Women’s Health Exam 1 First Half UPDATED ACTUAL QUESTIONS AND CORRECT
ANSWERS
What is the demarcation between the skin and mucous Hart Line
membrane on the inner surface of the labia minora?
What cell type is outside of the Hart line? What cell line is Outside: Keratinized stratified squamous epithelium
inside of the line? Inside: Non keratinized squamous epithelium
How will an imperforate hymen appear? Bluish hue or bulging at the vaginal opening
What cell type covers the ectocervix? Stratified squamous epithelium
What cell type covers the endocervix? Columnar epithelium
What is the lowest point in the abdominal cavity? Pouch of Douglas (Rectouterine pouch)
What is the most common site of fertilization? Ampulla of fallopian tube
What pelvic shape is the most favorable for vaginal Gynecoid
delivery?
What pelvic shape is oval and elongated Anthropoid
anteroposteriorly?
What pelvic shape is heart shaped? Android-typical in males
What nerves may be severed in low transverse incisions? Ilioinguinal or iliohypogastric nerves
, What week do testes develop? And ovaries? Testes: 7 weeks
Ovaries: 12 weeks
What duct type is associated with male reproductive Male: Mesonephric (Wolffian) Ducts
development? And female? Female: Paramesonephric (Mullerian) Ducts
What causes a double uterus? Failed fusion of inferior paramesonephric ducts
What causes a bicornuate uterus? Duplication of only the superior portion of the body of the uterus
What causes a septate uterus? Failure of restoration causes a thin septum internally
What causes a unicornuate uterus? One Müllerian duct failed to develop
What are features of 46XX DSD? Ovaries are present and normal, but ambiguous external genitalia. Female fetal
exposure to excess androgens.
What causes 46XY DSD? Inadequate virilization of male fetus due to insufficient testosterone. Disorder of
testicular development.
What mnemonic can be used to remember the aspects of TAPuP ME
puberty? Thelarche
Adrenarche
Pubarche
Peak Growth Velocity
Menarche
Will obesity make puberty onset sooner or later? Earlier development
What is the usual sequence of puberty? Thelarche-pubarche-growth spurt-menarche
What release pattern of GnRH causes the release of Pulsatile
FSH/LH?
How long after thelarche should menarche occur? 2.5 years after thelarche
Is it normal for pubarche to sometimes be the first sign of Yes
puberty?
What test do you need to do in central precocious GnRH stimulation test. Dependent will respond to GnRH agonist by inhibiting
puberty? LH/FSG which will decrease estrogen. Independent will not respond to GnRH
What are the three cases of delayed puberty? 1. Lack of thelarche by age 13
2. Delay of over 4 years between thelarche and completion of puberty
3. No menses by age 16
How much blood on average is lost in one menstrual 20-60mL
cycle?
When in the menstrual cycle does ovulation occur? 8-20 hours after the peak in LH
ANSWERS
What is the demarcation between the skin and mucous Hart Line
membrane on the inner surface of the labia minora?
What cell type is outside of the Hart line? What cell line is Outside: Keratinized stratified squamous epithelium
inside of the line? Inside: Non keratinized squamous epithelium
How will an imperforate hymen appear? Bluish hue or bulging at the vaginal opening
What cell type covers the ectocervix? Stratified squamous epithelium
What cell type covers the endocervix? Columnar epithelium
What is the lowest point in the abdominal cavity? Pouch of Douglas (Rectouterine pouch)
What is the most common site of fertilization? Ampulla of fallopian tube
What pelvic shape is the most favorable for vaginal Gynecoid
delivery?
What pelvic shape is oval and elongated Anthropoid
anteroposteriorly?
What pelvic shape is heart shaped? Android-typical in males
What nerves may be severed in low transverse incisions? Ilioinguinal or iliohypogastric nerves
, What week do testes develop? And ovaries? Testes: 7 weeks
Ovaries: 12 weeks
What duct type is associated with male reproductive Male: Mesonephric (Wolffian) Ducts
development? And female? Female: Paramesonephric (Mullerian) Ducts
What causes a double uterus? Failed fusion of inferior paramesonephric ducts
What causes a bicornuate uterus? Duplication of only the superior portion of the body of the uterus
What causes a septate uterus? Failure of restoration causes a thin septum internally
What causes a unicornuate uterus? One Müllerian duct failed to develop
What are features of 46XX DSD? Ovaries are present and normal, but ambiguous external genitalia. Female fetal
exposure to excess androgens.
What causes 46XY DSD? Inadequate virilization of male fetus due to insufficient testosterone. Disorder of
testicular development.
What mnemonic can be used to remember the aspects of TAPuP ME
puberty? Thelarche
Adrenarche
Pubarche
Peak Growth Velocity
Menarche
Will obesity make puberty onset sooner or later? Earlier development
What is the usual sequence of puberty? Thelarche-pubarche-growth spurt-menarche
What release pattern of GnRH causes the release of Pulsatile
FSH/LH?
How long after thelarche should menarche occur? 2.5 years after thelarche
Is it normal for pubarche to sometimes be the first sign of Yes
puberty?
What test do you need to do in central precocious GnRH stimulation test. Dependent will respond to GnRH agonist by inhibiting
puberty? LH/FSG which will decrease estrogen. Independent will not respond to GnRH
What are the three cases of delayed puberty? 1. Lack of thelarche by age 13
2. Delay of over 4 years between thelarche and completion of puberty
3. No menses by age 16
How much blood on average is lost in one menstrual 20-60mL
cycle?
When in the menstrual cycle does ovulation occur? 8-20 hours after the peak in LH
