6.What endocrine event initiates the onset of menstruation?

LH surge
Estradiol peak
involution of the corpus luteum with decline in plasma progesterone
FSH: LH ratio of 3:1

7. What is the presumed chemical mechanism for extrusion of the oocyte from the follicle at the
time of ovulation?
Metabolism of endorphins
Release of progesterone
Synthesis of prostaglandins
Liberation of intrafollicular prostaglandins

8. Which of following is a gonadrotropic hormone that triggers ovulation?

Luteinizing hormone ( LH)
Follicle-stimulating hormone (FSH)
Thyroid-stimulating hormone (TSH)
Melanocyte-stimulating hormone (MSH)

9. What is the result if any pituitary hormone becomes tonally elevated?

Menorrhagia
Hyperstimulation of the ovary
Chronic anovulation
Hirsutism

10. name the clinical condition associated with intrinsic symptomatic uterine contractions during
menstruation?
Primary dysmenorrhea
Secondary dysmenorrhea
Dyspareunia
Dyschezia
11. What is the average volume of blood lost each menstrual cycle?
10-25 mL
30-50 mL
70-90 mL
120-150 mL

12. What is the name of disorder of the menstrual cycle, when blood loss is greater than 80 mL
per mense?
Amenorrhea
Dysmenorrhea
Oligomenorrhagia
Menorrhagia

13. What initial evaluation(s) should be recommended for diagnosis of PMS?

Pelvic ultrasound
Psychiatric consult
Monthly symptom calendar
Mammogram

14. The appropriate therapeutic modality for an anovulatory adolescent is:

Clomiphen citrate
Progesterone withdraval
Pergonal (menotropins)
GnRH agonist

15. Which one of the following belongs to menstrual problem?

Amenorrhea
Metrorrhagia
Neoplasms
PID