THIKA SCHOOL OF MEDICAL AND HEALTH SCIENCES
COLLEGE EXAMINATIONS 2025-2026
SEPTEMBER 2025 - JANUARY 2026 SERIES
END TERM EXAMINATION FOR DIPLOMA IN CLINICAL MEDICINE
AND SURGERY
UNIT NAME: REPRODUCTIVE HEALTH 111
UNIT CODE: PT1023 INTAKES: SEPTEMBER 2023
TIME: 3 HOURS DATE: JANUARY 2026
______________________________________________________________________________
INSTRUCTIONS
1. Answer all the questions in section A and B
2. Answer two questions in Section C.
3. Clearly indicate your admission number.
______________________________________________________________________________
SECTION A (MCQS) CHOOSE ONLY ONE BEST ANSWER (40MARKS)
1. Which hormone primarily stimulates the development of ovarian follicles?
a) Progesterone
b) Estrogen
c) Follicle-stimulating hormone (FSH)
d) Luteinizing hormone (LH)
2. The corpus luteum mainly secretes:
a) Estrogen
b) Progesterone
c) FSH
d) LH
Page 1 of 11
INVOLVEMENT IN ANY EXAMINATION MALPRACTICE SHALL LEAD TO
CANCELLATION OF ALL EXAMINATIONS
, 3. The average duration of the menstrual cycle is:
a) 21 days
b) 24 days
c) 28 days
d) 35 days
4. A 15-year-old girl presents with no menses but normal secondary sexual characteristics. The
most likely diagnosis is:
a) Turner’s syndrome
b) Müllerian agenesis
c) Hypogonadotropic hypogonadism
d) Polycystic ovarian syndrome
5. A woman aged 52 years complains of hot flushes and vaginal dryness. The most likely cause
is:
a) Endometriosis
b) Premature ovarian failure
c) Menopause
d) Polycystic ovaries
6. A 28-year-old client at Thika Level 5 Hospital presents for family planning. She has a 3-
week-old baby and is exclusively breastfeeding. The most suitable method is:
a) Combined oral contraceptives
b) Progestin-only pills
c) Depot medroxyprogesterone acetate
d) Lactational amenorrhea method
7. The hormone that triggers ovulation is:
a) LH
b) FSH
c) Estrogen
d) Progesterone
8. Which investigation confirms ovulation has occurred?
a) Pelvic ultrasound
Page 2 of 11
INVOLVEMENT IN ANY EXAMINATION MALPRACTICE SHALL LEAD TO
CANCELLATION OF ALL EXAMINATIONS
COLLEGE EXAMINATIONS 2025-2026
SEPTEMBER 2025 - JANUARY 2026 SERIES
END TERM EXAMINATION FOR DIPLOMA IN CLINICAL MEDICINE
AND SURGERY
UNIT NAME: REPRODUCTIVE HEALTH 111
UNIT CODE: PT1023 INTAKES: SEPTEMBER 2023
TIME: 3 HOURS DATE: JANUARY 2026
______________________________________________________________________________
INSTRUCTIONS
1. Answer all the questions in section A and B
2. Answer two questions in Section C.
3. Clearly indicate your admission number.
______________________________________________________________________________
SECTION A (MCQS) CHOOSE ONLY ONE BEST ANSWER (40MARKS)
1. Which hormone primarily stimulates the development of ovarian follicles?
a) Progesterone
b) Estrogen
c) Follicle-stimulating hormone (FSH)
d) Luteinizing hormone (LH)
2. The corpus luteum mainly secretes:
a) Estrogen
b) Progesterone
c) FSH
d) LH
Page 1 of 11
INVOLVEMENT IN ANY EXAMINATION MALPRACTICE SHALL LEAD TO
CANCELLATION OF ALL EXAMINATIONS
, 3. The average duration of the menstrual cycle is:
a) 21 days
b) 24 days
c) 28 days
d) 35 days
4. A 15-year-old girl presents with no menses but normal secondary sexual characteristics. The
most likely diagnosis is:
a) Turner’s syndrome
b) Müllerian agenesis
c) Hypogonadotropic hypogonadism
d) Polycystic ovarian syndrome
5. A woman aged 52 years complains of hot flushes and vaginal dryness. The most likely cause
is:
a) Endometriosis
b) Premature ovarian failure
c) Menopause
d) Polycystic ovaries
6. A 28-year-old client at Thika Level 5 Hospital presents for family planning. She has a 3-
week-old baby and is exclusively breastfeeding. The most suitable method is:
a) Combined oral contraceptives
b) Progestin-only pills
c) Depot medroxyprogesterone acetate
d) Lactational amenorrhea method
7. The hormone that triggers ovulation is:
a) LH
b) FSH
c) Estrogen
d) Progesterone
8. Which investigation confirms ovulation has occurred?
a) Pelvic ultrasound
Page 2 of 11
INVOLVEMENT IN ANY EXAMINATION MALPRACTICE SHALL LEAD TO
CANCELLATION OF ALL EXAMINATIONS
