ATI RN
Human Reproductive System pdf Questions
Question 1 of 5
________ vertebrae are the strongest and largest of the vertebral column.
Correct Answer: A
Rationale: The correct answer is A: Lumbar vertebrae. The lumbar vertebrae are the largest and strongest of the vertebral column due to their weight-bearing function in supporting the upper body. They have a larger body and thicker structures compared to other vertebrae, providing stability and support. The sacrum, thoracic, and cervical vertebrae are not as large or strong as the lumbar vertebrae, as they have different functions and shapes tailored to their specific roles in the spine.
Question 2 of 5
Prophase I of the spermatocyte phase lasts approximately:
Correct Answer: D
Rationale: The correct answer is D (16 days) because prophase I of spermatocyte phase involves complex processes like chromosome pairing and recombination, which take time. It is a crucial stage in sperm formation. Choices A, B, and C are incorrect as they underestimate the duration required for these intricate cellular events to occur. A shorter timeframe would not allow for proper genetic exchange and segregation, essential for genetic diversity in offspring. Thus, a longer duration like 16 days is necessary for the completion of prophase I in spermatocyte phase.
Question 3 of 5
A 15 year old high school football player is in your clinic, c/o severe testicular pain since 8 am this morning. Denies sexual activity. Unable to urinate due to pain. He is nauseated and is vomiting. He is lying on the exam table, uncomfortably shifting his position. His BP is 150/100, pulse is 110, respirations are 24. There are no lesions on the penis and no discharge from the meatus. The scrotal skin is tense and red. Palpation of the left testicle causes severe pain and the patient begins to cry. Prostate exam is normal. His cremasteric reflex is absent on the left but is normal on the right. Urine sample (by catheter) is normal. You send him to the emergency room. What is the most likely diagnosis?
Correct Answer: C
Rationale: The correct diagnosis is torsion of the spermatic cord. This condition presents with sudden severe testicular pain, nausea, vomiting, high blood pressure, tachycardia, and absence of cremasteric reflex. The key findings include red, tense scrotal skin, severe pain on palpation, and crying. The absence of discharge and normal prostate exam rule out prostatitis. Acute orchitis typically presents with fever and urinary symptoms, which are absent here. Acute epididymitis usually presents with gradual onset and urinary symptoms. Torsion of the spermatic cord is a surgical emergency requiring immediate intervention to prevent testicular ischemia and necrosis.
Question 4 of 5
The average menstrual cycle is
Correct Answer: D
Rationale: The correct answer is D (28 days) as it is the average length of a menstrual cycle, which is typically counted from the first day of one period to the first day of the next. The menstrual cycle is controlled by hormonal changes and the average duration is around 28 days. This length allows for the proper preparation and shedding of the uterine lining. Choices A, B, and C are incorrect as they do not align with the typical length of a menstrual cycle, which is around 28 days.
Question 5 of 5
A professional athlete in her mid-20s has not had a menstrual cycle for 5 years, although a bone density scan revealed normal skeletal mineralization. Which of the following facts elicited during the taking of her medical history may explain these observations?
Correct Answer: D
Rationale: The correct answer is D: Her plasma estrogen concentration is very low. The absence of menstrual cycles in a young athlete with normal bone density suggests hypothalamic dysfunction affecting the menstrual cycle. This can result from low estrogen levels, which are essential for the regulation of menstrual cycles. Low estrogen levels can be caused by intense physical activity, leading to suppression of the hypothalamic-pituitary-ovarian axis. Choice A is incorrect because a high-carbohydrate diet alone is unlikely to cause amenorrhea. Choice B is irrelevant to the absence of menstrual cycles and normal bone density in the athlete. Choice C, elevated blood pressure, is also unrelated to the situation described.