Pharmacology Hormonal Contraception

18 Questions

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Pharmacology Quizzes & Trivia

With the economy of most countries being too hard to predict people have resulted in using contraceptives as a way of managing population. This being said there are some drugs that will work perfectly on one patient but won’t for the other. How much do you know about hormonal contraception from your pharmacology exam? Take up this quiz and get to find out!


Questions and Answers
  • 1. 
    Which one of the following hormones directly controls the menstrual cycle?
    • A. 

      Estrogen

    • B. 

      Progesterone

    • C. 

      Follicle stimulation hormone

    • D. 

      Luteinizing hormone

    • E. 

      TWO of the above

  • 2. 
    FSH and LH have pulsatile release that is regulated by what hormone?
    • A. 

      Estrogen

    • B. 

      Progesterone

    • C. 

      Gonadotropin releasing hormone

    • D. 

      Androgen

  • 3. 
    Luteinizing hormone is responsible for the increase in production of which of the following TWO hormones?
    • A. 

      Androgen

    • B. 

      Estrogen

    • C. 

      Progesterone

  • 4. 
    Follicle stimulating hormone is responsible for the increase in production of which of the following hormones?
    • A. 

      Androgen

    • B. 

      Estrogen

    • C. 

      Progesterone

  • 5. 
    Gonadotropin releasing hormone is release from the __________ to work on the ________ to release LH and FSH. 
    • A. 

      Ovary, uterus

    • B. 

      Hypothalamus, pituitary

    • C. 

      Pituitary, ovary

    • D. 

      Hypothalmus, uterus

  • 6. 
    The menstrual cycle phase in which uterine endometrium proliferation on days 1-14 is called the:
    • A. 

      Follicular phase

    • B. 

      Luteal phase

    • C. 

      Shedding of the endometrium

    • D. 

      TWO of the above

  • 7. 
    The luteal/secretory phase in which the ruptured follicle becomes a corpus luteum and is secretory produces which of the following hormones?
    • A. 

      Androgen

    • B. 

      Estrogen

    • C. 

      Progesterone

    • D. 

      Gonadotropin releasing hormone

  • 8. 
    During the follicular phase, the developing follicle secretes estrogen. This estrogen does all of the following EXCEPT:
    • A. 

      Causes follicular rupture

    • B. 

      Feedback to anterior pituitary to decrease FSH

    • C. 

      Stimulates proliferation of the endometrium

    • D. 

      Feedback to anterior pituitary to decrease LH

  • 9. 
    At midcycle, the sustained peak estrogen levels reverses the feedback loop to a positive feedback. This will stimulate the predominant release of which hormone?
    • A. 

      FSH

    • B. 

      Estrogen

    • C. 

      Progesterone

    • D. 

      LH

  • 10. 
    The LH surge that occurs midcycle does which of the following?
    • A. 

      Follicular rupture

    • B. 

      Ovulation

    • C. 

      Slowed estrogen synthesis

    • D. 

      Stimulates progesterone synthesis

    • E. 

      All of the above

  • 11. 
    Under control of LH, the ruptured follicle differentiates into the corpus luteum and secretes all of the following hormones EXCEPT:
    • A. 

      Estrogen

    • B. 

      FSH

    • C. 

      Progesterone

    • D. 

      The corpus luteum secretes ALL of the above hormones

  • 12. 
    If fertilization does not occur, all of the following occur EXCEPT:
    • A. 

      Estrogen and progesterone levels decrease abruptly

    • B. 

      LH and FSH levels decrease

    • C. 

      Sloughing or shedding of endometrial lining occurs

    • D. 

      Development of a new follicle

  • 13. 
    The pharmacology behind pregnancy tests assays for which of the following hormones to detect a positive pregnancy?
    • A. 

      Elevated estrogen and progesterone levels

    • B. 

      Luteinizing hormone

    • C. 

      Chorionic gonadotropin

    • D. 

      Gonadotropin releasing hormone

    • E. 

      NONE of the above

  • 14. 
    Oral contraceptive act primarily to prevent ovulation by:
    • A. 

      Stimulating estrogen and progesterone release

    • B. 

      Increase FSH and LH secretion

    • C. 

      Decrease FSH and LH secretion

    • D. 

      TWO of the above are true

  • 15. 
    Aside from GnRH suppression, how else do oral contraceptive work?
    • A. 

      Reduce sperm transport in upper genital tract

    • B. 

      Change endometrium to decrease likelihood of implantation

    • C. 

      Thicken cervical mucus

    • D. 

      HPA axis suppression

    • E. 

      All of the above

  • 16. 
    Intrauterine devices prevent pregnancies via what mechanism of action?
    • A. 

      HPA axis suppression

    • B. 

      Reduce sperm transport

    • C. 

      Change endometrium to make implantation less likely

    • D. 

      Thicken cervical mucus

  • 17. 
    What is the mechanism if action of mifepristone (RU-486)?
    • A. 

      Progesterone receptor agonist

    • B. 

      Progesterone receptor antagonist

    • C. 

      Estrogen receptor agonist

    • D. 

      Estrogen receptor antagonist

  • 18. 
    Clomiphene, an antiestrogen used for infertility performs all of the following except?
    • A. 

      Disrupt negative feedback of estrogen in HPA

    • B. 

      Increases GnRH

    • C. 

      Decreases LH & FSH

    • D. 

      Encourages the maturation of multiple follicles

    • E. 

      All of the above