NU661/ NU 661 Primary Care of Childbearing Woman
Review Actual Exam 2026/2027 | Detailed Rationales |
100% Verified | Pass Guaranteed – A+ Graded
Q1: Which hormone surge triggers ovulation in the menstrual cycle?
A. Estrogen
B. Luteinizing hormone [CORRECT]
C. Progesterone
D. Follicle-stimulating hormone
Correct Answer: B
Rationale: Correct because the LH surge occurs approximately 24-36 hours before ovulation
and triggers follicular rupture and release of the oocyte.
---
Q2: During which phase of the menstrual cycle does the endometrium proliferate under
estrogen influence?
A. Follicular phase [CORRECT]
B. Luteal phase
C. Menstrual phase
D. Secretory phase
Correct Answer: A
Rationale: Correct because rising estrogen during the follicular phase stimulates endometrial
proliferation, thickening the lining for potential implantation.
---
Q3: Which hormone is dominant during the luteal phase?
A. Estrogen
B. Progesterone [CORRECT]
C. FSH
D. LH
Correct Answer: B
Rationale: Correct because the corpus luteum secretes progesterone, which maintains the
endometrium and prepares it for implantation during the luteal phase.
---
,Q4: A patient reports regular 28-day cycles. On which day would ovulation most likely occur?
A. Day 7
B. Day 14 [CORRECT]
C. Day 21
D. Day 28
Correct Answer: B
Rationale: Correct because ovulation typically occurs 14 days before the next menstrual period,
which is day 14 in a 28-day cycle.
---
Q5: Which structure produces progesterone after ovulation?
A. Corpus luteum [CORRECT]
B. Follicle
C. Endometrium
D. Pituitary gland
Correct Answer: A
Rationale: Correct because the corpus luteum forms from the ruptured follicle and secretes
progesterone to support the endometrium.
---
Q6: A patient reports heavy, prolonged menstrual bleeding. Which term describes this
condition?
A. Menorrhagia [CORRECT]
B. Metrorrhagia
C. Menometrorrhagia
D. Polymenorrhea
Correct Answer: A
Rationale: Correct because menorrhagia refers to heavy or prolonged menstrual bleeding
occurring at regular intervals.
---
Q7: Which hormone is responsible for the negative feedback on FSH secretion during the luteal
phase?
A. Estrogen
B. Progesterone [CORRECT]
C. LH
D. GnRH
, Correct Answer: B
Rationale: Correct because progesterone from the corpus luteum provides negative feedback to
the hypothalamus and pituitary, suppressing FSH and LH.
---
Q8: A patient experiences midcycle pelvic pain. Which condition is most likely?
A. Mittelschmerz [CORRECT]
B. Endometriosis
C. Pelvic inflammatory disease
D. Ovarian torsion
Correct Answer: A
Rationale: Correct because mittelschmerz is midcycle pain from follicular rupture at ovulation,
typically self-limiting.
---
Q9: Which phase of the menstrual cycle begins with the first day of bleeding?
A. Follicular phase [CORRECT]
B. Luteal phase
C. Ovulatory phase
D. Secretory phase
Correct Answer: A
Rationale: Correct because the follicular phase begins on day 1 of menstruation and continues
until ovulation.
---
Q10: A patient reports cycles every 35-40 days. Which term describes this pattern?
A. Oligo-ovulation [CORRECT]
B. Polymenorrhea
C. Menorrhagia
D. Metrorrhagia
Correct Answer: A
Rationale: Correct because oligo-ovulation refers to infrequent ovulation, often resulting in
prolonged menstrual cycles.
---
Q11: Which contraceptive method provides the most effective protection against pregnancy?
A. Combined oral contraceptives
Review Actual Exam 2026/2027 | Detailed Rationales |
100% Verified | Pass Guaranteed – A+ Graded
Q1: Which hormone surge triggers ovulation in the menstrual cycle?
A. Estrogen
B. Luteinizing hormone [CORRECT]
C. Progesterone
D. Follicle-stimulating hormone
Correct Answer: B
Rationale: Correct because the LH surge occurs approximately 24-36 hours before ovulation
and triggers follicular rupture and release of the oocyte.
---
Q2: During which phase of the menstrual cycle does the endometrium proliferate under
estrogen influence?
A. Follicular phase [CORRECT]
B. Luteal phase
C. Menstrual phase
D. Secretory phase
Correct Answer: A
Rationale: Correct because rising estrogen during the follicular phase stimulates endometrial
proliferation, thickening the lining for potential implantation.
---
Q3: Which hormone is dominant during the luteal phase?
A. Estrogen
B. Progesterone [CORRECT]
C. FSH
D. LH
Correct Answer: B
Rationale: Correct because the corpus luteum secretes progesterone, which maintains the
endometrium and prepares it for implantation during the luteal phase.
---
,Q4: A patient reports regular 28-day cycles. On which day would ovulation most likely occur?
A. Day 7
B. Day 14 [CORRECT]
C. Day 21
D. Day 28
Correct Answer: B
Rationale: Correct because ovulation typically occurs 14 days before the next menstrual period,
which is day 14 in a 28-day cycle.
---
Q5: Which structure produces progesterone after ovulation?
A. Corpus luteum [CORRECT]
B. Follicle
C. Endometrium
D. Pituitary gland
Correct Answer: A
Rationale: Correct because the corpus luteum forms from the ruptured follicle and secretes
progesterone to support the endometrium.
---
Q6: A patient reports heavy, prolonged menstrual bleeding. Which term describes this
condition?
A. Menorrhagia [CORRECT]
B. Metrorrhagia
C. Menometrorrhagia
D. Polymenorrhea
Correct Answer: A
Rationale: Correct because menorrhagia refers to heavy or prolonged menstrual bleeding
occurring at regular intervals.
---
Q7: Which hormone is responsible for the negative feedback on FSH secretion during the luteal
phase?
A. Estrogen
B. Progesterone [CORRECT]
C. LH
D. GnRH
, Correct Answer: B
Rationale: Correct because progesterone from the corpus luteum provides negative feedback to
the hypothalamus and pituitary, suppressing FSH and LH.
---
Q8: A patient experiences midcycle pelvic pain. Which condition is most likely?
A. Mittelschmerz [CORRECT]
B. Endometriosis
C. Pelvic inflammatory disease
D. Ovarian torsion
Correct Answer: A
Rationale: Correct because mittelschmerz is midcycle pain from follicular rupture at ovulation,
typically self-limiting.
---
Q9: Which phase of the menstrual cycle begins with the first day of bleeding?
A. Follicular phase [CORRECT]
B. Luteal phase
C. Ovulatory phase
D. Secretory phase
Correct Answer: A
Rationale: Correct because the follicular phase begins on day 1 of menstruation and continues
until ovulation.
---
Q10: A patient reports cycles every 35-40 days. Which term describes this pattern?
A. Oligo-ovulation [CORRECT]
B. Polymenorrhea
C. Menorrhagia
D. Metrorrhagia
Correct Answer: A
Rationale: Correct because oligo-ovulation refers to infrequent ovulation, often resulting in
prolonged menstrual cycles.
---
Q11: Which contraceptive method provides the most effective protection against pregnancy?
A. Combined oral contraceptives
