Question 1

A 42-year-old woman visits her physician complaining of recurrent vaginal yeast infections. The doctor explains the likelihood that the woman's vaginal lining is temporarily out of proper acid-base balance, leading to the increased susceptibility to yeast infections. The normally low  pH\mathrm{pH}pH  in the vagina is maintained by which of the following?

Accepted Answer

A)   A proton pump in the epithelial cells similar to that in osteoclasts and parietal cells
B)   Secretions derived from intracellular carbonic acid
C)   Secretion of lactic acid by cells of the stratified squamous epithelium
D)   Bacterial metabolism of glycogen to produce an organic acid
E)   Synthesis and accumulation of acid hydrolases in the epithelium F) A) and B)
G) C) and D) D

Question 2

Most lipid in milk is released from cells by which mechanism?

Accepted Answer

A)   Apocrine secretion
B)   Paracrine secretion
C)   Holocrine secretion
D)   Merocrine secretion
E)   Autocrine secretionF) None of the above
G) A) and C)

Question 3

A 33-year-old woman with an average menstrual cycle of 28 days comes in for a routine Pap smear. It has been 35 days since the start of her last menstrual period, and a vaginal smear reveals clumps of basophilic cells. As her physician you suspect which of the following?

Accepted Answer

A)   She will begin menstruating in a few days.
B)   She will ovulate within a few days.
C)   Her serum progesterone levels will be found to be very low.
D)   There will be detectable levels of hCG in her serum and urine.
E)   She is undergoing early menopause.F) A) and E)
G) All of the above

Question 4

Which feature is characteristic of the endometrium's basal layer but not of its functional layer?

Accepted Answer

A)   Includes the uterine surface epithelium
B)   Includes connective tissue
C)   Contains cells that replace the surface epithelium after menstruation
D)   Relies solely on spiral arteries for its blood supply
E)   Undergoes cyclic thickening and sheddingF) C) and E)
G) C) and D)

Question 5

Which of the following is characteristic of granulosa lutein cells?

Accepted Answer

A)   Are a minor cell type in the corpus luteum
B)   Derive from the theca interna
C)   Contain abundant rough endoplasmic reticulum
D)   Are small and dark-staining
E)   Secrete progesteroneF) C) and D)
G) C) and E)

Question 6

A 17-year-old girl with a history of pelvic inflammatory disease presents at the emergency department with severe pain in her lower right side that came on fairly quickly. Upon questioning she replies that her last menstrual period was 6 weeks ago and that she has never missed a period before. The doctor suspects she has an ectopic pregnancy and this is quickly confirmed by ultrasound testing. The surgeon removes her right uterine tube that is inflamed, scarified, and contains the implanted embryonic tissue in the region where fertilization normally occurs. Where is this?

Accepted Answer

A)   The uterine part of the oviduct
B)   The ampulla region with highly folded mucosa
C)   The only oviduct region attached to the mesosalpinx
D)   The infundibulum region with fimbriae
E)   The isthmus regionF) D) and E)
G) All of the above

Question 7

Which feature is characteristic of the corpora albicans but not of atretic follicles?

Accepted Answer

A)   May contain degenerating granulosa cells floating in remnants of follicular fluid
B)   Resemble large collagenous scars
C)   Eventually removed by macrophages and replaced by stroma
D)   Are remnants of follicles that degenerate before maturation
E)   May contain degenerating oocytesF) B) and C)
G) C) and E) B

Question 8

Which stage of ovarian follicle development is characterized by an initial period of follicular fluid accumulation?

Accepted Answer

A)   Graafian follicle
B)   Mature follicle
C)   Primordial follicle
D)   Oocyte
E)   Secondary follicleF) A) and D)
G) A) and C)

Question 9

Endometrial glands are typically most fully developed and filled with product during which day(s)  or phase of a woman's menstrual cycle?

Accepted Answer

A)   Menstrual phase
B)   Days 1-4
C)   The day ovulation occurs
D)   Proliferative phase
E)   Days  15−2815-2815−28F) None of the above
G) A) and B)

Question 10

Which of the following hormones is primarily responsible for inducing ovulation?

Accepted Answer

A)   Relaxin
B)   LH
C)   Progesterone
D)   FSH
E)   EstrogenF) A) and C)
G) B) and D) B

Exam 22: The Femalereproductivesystem

Correct Answer
verified
D

Most lipid in milk is released from cells by which mechanism?

Correct Answer
verified

A 33-year-old woman with an average menstrual cycle of 28 days comes in for a routine Pap smear. It has been 35 days since the start of her last menstrual period, and a vaginal smear reveals clumps of basophilic cells. As her physician you suspect which of the following?

Correct Answer
verified

Which feature is characteristic of the endometrium's basal layer but not of its functional layer?

Correct Answer
verified

Which of the following is characteristic of granulosa lutein cells?

Correct Answer
verified

Correct Answer
verified

Which feature is characteristic of the corpora albicans but not of atretic follicles?

Correct Answer
verified
B

Which stage of ovarian follicle development is characterized by an initial period of follicular fluid accumulation?

Correct Answer
verified

Endometrial glands are typically most fully developed and filled with product during which day(s) or phase of a woman's menstrual cycle?

Correct Answer
verified

Which of the following hormones is primarily responsible for inducing ovulation?

Correct Answer
verified
B

Exam 22: The Femalereproductivesystem

Correct AnswerverifiedD

Most lipid in milk is released from cells by which mechanism?

Correct AnswerverifiedShow Answer

A 33-year-old woman with an average menstrual cycle of 28 days comes in for a routine Pap smear. It has been 35 days since the start of her last menstrual period, and a vaginal smear reveals clumps of basophilic cells. As her physician you suspect which of the following?

Correct AnswerverifiedShow Answer

Which feature is characteristic of the endometrium's basal layer but not of its functional layer?

Correct AnswerverifiedShow Answer

Which of the following is characteristic of granulosa lutein cells?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

Which feature is characteristic of the corpora albicans but not of atretic follicles?

Correct AnswerverifiedB

Which stage of ovarian follicle development is characterized by an initial period of follicular fluid accumulation?

Correct AnswerverifiedShow Answer

Endometrial glands are typically most fully developed and filled with product during which day(s) or phase of a woman's menstrual cycle?

Correct AnswerverifiedShow Answer

Which of the following hormones is primarily responsible for inducing ovulation?

Correct AnswerverifiedB

Correct Answer
verified
D

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
B

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
B