Quiz: Anovulatory Infertility

Fill in choice Correct False Correct Answer
1. What effect does suckling have (stimulate or inhibit) on neurosecretory cells that release dopamine?
2. This is a common type of pituitary tumor, and is usually the cause of hyperprolactinemia.
3. In a lactating woman, suckling by an infant stimulates cells in the hypothalamus that secrete this hormone.
4. Which of the following drugs is used to decrease prolactin secretion in a woman with hyperprolactinemia?
[SERM, hormonal contraceptive, dopamine agonist, dopamine antagonist]
5. Which disorder is a type of hypogonadotropic hypogonadism—PCOS or hyperprolactinemia?
6. Which cell in the ovary needs stimulation by FSH in the early follicular phase?
7. What endocrine abnormality causes hirsutism and acne in polycystic ovary syndrome?
8. Which cell is predominant in the multiple immature follicles of polycystic ovaries?
9. Which of the following drugs has a risk of causing ovarian hyperstimulation syndrome?
[insulin sensitizer, dopamine agonist, follitropin, aromatase inhibitor, hormonal contraceptive]
10. Why might a woman with PCOS be prescribed a hormonal contraceptive?
[restore monthly ovulation, decrease endometrial proliferation, increase FSH secretion, improve insulin sensitivity]
11. Name the drug that would be the first line of therapy for a woman with PCOS who wishes to conceive.
12. Which of the following drugs works as an estrogen receptor antagonist in the anterior pituitary?
[letrozole, clomiphene, hormonal contraceptive, metformin]
13. Which of the following drugs prevents the conversion of androgens to estrogen?
[letrozole, clomiphene, hormonal contraceptive, metformin]
14. Which of the following is most directly responsible for causing excessive endometrial proliferation and menorrhagia in a woman with PCOS?
[hyperinsulinemia, hyperandrogenism, unopposed progesterone, unopposed estrogen, hyposecretion of FSH]

(answer must match choices given)