Sperm usually cannot survive in the female reproductive tract for more than 12 hours, (2) an ovum must unite with a sperm immediately after ovulation, before it reaches the uterus, so it will be ready for implantation, and (3) the cyclical mechanisms of female reproductive function limit the release of ova.
Correct Answer: A
Rationale: The correct factors explaining fertility include sperm survival, timing of fertilization, and cyclic release of ova.
Mammary glands are considered accessory organs of the female reproductive system.
- A. TRUE
- B. FALSE
- C. NA
- D. NA
Correct Answer: A
Rationale: Mammary glands are indeed considered accessory organs of the female reproductive system.
Extra follicles that remain after ovulation:
- A. Release their ovum during the last half of the reproductive cycle.
- B. Resume maturation during the next reproductive cycle.
- C. May be fertilized during another reproductive cycle.
- D. Are never active in another reproductive cycle.
Correct Answer: D
Rationale: After ovulation, remaining follicles degenerate and do not participate in future cycles.
A female patient who has gone through puberty and started menstruating without any problems has developed cessation of periods after 2 years of normal cycles. Which finding would indicate a possible cause for this occurrence?
- A. Lag in development of secondary sexual characteristics
- B. Overproduction of androgenic hormones
- C. Negative pregnancy test
- D. Clinical diagnosis of primary amenorrhea
Correct Answer: B
Rationale: The correct answer is B: Overproduction of androgenic hormones. The cessation of periods after normal cycles can be due to conditions like polycystic ovary syndrome (PCOS), where there is an excess of androgenic hormones. This can disrupt the menstrual cycle. Other choices are incorrect because:
A: Lag in development of secondary sexual characteristics is more indicative of delayed puberty, not cessation of periods after normal cycles.
C: Negative pregnancy test only rules out pregnancy as a cause, not addressing the cessation of periods issue.
D: Clinical diagnosis of primary amenorrhea refers to the absence of periods by age 16 without prior menstruation, not the cessation of periods after normal cycles.