Drexel Midterm Nurs 534- Female Repro Function and Dysfunction With Correct Answers

Drexel Midterm Nurs 534- Female Repro
Function and Dysfunction With Correct
Answers

SECTION I: Menstrual Cycle & Hormonal Regulation
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1. The average menstrual cycle lasts:
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• A) 21-25 days
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• B) 28-30 days
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• C) 31-35 days
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• D) 36-40 days
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Correct Answer: Bmn mn mn




2. The follicular stage of the menstrual cycle is characterized by:
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• A) Secretion of progesterone by the corpus luteum
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• B) Shedding of the uterine lining
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• C) FSH secretion stimulating follicle development and estrogen production
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• D) LH surge triggering ovulation
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Correct Answer: Cmn mn mn




Rationale: During the follicular phase (days 10-
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14), FSH from the pituitary stimulates follicle development. The developing follicle secretes estro
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gen, which thickens the uterine lining in preparation for potential pregnancy.
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3. The corpus luteum primarily secretes which hormone(s)?
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• A) FSH and LH
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• B) Estrogen only
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• C) Estrogen and progesterone
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• D) Progesterone only
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,Correct Answer: C mn mn mn




Rationale: The corpus luteum develops from the ruptured follicle after ovulation and secretes b
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oth estrogen and progesterone to maintain the uterine lining. If fertilization does not occur, the
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corpus luteum degenerates, leading to hormone withdrawal and menstruation.
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4. Depletion of which hormones leads to menstruation?
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• A) FSH and LH
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• B) Estrogen and progesterone
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• C) GnRH and FSH
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• D) Progesterone and LH
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Correct Answer: B mn mn mn




Rationale: When estrogen and progesterone levels drop at the end of the luteal phase, the uteri
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ne lining is shed as menses. This hormonal withdrawal triggers the onset of menstruation.
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5. Ovulation is triggered by:
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• A) A surge in FSH
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• B) A surge in LH
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• C) Increased progesterone
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• D) Decreased estrogen
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Correct Answer: B mn mn mn




Rationale: The LH surge, stimulated by rising estrogen levels, causes the mature follicle to ruptu
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re and release the ovum. This typically occurs around day 14 of a 28-day cycle.
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6. A patient reports that her menstrual cycles are "all over the place" with irregular, u
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npredictable flow. Which hormonal state is most consistent with ovulatory dysfunction
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?

• A) Estrogen deficiency with progesterone excess
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• B) Progesterone deficiency with estrogen dominance
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• C) FSH deficiency with LH excess
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, • D) Balanced estrogen and progesterone
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Correct Answer: Bmn mn mn




Rationale: Ovulatory dysfunction (formerly dysfunctional uterine bleeding) produces a progester
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one-deficient, estrogen- mn




dominant state resulting in irregular, unpredictable menstrual flow. This is commonly seen in c
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onditions like PCOS. mn mn




SECTION II: Menstrual Disorders & Associated Conditions
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7. Primary dysmenorrhea is best defined as:
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• A) Painful menses with underlying pelvic pathology
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• B) Painful menses without identifiable pelvic pathology
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• C) Absence of menstruation
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• D) Heavy menstrual bleeding
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Correct Answer: Bmn mn mn




Rationale: Primary dysmenorrhea is defined as painful menses in the absence of pelvic patholo
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gy. It is caused by prostaglandins and leukotrienes released during uterine sloughing.
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8. By definition, PMS symptoms arise during which phase of the menstrual cycle?
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• A) Follicular phase
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• B) Ovulatory phase
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• C) Luteal phase
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• D) Menstrual phase
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Correct Answer: Cmn mn mn




Rationale: PMS is defined as a cyclic recurrence of physical and psychological symptoms that ar
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ise during the luteal phase and resolve 1-3 days after the onset of menses.
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9. What is the first-line pharmacologic therapy for PMS/PMDD?
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• A) Benzodiazepines
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• B) Danazol
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