formative 1

Question 1

which layer of the uterine wall is responsible for regenerating the tissue that is lost during menstruation

Answer 1

statum basalis

Question 2

what time point does the ovaries contain the greatest number of germ cells?

Answer 2

7 months gestation

Question 3

What is the structure called that forms from the follicle following ovulation, contains theca and granulosa derived cells, and continues to produce progesterone for about 2 weeks post-ovulation?

Answer 3

corpus luteum

Question 4

A 30-year-old pregnant woman undergoes a routine ultrasound scan. The scan reveals a normal pregnancy, however she has two uteri.

What is the most likely embryonic explanation?

Answer 4

an incomplete fusion of the paramesonephric duct

Question 5

In males, which structure develops to form the vas deferens (ductus deferens)

Answer 5

mesonephric duct

Question 6

In females, which structure develops to form the superior portion of the vagina?

Answer 6

paramesonephric duct

Question 7

Research on Human Embryos is legal in the UK.

Up to what stage can this research be performed?

Answer 7

day 14

Question 8

A couple attend an infertility clinic. She has had a hysterectomy as management for grade 1b endometrial cancer. All infertility investigations are normal, including normal female ovarian reserve and semen analysis.

What treatment option should be discussed?

Answer 8

surrogacy

Question 9

A couple attend an infertility clinic. The man had a vasectomy 5 years ago and was shown to be azoospermic following this.

What treatment option should be offered initially?

Answer 9

ICSI treatment with sperm obtained by surgical sperm aspiration

Question 10

A couple attend an infertility clinic. Investigations for the man show he has obstructive azoospermia.

Which genetic condition is the most likely cause of this condition

Answer 10

cystic fibrosis

Question 11

A couple are undergoing IVF and are booking to attend for embryo transfer.

At which stage in embryo development is embryo transfer most successful?

Answer 11

blastocyst stage

Question 12

A couple present with a 5 year history of unexplained infertility. What is the best course of treatment?

Answer 12

IVF

Question 13

A couple present to discuss assisted conception options. The man has had a vasectomy 3 years ago. What is the best option?

Answer 13

surgical sperm retrieval and ICSI

Question 14

A woman presents with multiple small painful ulcers on her genitalia and a flu-like illness. She is unable to urinate due to discomfort. You suspect Herpes Simplex infection.

What is the best course of treatment?

Answer 14

aciclovir

Question 15

where does spermatogenesis occur in a testicle

Answer 15

seminiferous tubules

Question 16

A woman presents in her 3rd trimester with pelvic pain. What structures relax in pregnancy, which could be contributing to her pelvic pain?

Answer 16

pelvic inlet

Question 17

You are observing a woman in the 2nd stage of labour. You can see the vertex advancing. Which structures on the fetal skull outline the vertex?

Answer 17

anterior and posterior fontanelles and the parietal eminences

Question 18

Changes in the Endometrium in the luteal phase are direct effect of which hormone?

Answer 18

progesterone

Question 19

You review a patient in clinic who is currently on day 20 of her menstrual cycle. How long does the luteal phase last in the menstrual cycle?

Answer 19

14 days