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Menstrual and Reproductive Cycle Quiz

Total questions: 60

Worksheet time: 33mins

Name
Class
Date
1.

Which hormone initiates follicular development at the start of the ovarian cycle?

a)

LH

b)

FSH

c)

Progesterone

d)

Estrogen

2.

Which phase of the menstrual cycle corresponds to endometrial thickening under estrogen influence?

a)

Menstrual

b)

Proliferative

c)

Secretory

d)

Luteal

3.

Which hormone surge triggers ovulation?

a)

FSH

b)

LH

c)

Estrogen

d)

Progesterone

4.

Progesterone is the dominant hormone during which ovarian phase?

a)

Follicular

b)

Ovulatory

c)

Luteal

d)

Menstrual

5.

Ovulation typically occurs around which day in a classic 28-day cycle?

a)

Day 7

b)

Day 14

c)

Day 21

d)

Day 1

6.

Rising estrogen levels result in which pituitary response leading to ovulation?

a)

FSH suppression

b)

LH surge

c)

Progesterone surge

d)

GnRH suppression

7.

Following ovulation, the ruptured follicle becomes the:

a)

Corpus luteum

b)

Corpus albicans

c)

Dominant follicle

d)

Graafian shell

8.

Which symptom is most associated with ovulatory pain?

a)

Mittelschmerz

b)

Dyschezia

c)

Dyspareunia

d)

Dysmenorrhea

9.

The menstrual phase is defined by which event?

a)

Endometrial proliferation

b)

Endometrial shedding

c)

Ovulation

d)

Corpus luteum formation

10.

During the follicular phase, ovarian follicles primarily produce:

a)

Progesterone

b)

Estrogen

c)

LH

d)

hCG

11.

A dominant follicle typically measures up to:

a)

10–12 mm

b)

14–16 mm

c)

18–24 mm

d)

30–40 mm

12.

Which structure secretes progesterone to support early luteal endometrial changes?

a)

Graafian follicle

b)

Ovarian stroma

c)

Corpus luteum

d)

Endometrium

13.

Which endometrial phase corresponds to progesterone dominance?

a)

Proliferative

b)

Secretory

c)

Menstrual

d)

Follicular

14.

Which cycle phase is most associated with thickened, hyperechoic endometrium on ultrasound?

a)

Follicular

b)

Ovulatory

c)

Secretory

d)

Menstrual

15.

Which hormone maintains the corpus luteum if fertilization occurs?

a)

FSH

b)

hCG

c)

LH

d)

Estrogen

16.

If pregnancy does not occur, progesterone and estrogen levels fall leading to:

a)

Ovulation

b)

Menstruation

c)

Follicular recruitment

d)

Luteolysis

17.

Which statement best describes the proliferative endometrium?

a)

Thin and echogenic

b)

Trilaminar and estrogen-dependent

c)

Homogeneous and progesterone-dependent

d)

Thickened and shedding

18.

Which ovarian event precedes the LH surge?

a)

Rising progesterone

b)

Plateaued estrogen

c)

Rising estrogen

d)

Falling estrogen

19.

Which cycle phase prepares the endometrium for implantation?

a)

Follicular

b)

Ovulatory

c)

Luteal

d)

Menstrual

20.

Which hormone withdrawal triggers menstrual shedding?

a)

FSH and LH

b)

Estrogen and progesterone

c)

Progesterone and hCG

d)

Estrogen and GnRH

21.

Which pathology is sonographically complex but accompanies systemic infective symptoms?

a)

Follicular cyst

b)

Tubo-ovarian abscess

c)

Dermoid cyst

d)

Paraovarian cyst

22.

Which pathology involves inflammation of the endometrial lining?

a)

Endometriosis

b)

Endometritis

c)

Endometrial carcinoma

d)

PID

23.

Postpartum endometritis typically presents with:

a)

Fever and uterine tenderness

b)

Postcoital bleeding

c)

Cyclic pelvic pain

d)

Amenorrhea

24.

Which surface structure may inflame in Fitz-Hugh-Curtis syndrome?

a)

Liver capsule

b)

Spleen

c)

Diaphragm

d)

Renal pelvis

25.

The primary mechanism for Fitz-Hugh-Curtis syndrome is spread of:

a)

Tuberculous infection

b)

PID-related peritoneal inflammation

c)

Autoimmune vasculitis

d)

Portal hypertension

26.

Patients with endometriosis often present with infertility due to:

a)

Tubal blockage

b)

Fibroid compression

c)

Ovarian torsion

d)

Cervical stenosis

27.

Which differentiates endometrioma from a follicular cyst?

a)

Anechoic fluid

b)

Ground glass echoes

c)

Thin walls

d)

Peripheral vascularity

28.

Which pathology typically presents with fever, leukocytosis, and complex adnexal mass?

a)

Endometrioma

b)

TOA

c)

Dermoid

d)

Paraovarian cyst

29.

Adhesions from chronic PID may lead to:

a)

Hydrosalpinx

b)

Asherman syndrome

c)

Mittelschmerz

d)

Ovarian hyperstimulation

30.

Hydrosalpinx refers to:

a)

Blood-filled uterine cavity

b)

Fluid-filled fallopian tube

c)

Enlarged ovary with stroma

d)

Thickened endometrium with polyps

31.

The most common uterine tumor is:

a)

Leiomyoma

b)

Leiomyosarcoma

c)

Endometrial polyp

d)

Cervical carcinoma

32.

Fibroids located just beneath the endometrial cavity are termed:

a)

Intramural

b)

Submucosal

c)

Subserosal

d)

Pedunculated

33.

Which fibroid location is most associated with menorrhagia?

a)

Subserosal

b)

Submucosal

c)

Intramural

d)

Cervical

34.

Subserosal fibroids are most likely to cause:

a)

Menorrhagia

b)

Pressure symptoms

c)

Cervical stenosis

d)

Amenorrhea

35.

Which degeneration type within a fibroid can produce cystic areas?

a)

Hyaline degeneration

b)

Cystic degeneration

c)

Calcific degeneration

d)

Red degeneration

36.

A rapidly enlarging myometrial mass in a postmenopausal patient raises concern for:

a)

Leiomyoma

b)

Leiomyosarcoma

c)

Dermoid

d)

Polyp

37.

Adenomyosis is best described as:

a)

Endometrial tissue in the myometrium

b)

Myometrial tissue in the cervix

c)

Endometrial glands outside the uterus

d)

Cervical glands in the vagina

38.

Women with adenomyosis commonly present with:

a)

Menorrhagia and dysmenorrhea

b)

Amenorrhea and fever

c)

Asymptomatic cycles

d)

Intermittent spotting only

39.

Adenomyosis is most commonly seen in patients who are:

a)

Nulliparous

b)

Multiparous

c)

Postmenopausal

d)

Prepubertal

40.

Which post-surgical structure may be evaluated for masses or fluid collections?

a)

Vaginal cuff

b)

Paraovarian space

c)

Cervical os

d)

Ovarian hilum

41.

Cervical stenosis can lead to:

a)

Hydrosalpinx

b)

Hematometra

c)

Endometriosis

d)

Mittelschmerz

42.

Nabothian cysts are located within the:

a)

Cervical glands

b)

Endometrial cavity

c)

Myometrial vessels

d)

Vagina

43.

Tamoxifen therapy is associated with which endometrial effect?

a)

Endometrial thickening

b)

Endometrial atrophy

c)

Cervical carcinoma

d)

Uterine inversion

44.

Postmenopausal endometrial fluid collections are commonly associated with:

a)

Cervical stenosis

b)

Ovulatory pain

c)

Hyperprolactinemia

d)

Hydrosalpinx

45.

A thickened, heterogeneous endometrium in a postmenopausal patient most raises suspicion for:

a)

Endometrial carcinoma

b)

Endometriosis

c)

Adenomyosis

d)

Leiomyoma

46.

Which symptom is most associated with endometrial carcinoma?

a)

Postmenopausal bleeding

b)

Dyspareunia

c)

Mittelschmerz

d)

Fever

47.

IUD evaluation sonographically includes confirming:

a)

Fundal positioning

b)

Tubal patency

c)

Ovarian reserve

d)

Cervical length

48.

Which complication may occur if an IUD migrates or perforates?

a)

Peritoneal placement

b)

Mittelschmerz

c)

Hydrosalpinx

d)

Dermoid formation

49.

Which uterine pathology most commonly presents with cyclic pelvic pain and infertility?

a)

Endometriosis

b)

Endometritis

c)

Cervical polyp

d)

Fibroid degeneration

50.

Which pathology is most associated with thickened endometrium and unopposed estrogen?

a)

Endometrial hyperplasia

b)

Endometrial atrophy

c)

Adenomyosis

d)

Cervical carcinoma

51.

Section A is ​ (a)  

Section B is ​ (b)  

Section C is ​ (c)  

Choose from the below words
Ovary
Hormones
Uterus
52.

Ovulation is occurring around

a)

day 8.

b)

day 14

c)

day 20

d)

day 25

53.

What process is represented in this diagram?

a)

the menstrual cycle

b)

pregnancy

c)

puberty

d)

labor

54.

What happens to the uterus during the menstrual cycle?

a)
The uterus grows larger and does not return to its original size.
b)
The uterus remains unchanged throughout the menstrual cycle.
c)
The uterus only thickens but does not shed its lining.
d)

The uterus thickens its lining to prepare for pregnancy.

55.

What are the two hormones that regulate the menstrual cycle?

a)
Estrogen and Progesterone
b)
Testosterone and Insulin
c)

Ovaries and Uterus

56.

In which phase of the menstrual cycle does the follicle mature and prepare for ovulation?

a)

Follicular phase

b)

Ovulation phase

c)

Luteal phase

d)

Menstrual phase

57.
Day 1 of the menstrual cycle begins with 
a)
ovulation
b)
formation of corpus luteum
c)
secondary follicle formation
d)
menstruation
58.

The process by which the sperm and ova combine is known as:

a)

Ovulation

b)

Menstruation

c)

Fertilization

d)

Implantation

59.

Which part of the brain is responsible for regulating the menstrual cycle?

a)

Hypothalamus

b)

Cerebellum

c)

Medulla oblongata

d)

Pons

60.

Which hormone signals ovulation?

a)

FSH

b)

LH

c)

Inhibin

d)

Estrogen