NUR209 Reproductive Health
Comprehensive Final Exam (Qns & Ans)
2025
Question 1
A couple seeking advanced infertility treatment is evaluated for
assisted reproductive technology. Which of the following methods
is most recognized for its ability to overcome severe male factor
infertility?
A. Intrauterine Insemination (IUI)
B. In Vitro Fertilization (IVF)
C. Intracytoplasmic Sperm Injection (ICSI)
D. Gamete Intrafallopian Transfer (GIFT)
ANS: C. Intracytoplasmic Sperm Injection (ICSI)
©2025
, Rationale: ICSI involves the direct injection of a single sperm
into an oocyte, making it the preferred choice when severe male
factor infertility is present.
---
Question 2
In screening for ovarian malignancies, which tumor marker is
primarily used to monitor treatment response and disease
progression?
A. Alpha-fetoprotein (AFP)
B. Carcinoembryonic Antigen (CEA)
C. CA‑125
D. Prostate-Specific Antigen (PSA)
ANS: C. CA‑125
Rationale: CA‑125 is the most commonly used biomarker for
ovarian cancer; its levels help in monitoring disease status,
although it is not used as a standalone diagnostic tool.
---
©2025
, Question 3
Which contraceptive option not only prevents pregnancy but is
also shown to decrease the risk of endometrial hyperplasia and
subsequent cancer?
A. Copper Intrauterine Device (IUD)
B. Combined Oral Contraceptives
C. Barrier methods
D. Condoms
ANS: B. Combined Oral Contraceptives
Rationale: Combined oral contraceptives regulate the hormonal
balance, reducing endometrial proliferation, and thereby lowering
the risk of hyperplasia and endometrial cancer.
---
Question 4
A patient with symptomatic uterine fibroids is referred for
imaging evaluation. Which diagnostic modality is considered
first‑line due to its accessibility and cost‑effectiveness?
A. Magnetic Resonance Imaging (MRI)
B. Computed Tomography (CT)
©2025
, C. Ultrasound
D. X‑ray
ANS: C. Ultrasound
Rationale: Ultrasound is the preferred first‑line imaging
modality for uterine fibroids because it is noninvasive, readily
available, and cost‑effective.
---
Question 5
For a patient with polycystic ovary syndrome (PCOS) who
presents with anovulatory infertility, which pharmacologic agents
are considered first‑line for inducing ovulation?
A. Clomiphene Citrate
B. Letrozole
C. Both A and B
D. Metformin only
ANS: C. Both A and B
Rationale: Both clomiphene citrate and letrozole are used
effectively as first‑line treatments to induce ovulation in women
©2025
Comprehensive Final Exam (Qns & Ans)
2025
Question 1
A couple seeking advanced infertility treatment is evaluated for
assisted reproductive technology. Which of the following methods
is most recognized for its ability to overcome severe male factor
infertility?
A. Intrauterine Insemination (IUI)
B. In Vitro Fertilization (IVF)
C. Intracytoplasmic Sperm Injection (ICSI)
D. Gamete Intrafallopian Transfer (GIFT)
ANS: C. Intracytoplasmic Sperm Injection (ICSI)
©2025
, Rationale: ICSI involves the direct injection of a single sperm
into an oocyte, making it the preferred choice when severe male
factor infertility is present.
---
Question 2
In screening for ovarian malignancies, which tumor marker is
primarily used to monitor treatment response and disease
progression?
A. Alpha-fetoprotein (AFP)
B. Carcinoembryonic Antigen (CEA)
C. CA‑125
D. Prostate-Specific Antigen (PSA)
ANS: C. CA‑125
Rationale: CA‑125 is the most commonly used biomarker for
ovarian cancer; its levels help in monitoring disease status,
although it is not used as a standalone diagnostic tool.
---
©2025
, Question 3
Which contraceptive option not only prevents pregnancy but is
also shown to decrease the risk of endometrial hyperplasia and
subsequent cancer?
A. Copper Intrauterine Device (IUD)
B. Combined Oral Contraceptives
C. Barrier methods
D. Condoms
ANS: B. Combined Oral Contraceptives
Rationale: Combined oral contraceptives regulate the hormonal
balance, reducing endometrial proliferation, and thereby lowering
the risk of hyperplasia and endometrial cancer.
---
Question 4
A patient with symptomatic uterine fibroids is referred for
imaging evaluation. Which diagnostic modality is considered
first‑line due to its accessibility and cost‑effectiveness?
A. Magnetic Resonance Imaging (MRI)
B. Computed Tomography (CT)
©2025
, C. Ultrasound
D. X‑ray
ANS: C. Ultrasound
Rationale: Ultrasound is the preferred first‑line imaging
modality for uterine fibroids because it is noninvasive, readily
available, and cost‑effective.
---
Question 5
For a patient with polycystic ovary syndrome (PCOS) who
presents with anovulatory infertility, which pharmacologic agents
are considered first‑line for inducing ovulation?
A. Clomiphene Citrate
B. Letrozole
C. Both A and B
D. Metformin only
ANS: C. Both A and B
Rationale: Both clomiphene citrate and letrozole are used
effectively as first‑line treatments to induce ovulation in women
©2025
