Nokea
Which of the following are the advantages of a vaginal hysterectomy over an abdominal hysterectomy?
- A. Fewer complications
- B. Increased recovery time
- C. Radical hysterectomy can even be done laparoscopically
- D. No pain
Correct Answer: A
Rationale: Vaginal hysterectomies generally have fewer complications and quicker recovery times compared to abdominal procedures.
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A drug is given that affects the initial phases of spermatogenesis to aid in a patient’s infertility complaints. How much time would it take for the effects of this drug to be seen?
- A. 4.6 days
- B. 16 days
- C. 22 days
- D. 86 days
Correct Answer: D
Rationale: The correct answer is D (86 days) because spermatogenesis is a process that takes around 74 days from the initial division of spermatogonia to the release of mature spermatozoa. The drug affecting the initial phases of spermatogenesis would take at least one full cycle of spermatogenesis to show its effects, which is around 74 days. Therefore, it would take approximately 86 days for the effects of the drug to be seen.
Choice A (4.6 days) is too short for spermatogenesis to complete, so the effects of the drug would not be observable in this time frame. Choice B (16 days) and Choice C (22 days) are also insufficient for a full cycle of spermatogenesis to occur, hence the effects of the drug would not be evident within these durations.
Which patients meet the criteria for Chlamydia screening?
- A. A 40-year-old woman who is sexually active and uses barrier protection consistently
- B. A 15-year-old female woman who is sexually active with one partner
- C. A 22-year-old woman who is sexually active and uses barrier protection inconsistently
- D. A 23-year-old woman who has had four sexual partners in the last 3 months
Correct Answer: C
Rationale: The correct answer is C because the 22-year-old woman who is sexually active and uses barrier protection inconsistently is at higher risk for Chlamydia infection. Inconsistent use of barrier protection increases the likelihood of exposure to the infection. The other choices (A, B, D) do not specifically mention increased risk factors for Chlamydia. Choice A mentions consistent barrier protection, which lowers the risk. Choice B mentions having one partner, which may reduce the risk compared to multiple partners. Choice D mentions having multiple partners, which increases the risk, but it does not mention current risky behavior like inconsistent barrier protection.
__________________ glands located just beneath the urinary bladder produce fluids that aid in nourishment and provides energy to the sperm cells
- A. Bulbourethral glands
- B. Bartholin's glands
- C. Seminal vesicle
- D. Prostate gland
Correct Answer: C
Rationale: The correct answer is C: Seminal vesicle. Seminal vesicles are located just beneath the urinary bladder and produce fluids that aid in nourishment and provide energy to sperm cells. They contribute a significant portion of seminal fluid, which contains nutrients and substances that enhance sperm motility and viability. The other choices are incorrect because: A (Bulbourethral glands) produce pre-ejaculate fluid for lubrication, B (Bartholin's glands) are located near the vaginal opening in females, and D (Prostate gland) produces a fluid that helps with sperm motility and viability but is not located just beneath the urinary bladder.
Select the following structures which participate in forming the pelvic brim
- A. Arcuate line
- B. Margin ala of sacrum
- C. Pubic tubercle
- D. Sacral promontory
Correct Answer: A
Rationale: The correct answer is A: Arcuate line. The pelvic brim is formed by structures at the pelvic inlet. The arcuate line is a ridge on the inner surface of the ilium that contributes to the boundary of the pelvic brim. The other choices, B: Marginal ala of sacrum, C: Pubic tubercle, and D: Sacral promontory, do not directly participate in forming the pelvic brim. The marginal ala of the sacrum is part of the sacrum, the pubic tubercle is located on the pubis bone, and the sacral promontory is a landmark on the sacrum but does not contribute to the pelvic brim.
Why is rupturing of the hymen not considered a confirmation of loss of virginity?
- A. Because the hymen is not affected by any sexual activity
- B. Because the hymen can be perforated during physical activity, insertion of a tampon, or pelvic examination.
- C. Because the hymen is ruptured the first time a person urinates.
- D. Because the hymen is very delicate and may be ruptured even when running or doing strenuous exercises.
Correct Answer: B
Rationale: The hymen can be perforated by various non-sexual activities, making it an unreliable indicator of virginity.