28.1 Reproductive Anatomy

1			Which of the following statements is false?
			A)	Distally, the uterine tube flares into a trumpet-shaped infundibulum.
			B)	The uterus tilts forward over the urinary bladder.
			C)	The lumen of the uterus opens up into the vagina by way of a small canal.
			D)	The cylindrical inferior end of the uterus is called the fundus.
2			Which of the following statements is false?
			A)	Cervical cancer is more common among women who smoke.
			B)	Cervical cancer is more common among women who have sex at an early age.
			C)	Cervical cancer is more common among women who have six or more children.
			D)	Cervical cancer is more common among women who have a history of having a sexually transmitted disease.
3			Which of the following is the most effective method of breast cancer treatment?
			A)	lumpectomy
			B)	simple mastectomy
			C)	radical mastectomy
			D)	All are equally effective.
			E)	None of the above are effective.

28.2 Puberty and Menopause

4			Which of the following does not occur with the climacteric changes in hormone secretions?
			A)	headaches
			B)	mood changes
			C)	decreased cholesterol levels
			D)	decrease in bone mass
5			The first menstrual period is called the ________________.
			A)	thelarche
			B)	pubarche
			C)	menarche
			D)	womanarche

28.3 Oogenesis and the Sexual Cycle

6			Which of the following is not an important component of the preovulatory phase?
			A)	decrease in FSH secretion by the pituitary
			B)	increase in FSH receptors formed by the graafian follicle
			C)	continued increase in estrogen secretion by the developing graafian follicle
			D)	oocyte completes meiosis I to become a primary oocyte during the preovulatory phase
7			Which of the following does not occur during the luteal phase?
			A)	The remains of the ruptured follicle become the corpus luteum.
			B)	Lutein cells produce inhibin, which suppresses FSH secretion.
			C)	The uterus enters the secretory phase.
			D)	New follicles begin developing.
8			Stratified cuboidal cells called granulosa cells surround the oocyte, forming which of the following?
			A)	primary follicle
			B)	primordial follicle
			C)	graafian follicle
			D)	secondary follicle
9			The level of this hormone rises sharply just prior to ovulation.
			A)	FSH
			B)	LH
			C)	estrogen
			D)	progesterone
10			This hormone directly causes the endometrium to thicken after ovulation.
			A)	progesterone
			B)	GnRH
			C)	LH
			D)	FSH
11			Approximately how many oocytes remain at the time a baby girl is born?
			A)	1 thousand
			B)	10 thousand
			C)	1 million
			D)	2 million
12			Which phase of the sexual cycle ends with a rise in estrogen and ovulation?
			A)	proliferative phase
			B)	menstruation
			C)	secretory phase
			D)	premenstrual phase
13			What is the event that triggers meiosis II?
			A)	penetration of the oocyte by a sperm
			B)	ovulation
			C)	surge in LH
			D)	sharp decline in progesterone
14			Ovulation ordinarily occurs on what day of the female sexual cycle?
			A)	day 1
			B)	day 14
			C)	day 21
			D)	day 28
15			Which phase of the menstrual cycle is characterized by thickening of the endometrium?
			A)	proliferative phase
			B)	secretory phase
			C)	premenstrual phase
			D)	postovulatory phase

28.5 Pregnancy and Childbirth

16			The hormone most directly responsible for suppressing uterine contractions during early pregnancy is ________________.
			A)	estrogen
			B)	FSH
			C)	HCG
			D)	progesterone
			E)	LH
17			Which hormone is responsible for the enlargement of the uterus, the development of mammary ducts, and the softening of the pubic symphysis and the sacroiliac joints?
			A)	HCG
			B)	estrogen
			C)	progesterone
			D)	LH

28.6 Lactation

18			Which of the following is not true about colostrum?
			A)	Colostrum contains IgA, which may confer protection from gastroenteritis.
			B)	Colostrum has a thin, watery consistency.
			C)	Colostrum has one-third more fat than normal breast milk.
19			The cells which contract to cause milk ejection are the
			A)	myoepithelial cells.
			B)	acinar cells.
			C)	alveolar cells.
			D)	areolar cells.
			E)	cells of the suspensory ligaments.
20			If a pregnant woman experiences a significant increase in blood pressure and edema, what is she likely to be suffering from?
			A)	ectopic pregnancy
			B)	pre-eclampsia
			C)	placenta previa
			D)	hyperemesis gravidarum
			E)	gestational diabetes