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WorksheetsMenstrual and Reproductive Cycle Quiz
Total questions: 60
Worksheet time: 33mins
Which hormone initiates follicular development at the start of the ovarian cycle?
LH
FSH
Progesterone
Estrogen
Which phase of the menstrual cycle corresponds to endometrial thickening under estrogen influence?
Menstrual
Proliferative
Secretory
Luteal
Which hormone surge triggers ovulation?
FSH
LH
Estrogen
Progesterone
Progesterone is the dominant hormone during which ovarian phase?
Follicular
Ovulatory
Luteal
Menstrual
Ovulation typically occurs around which day in a classic 28-day cycle?
Day 7
Day 14
Day 21
Day 1
Rising estrogen levels result in which pituitary response leading to ovulation?
FSH suppression
LH surge
Progesterone surge
GnRH suppression
Following ovulation, the ruptured follicle becomes the:
Corpus luteum
Corpus albicans
Dominant follicle
Graafian shell
Which symptom is most associated with ovulatory pain?
Mittelschmerz
Dyschezia
Dyspareunia
Dysmenorrhea
The menstrual phase is defined by which event?
Endometrial proliferation
Endometrial shedding
Ovulation
Corpus luteum formation
During the follicular phase, ovarian follicles primarily produce:
Progesterone
Estrogen
LH
hCG
A dominant follicle typically measures up to:
10–12 mm
14–16 mm
18–24 mm
30–40 mm
Which structure secretes progesterone to support early luteal endometrial changes?
Graafian follicle
Ovarian stroma
Corpus luteum
Endometrium
Which endometrial phase corresponds to progesterone dominance?
Proliferative
Secretory
Menstrual
Follicular
Which cycle phase is most associated with thickened, hyperechoic endometrium on ultrasound?
Follicular
Ovulatory
Secretory
Menstrual
Which hormone maintains the corpus luteum if fertilization occurs?
FSH
hCG
LH
Estrogen
If pregnancy does not occur, progesterone and estrogen levels fall leading to:
Ovulation
Menstruation
Follicular recruitment
Luteolysis
Which statement best describes the proliferative endometrium?
Thin and echogenic
Trilaminar and estrogen-dependent
Homogeneous and progesterone-dependent
Thickened and shedding
Which ovarian event precedes the LH surge?
Rising progesterone
Plateaued estrogen
Rising estrogen
Falling estrogen
Which cycle phase prepares the endometrium for implantation?
Follicular
Ovulatory
Luteal
Menstrual
Which hormone withdrawal triggers menstrual shedding?
FSH and LH
Estrogen and progesterone
Progesterone and hCG
Estrogen and GnRH
Which pathology is sonographically complex but accompanies systemic infective symptoms?
Follicular cyst
Tubo-ovarian abscess
Dermoid cyst
Paraovarian cyst
Which pathology involves inflammation of the endometrial lining?
Endometriosis
Endometritis
Endometrial carcinoma
PID
Postpartum endometritis typically presents with:
Fever and uterine tenderness
Postcoital bleeding
Cyclic pelvic pain
Amenorrhea
Which surface structure may inflame in Fitz-Hugh-Curtis syndrome?
Liver capsule
Spleen
Diaphragm
Renal pelvis
The primary mechanism for Fitz-Hugh-Curtis syndrome is spread of:
Tuberculous infection
PID-related peritoneal inflammation
Autoimmune vasculitis
Portal hypertension
Patients with endometriosis often present with infertility due to:
Tubal blockage
Fibroid compression
Ovarian torsion
Cervical stenosis
Which differentiates endometrioma from a follicular cyst?
Anechoic fluid
Ground glass echoes
Thin walls
Peripheral vascularity
Which pathology typically presents with fever, leukocytosis, and complex adnexal mass?
Endometrioma
TOA
Dermoid
Paraovarian cyst
Adhesions from chronic PID may lead to:
Hydrosalpinx
Asherman syndrome
Mittelschmerz
Ovarian hyperstimulation
Hydrosalpinx refers to:
Blood-filled uterine cavity
Fluid-filled fallopian tube
Enlarged ovary with stroma
Thickened endometrium with polyps
The most common uterine tumor is:
Leiomyoma
Leiomyosarcoma
Endometrial polyp
Cervical carcinoma
Fibroids located just beneath the endometrial cavity are termed:
Intramural
Submucosal
Subserosal
Pedunculated
Which fibroid location is most associated with menorrhagia?
Subserosal
Submucosal
Intramural
Cervical
Subserosal fibroids are most likely to cause:
Menorrhagia
Pressure symptoms
Cervical stenosis
Amenorrhea
Which degeneration type within a fibroid can produce cystic areas?
Hyaline degeneration
Cystic degeneration
Calcific degeneration
Red degeneration
A rapidly enlarging myometrial mass in a postmenopausal patient raises concern for:
Leiomyoma
Leiomyosarcoma
Dermoid
Polyp
Adenomyosis is best described as:
Endometrial tissue in the myometrium
Myometrial tissue in the cervix
Endometrial glands outside the uterus
Cervical glands in the vagina
Women with adenomyosis commonly present with:
Menorrhagia and dysmenorrhea
Amenorrhea and fever
Asymptomatic cycles
Intermittent spotting only
Adenomyosis is most commonly seen in patients who are:
Nulliparous
Multiparous
Postmenopausal
Prepubertal
Which post-surgical structure may be evaluated for masses or fluid collections?
Vaginal cuff
Paraovarian space
Cervical os
Ovarian hilum
Cervical stenosis can lead to:
Hydrosalpinx
Hematometra
Endometriosis
Mittelschmerz
Nabothian cysts are located within the:
Cervical glands
Endometrial cavity
Myometrial vessels
Vagina
Tamoxifen therapy is associated with which endometrial effect?
Endometrial thickening
Endometrial atrophy
Cervical carcinoma
Uterine inversion
Postmenopausal endometrial fluid collections are commonly associated with:
Cervical stenosis
Ovulatory pain
Hyperprolactinemia
Hydrosalpinx
A thickened, heterogeneous endometrium in a postmenopausal patient most raises suspicion for:
Endometrial carcinoma
Endometriosis
Adenomyosis
Leiomyoma
Which symptom is most associated with endometrial carcinoma?
Postmenopausal bleeding
Dyspareunia
Mittelschmerz
Fever
IUD evaluation sonographically includes confirming:
Fundal positioning
Tubal patency
Ovarian reserve
Cervical length
Which complication may occur if an IUD migrates or perforates?
Peritoneal placement
Mittelschmerz
Hydrosalpinx
Dermoid formation
Which uterine pathology most commonly presents with cyclic pelvic pain and infertility?
Endometriosis
Endometritis
Cervical polyp
Fibroid degeneration
Which pathology is most associated with thickened endometrium and unopposed estrogen?
Endometrial hyperplasia
Endometrial atrophy
Adenomyosis
Cervical carcinoma
Section A is (a)
Section B is (b)
Section C is (c)
Ovulation is occurring around
day 8.
day 14
day 20
day 25
What process is represented in this diagram?
the menstrual cycle
pregnancy
puberty
labor
What happens to the uterus during the menstrual cycle?
The uterus thickens its lining to prepare for pregnancy.
What are the two hormones that regulate the menstrual cycle?
Ovaries and Uterus
In which phase of the menstrual cycle does the follicle mature and prepare for ovulation?
Follicular phase
Ovulation phase
Luteal phase
Menstrual phase
The process by which the sperm and ova combine is known as:
Ovulation
Menstruation
Fertilization
Implantation
Which part of the brain is responsible for regulating the menstrual cycle?
Hypothalamus
Cerebellum
Medulla oblongata
Pons
Which hormone signals ovulation?
FSH
LH
Inhibin
Estrogen
