Nokea
Which structure lies posterior to the bladder and anterior to the rectum and secretes an alkaline, fructose filled fluid?
- A. Prostate
- B. bulbourethral gland
- C. Seminal vesicles
- D. Spongy urethra
Correct Answer: C
Rationale: The correct answer is C: Seminal vesicles. These glands are located posterior to the bladder and anterior to the rectum. They secrete an alkaline fluid rich in fructose, which nourishes and supports sperm viability. The other choices are incorrect because: A) The prostate is located below the bladder and surrounds the urethra, secreting a milky fluid; B) The bulbourethral gland is located below the prostate and secretes a clear, viscous fluid; D) The spongy urethra is a part of the male urethra that runs through the penis, responsible for transporting urine and semen.
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You are working in the PACU caring for a 32-year-old client who has just arrived after having a dilation and curettage (D&C) to evaluate infertility. Which assessment data are of most concern?
- A. Blood pressure 162/90.
- B. Perineal pad saturated after first 30 minutes.
- C. O2 saturation 91%-95%.
- D. Sharp, continuous, level 8/10 abdominal pain.
Correct Answer: B
Rationale: Heavy bleeding could indicate hemorrhage, necessitating immediate intervention.
With respect to the effects of testosterone in the male which statement is incorrect?
- A. testosterone inhibits the secretion of luteinising hormone
- B. testosterone stimulates the secretion of inhibin from leydig cells
- C. testosterone induces and maintains male sexual functions
- D. testosterone stimulates protein anabolism and bone growth.
Correct Answer: B
Rationale: The correct answer is B because inhibin is primarily secreted by Sertoli cells in the testes, not Leydig cells. Testosterone actually stimulates the secretion of inhibin from Sertoli cells. In contrast, Leydig cells produce testosterone in response to luteinising hormone (Choice A). Testosterone does play a key role in inducing and maintaining male sexual functions (Choice C) and also stimulates protein anabolism and bone growth (Choice D). Thus, Choice B is incorrect as Leydig cells do not secrete inhibin.
A nurse is teaching a client in the doctor's office about genital warts. Which of the following is the best discharge instruction to give to a client with genital warts?
- A. Advise all sexual contacts to be examined and treated.
- B. Antiviral IV drugs are recommended to prevent viral shedding.
- C. Topical applications of the antiviral drugs are recommended for clinical benefits.
- D. Use of alcohol, peroxide, witch hazel, and warm air from a hair dryer are recommended to keep the lesions dry.
Correct Answer: A
Rationale: Notifying and treating all sexual contacts is essential to prevent further spread of genital warts.
Which of the following factors increase the risk of prostate cancer?
- A. A low-fat diet
- B. Alcohol and caffeine consumption
- C. Living an inactive lifestyle
- D. Smoking habits
Correct Answer: C
Rationale: An inactive lifestyle is associated with an increased risk of prostate cancer.
In what specific part of the male reproductive system do maturing sperm gain increased motility and their ability to swim?
- A. Seminiferous tubules
- B. Epididymis
- C. Ductus deferens
- D. Ejaculatory duct
Correct Answer: B
Rationale: The correct answer is B: Epididymis. The epididymis is where maturing sperm gain increased motility and their ability to swim due to the presence of specific proteins and enzymes that facilitate this process. Sperm leave the seminiferous tubules in an immature state and undergo maturation in the epididymis through interactions with these proteins. The ductus deferens and ejaculatory duct are not involved in the maturation process of sperm and do not contribute to their motility. The seminiferous tubules are responsible for sperm production but not for the maturation of sperm motility.