NSG 6251 Advanced health assessment: Which of the following is NOT seen in the second trimester?

Which of the following is NOT seen in the second trimester?
Leptotene
 Pachytene
 Zygotene
 Diplotene
 Secondary oocyte


Which hormone increases most significantly in the luteal phase of the menstrual cycle?
Progesterone
 Estrogen
 Cortisol
 LH
 FSH


Which phase of the menstrual cycle will most likely remain constant even if the cycle is prolonged?
Menstrual phase
 Excretory phase
 Luteal phase
 Ovulation
 Follicular phase


Which of the following is the earliest sign of fertilization in an in vitro environment?
Formation of the cavity between the granulosa cell layer of the fertilized egg
 Formation of the morula stage
 Two polar bodies
 Division of the egg
 Multiplication of the cells


What is the name of the developmental stage in the fertilization and implantation process following eight cells stage?
Embryoblast
 Morula
 Zygote
 Ovum
 Blastocyst


Which of the following is the term used in a patient who has lost 200 ml of blood over a 7-day menstrual cycle?
Polymenorrhoea
 Menorrhagia
 Amenorrhea
 Dysmenorrhea
 Metrorrhagia


Which of the following best describes polymenorrhea?
Pain during menses
 Menstrual intervals greater than 35 days
 Menstrual intervals less than 21 days
 Irregular bleeding between menses

,  Excessive menstrual blood flow



Which of the following scenarios would be considered pathological for a patient with primary amenorrhea?
A 14-year-old girl who has had menses only once and has development of secondary sexual characteristics.
 An 11-year-old girl who has never had menses but has development of secondary sexual characteristics.
 An 11-year-old girl who has never had menses and no development of secondary sexual characteristics.
 A 13-year-old girl who has never had menses and no development of secondary sexual characteristics.
 A 13-year-old girl who has never had menses but has development of secondary sexual characteristics.


Which of the following is NOT a cause of primary amenorrhea?
Swyer syndrome
 Asherman syndrome
 Mullerian agenesis
 Turner syndrome
 Androgen insensitivity syndrome


Which of the following best describes secondary amenorrhea?
A woman who had her menses in the past but has not had menses for 2 cycles.
 A woman who never had her menses in the past.
 A woman who had her menses in the past but has not had menses for 2 months.
 A woman who had her menses in the past but has not had menses for 6 months.
 A woman who had her menses in the past but has not had menses for 1 month.


Which of the following is the etiology of Sheehan's syndrome?
Underdeveloped pituitary
 Pituitary adenoma
 Pituitary agenesis
 Pituitary cyst
 Pituitary apoplexy


A 26-year-old woman comes with a history of inability to lactate and no menses for 9 months. She has 2 children in the past. Her
record shows that she was transfused 8 units of compatible blood due to postpartum hemorrhage. What is the probable diagnosis?
Asherman syndrome
 Empty sella syndrome
 Transfusion-related complication
 Sheehan syndrome
 Mullerian dysgenesis


Which of the following is the most common cause of pathologic secondary amenorrhea?
High prolactin levels
 Premature menopause
 Functional hypothalamic amenorrhea
 Sheehan syndrome
 Polycystic ovarian syndrome


A 30-year-old woman complains that she has missed her periods for 3 months. She recently lost her job and has difficulty taking
care of 2 children by herself. Her examination doesn't reveal any positive findings except for breast tenderness. What should be
the next step in management?

, Perform FSH and LH hormone testing on serum.
 Perform vaginal ultrasound to rule out Asherman syndrome.
 Perform serum prolactin levels.
 Perform serum pregnancy test (hCG).
 Start counseling since the probable cause of amenorrhea is stress-induced.



What describes hormonal changes in secondary amenorrhea?
Chronic anovulation - decreased FSH, or FSH is equivocal Prolactinoma - prolactin decreased Ovarian failure - increased FSH
Anatomic defect - FSH is equivocal
 Chronic anovulation - increased FSH Prolactinoma - FSH is equivocal Ovarian failure -decreased FSH, or FSH is
equivocal Anatomic defect - prolactin increased
 Chronic anovulation - decreased FSH, or FSH is equivocal Prolactinoma - prolactin increased Ovarian failure -
increased FSH Anatomic defect - FSH is equivocal
 Chronic anovulation - FSH is equivocal Prolactinoma - decreased FSH, or FSH is equivocal Ovarian failure - prolactin
increased Anatomic defect - increased FSH
 Chronic anovulation - prolactin increased Prolactinoma - increased FSH Ovarian failure - FSH is equivocal Anatomic
defect - decreased FSH, or FSH is equivocal



Which of the following is increased in patients with anorexia nervosa?
Leptin
 Ghrelin
 GnRH
 LH
 Estradiol


Which of the following best describes a patient with a vagina that ends blindly without a cervix at the vaginal apex?
Hyperprolactinemia
 Turner syndrome
 Hypogonadism
 PCOS
 Mullerian agenesis


A 15-year-old patient has cyclical pain but doesn't get menses and doesn't have any children. She says "I had to buy a new bra
because my breasts have enlarged." She also notes monthly abdominal pain. Which of the following is the most likely diagnosis?
Hematocolpos
 PCOS
 Prolactinoma
 Endometriosis
 Pregnancy


Which of the following is the most common presentation of Mullerian defects?
Women who present with recurrent miscarriages.
 Women without menses.
 Women who are infertile.
 Women with late miscarriages and preterm delivery.
 Women with frequent thromboembolic events.


Which of the following is usually NOT associated with Mullerian dysgenesis?
Scoliosis