Nokea
Which of the following is not a synonym for the premenstrual phase?
- A. Postovulatory phase
- B. Luteal phase
- C. Secretory phase
- D. Estrogen phase
Correct Answer: D
Rationale: The premenstrual phase is not referred to as the estrogen phase.
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The endometrial thickness is greatest during the:
- A. Secretory phase
- B. Menstrual phase
- C. Proliferative phase
- D. Late follicular phase
Correct Answer: A
Rationale: The correct answer is A: Secretory phase. During the secretory phase of the menstrual cycle, the endometrial thickness is greatest due to increased progesterone levels, leading to thickening of the endometrium in preparation for potential implantation of a fertilized egg. This phase occurs after ovulation and is characterized by glandular secretions and increased vascularity to support a potential pregnancy.
Summary:
- Menstrual phase (B) is incorrect as it is characterized by shedding of the endometrial lining.
- Proliferative phase (C) is incorrect as it involves endometrial thickening but not to the extent seen in the secretory phase.
- Late follicular phase (D) is incorrect as it precedes ovulation and is primarily characterized by follicular development rather than significant endometrial thickening.
Each of the following structures is a part of the vulva except the:
- A. Mons pubis
- B. Labia majora
- C. Perineum
- D. Clitoris
Correct Answer: C
Rationale: The perineum is not part of the vulva but rather the area between the vaginal orifice and the anus.
The external os opens into the vagina.
- A. TRUE
- B. FALSE
- C. NA
- D. NA
Correct Answer: A
Rationale: The external os is the opening of the cervix into the vagina.
1If a new mother asks about bottle-feeding human milk so the father can experience feeding the infant, she should be advised to wait for at least
- A. 24 to 48 hours
- B. one week
- C. 4 weeks
Correct Answer: A
Rationale: Introducing bottles too early may interfere with breastfeeding establishment.
A 38-year-old patient presents to the clinic office complaining of increased bilateral tenderness of her breasts prior to the onset of menses. On questioning the patient, this
- A. Physical examination reveals lumpy areas bilaterally on the upper outer quadrants of each
- B. The areas of concern are approximately 2 cm in siz
- C. Based on this assessment, which diagnostic testing would be necessary? (Select all that apply.)
- D. Ultrasound examination
Correct Answer: A
Rationale: The correct answer is A because lumpy areas on the upper outer quadrants of the breasts are characteristic of fibrocystic breast changes, which commonly cause increased tenderness before menses. This finding is important for differential diagnosis and management. Choice B is incorrect because the size of the areas is less relevant than the location and characteristics. Choice C is incorrect as it is not specific to the clinical presentation described. Choice D is incorrect because while an ultrasound may be used in assessing breast lumps, the initial step would be to identify the specific characteristics on physical examination.