Progestins

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Questions and Answers

During which phase of the menstrual cycle does the dominant follicle produce estrogen?

  • Ovulation phase
  • Menstrual phase
  • Follicular phase (correct)
  • Luteal phase

What hormone provides negative feedback to the pituitary, inhibiting FSH release?

  • Progesterone
  • GnRH
  • LH
  • Estrogen (correct)

What hormone causes the endometrium to become thicker during the follicular phase?

  • LH
  • Progesterone
  • FSH
  • Estrogen (correct)

Which hormone prompts ovulation?

<p>LH (C)</p> Signup and view all the answers

Which structure in the female reproductive system thins and dilates during childbirth?

<p>Cervix (B)</p> Signup and view all the answers

What is the function of the uterine tubes in the female reproductive system?

<p>Transport oocytes from the ovaries to the uterus (A)</p> Signup and view all the answers

Where does oogenesis, the development of female gametes, occur in the female reproductive system?

<p>Follicles (B)</p> Signup and view all the answers

What is the function of the corpus luteum in the female reproductive system?

<p>Rupture after ovulation and produce hormones (C)</p> Signup and view all the answers

Which compound is the primary estrogen used in oral contraceptives?

<p>Ethinyl estradiol (D)</p> Signup and view all the answers

Which compound is 50% less potent than Ethinyl estradiol?

<p>Mestranol (D)</p> Signup and view all the answers

Which compound has a long half-life of 24-28 hours and is minimally metabolized?

<p>Estetrol (C)</p> Signup and view all the answers

Which compound has unsaturation (double bonds) in Ring B, which DECREASES estrogenic potency?

<p>Ethinyl estradiol (C)</p> Signup and view all the answers

Which type of contraception method is known to prevent ovulation and thicken cervical mucus?

<p>Oral contraception (B)</p> Signup and view all the answers

What is the primary mechanism of action for combination pills in preventing pregnancy?

<p>Negative feedback to pituitary, resulting in inhibition of ovulation (C)</p> Signup and view all the answers

Which type of contraception method is known to have a higher risk of thromboembolism?

<p>Oral contraception (A)</p> Signup and view all the answers

Which of the following is a possible adverse effect of SERMs?

<p>Increased risk of atherosclerosis (D)</p> Signup and view all the answers

Which of the following is a characteristic of clomiphene?

<p>It stimulates the release of FSH/LH (C)</p> Signup and view all the answers

Which of the following is a true statement about progestins?

<p>Removing the C19 methyl group increases activity at the progesterone receptor (D)</p> Signup and view all the answers

Which of the following is a clinical use of progestins?

<p>Long-term ovarian suppression (C)</p> Signup and view all the answers

Which of the following is NOT a clinical use of estrogens?

<p>Treating carcinoma of the prostate (B)</p> Signup and view all the answers

Which of the following is a membrane ER effect?

<p>Regulating vascular tone (B)</p> Signup and view all the answers

Which receptor type stimulates breast growth and reduces the risk of breast cancer?

<p>Membrane-dependent receptor (A)</p> Signup and view all the answers

What do NEST drugs promote and prevent?

<p>Promote nuclear-dependent effects and prevent membrane-dependent effects (C)</p> Signup and view all the answers

Which of the following is a nonhormonal contraceptive?

<p>Phexxi (C)</p> Signup and view all the answers

Which of the following is an adverse effect of Phexxi?

<p>Urinary tract infection (B)</p> Signup and view all the answers

Which contraceptive method is CI (contraindicated) in patients with renal and/or hepatic impairment?

<p>Xulane (A)</p> Signup and view all the answers

Which contraceptive method has a weight restriction of BMI >30?

<p>Twirla (B)</p> Signup and view all the answers

Which contraceptive method is a transdermal patch?

<p>Xulane (B)</p> Signup and view all the answers

During the ______ phase, the corpus luteum is secreting estrogen, progesterone, inhibin.

<p>luteal</p> Signup and view all the answers

The pathway to estrogen production varies from ______ to luteal phase.

<p>follicular</p> Signup and view all the answers

Estriol (E3) is a ______ estrogen and minor female sex hormone.

<p>weak</p> Signup and view all the answers

In the luteal phase, ______ is a precursor for estrogens.

<p>progesterone</p> Signup and view all the answers

Non-steroidal compounds with estrogenic activity include _______ and _______.

<p>Bisphenol A and Genestein</p> Signup and view all the answers

Estradiol is converted in the liver to _______ and _______.

<p>estrone and estriol</p> Signup and view all the answers

Estrogen receptors form a complex of proteins and bind to _______ in promoter sequences.

<p>DNA</p> Signup and view all the answers

Estrogen promotes the development and growth of the _______.

<p>breast</p> Signup and view all the answers

Progestins enter cells and bind to ______ receptors (cytoplasm and nucleus)

<p>progesterone</p> Signup and view all the answers

Adding a halogen at C6 or C7 ______ activity at the progesterone receptor

<p>increases</p> Signup and view all the answers

Removing the 3-keto group ______ activity at the progesterone receptor

<p>decreases</p> Signup and view all the answers

Progestins are given to stimulate or maintain ______

<p>pregnancy</p> Signup and view all the answers

During prenatal development, millions of primordial follicles are formed. These consist of single, large cell called an oocyte, which is surrounded by layer of ______ cells.

<p>follicular</p> Signup and view all the answers

Around day 7 on the cycle, 1 follicle becomes dominant, and the others die through a process called ______.

<p>atresia</p> Signup and view all the answers

Corpus Luteum – ruptured follicle after ovulation; very ______.

<p>large</p> Signup and view all the answers

Each month, 3-30 follicles will begin maturation within the ovary. ______ is released into open space and drawn into tube by beating cilia.

<p>Oocyte</p> Signup and view all the answers

Progestins are given during the ______ Phase to transform a proliferative uterine endometrium into a more differentiated, secretory one.

<p>Luteal</p> Signup and view all the answers

Progestins can be given ______ to prevent ovulation, increase viscosity of cervical mucus, decrease motility within uterine tubes, and create atrophic endometrium.

<p>continuously</p> Signup and view all the answers

The combination pills of hormonal contraception contain both estrogens and ______.

<p>progestins</p> Signup and view all the answers

The progesterone antagonist, Mifeprestone (RU-486), can terminate pregnancies in the first 7 weeks in 95% of women when used with ______.

<p>prostaglandins</p> Signup and view all the answers

Estrogen's nuclear dependent receptors prevent ______ formation in the vascular system

<p>plaque</p> Signup and view all the answers

Estrogen's nuclear dependent receptors support tissue maintenance in the ______ and vagina

<p>uterus</p> Signup and view all the answers

Estrogen's membrane dependent receptors stimulate ______ growth and reduce the risk of breast cancer

<p>breast</p> Signup and view all the answers

NEST drugs promote nuclear dependent effects and prevent ______ effects

<p>membrane</p> Signup and view all the answers

PhexxiTM is a contraceptive vaginal ______.

<p>gel</p> Signup and view all the answers

The vaginal pH range of PhexxiTM is ______.

<p>3.5-4.5</p> Signup and view all the answers

PhexxiTM has an efficacy of ______% with 'typical use' and ______% when used as directed.

<p>86, 93</p> Signup and view all the answers

The adverse effects of PhexxiTM include ______.

<p>vulvovaginal burning sensation, vulvovaginal pruritus, vulvovaginal mycotic infection, urinary tract infection, vulvovaginal discomfort, bacterial vaginosis, vaginal discharge, genital discomfort, dysuria, and vulvovaginal pain</p> Signup and view all the answers

Hormonal contraception increases the risk of ______.

<p>STIs</p> Signup and view all the answers

Hormonal contraception can reduce the risk of ______ or ovarian cancer.

<p>endometrial</p> Signup and view all the answers

Which compound is the primary estrogen used in oral contraceptives?

<p>Ethinyl estradiol (D)</p> Signup and view all the answers

What is the effect of unsaturation (double bonds) in Ring B on estrogenic potency?

<p>Decreases estrogenic potency (A)</p> Signup and view all the answers

Which compound has a long half-life of 24-28 hours and is minimally metabolized?

<p>Estetrol (A)</p> Signup and view all the answers

What are non-steroidal compounds with estrogenic activity?

<p>Bisphenol A and Genestein (B)</p> Signup and view all the answers

Which of the following is NOT an effect of estrogen on the cardiovascular system?

<p>Decreases cholesterol (D)</p> Signup and view all the answers

Which of the following is a clinical use of estrogens?

<p>Infertility/IVF (B)</p> Signup and view all the answers

Which receptor type stimulates breast growth and reduces the risk of breast cancer?

<p>Membrane-dependent receptors (B)</p> Signup and view all the answers

What is the role of NEST drugs in promoting nuclear-dependent effects and preventing membrane-dependent effects?

<p>All of the above (D)</p> Signup and view all the answers

Which structure in the female reproductive system is responsible for transporting oocytes released from the ovaries to the uterus?

<p>Uterine tubes (A)</p> Signup and view all the answers

During the menstrual cycle, which structure in the female reproductive system undergoes thinning and dilation in preparation for childbirth?

<p>Cervix (C)</p> Signup and view all the answers

What is the name of the structure that is formed after ovulation and is responsible for producing progesterone?

<p>Corpus Luteum (D)</p> Signup and view all the answers

What is the site of follicle development in the female reproductive system?

<p>Ovaries (A)</p> Signup and view all the answers

Which of the following is a true statement about progestins?

<p>Progestins decrease the risk of endometrial and ovarian cancer. (B)</p> Signup and view all the answers

Which contraceptive method is CI (contraindicated) in patients with renal and/or hepatic impairment?

<p>IM injections (C)</p> Signup and view all the answers

Which of the following is a characteristic of clomiphene?

<p>It stimulates ovulation. (C)</p> Signup and view all the answers

Which hormone is responsible for thickening cervical mucus and preventing ovulation?

<p>Progesterone (B)</p> Signup and view all the answers

During which phase of the menstrual cycle is the corpus luteum secreting estrogen, progesterone, and inhibin?

<p>Luteal phase (B)</p> Signup and view all the answers

What hormone is a precursor for estrogens in the luteal phase?

<p>Estradiol (D)</p> Signup and view all the answers

Which hormone provides negative feedback to the pituitary, inhibiting FSH release?

<p>Estrogen (B)</p> Signup and view all the answers

What is the function of the uterine tubes in the female reproductive system?

<p>Transportation of oocytes from the ovaries to the uterus (A)</p> Signup and view all the answers

Which of the following is NOT a potential adverse effect of hormonal contraception?

<p>Increased risk of cervical cancer (A)</p> Signup and view all the answers

What is the primary mechanism of action for hormonal contraception in preventing pregnancy?

<p>Inhibition of ovulation (C)</p> Signup and view all the answers

Which of the following is a non-hormonal contraceptive method?

<p>PhexxiTM (B)</p> Signup and view all the answers

Which compound is a synthetic analog of a natural estrogen synthesized by the fetal liver and present only during pregnancy?

<p>Estetrol (C)</p> Signup and view all the answers

Which of the following is a disadvantage of estrogen-containing contraceptives?

<p>Spotting or breakthrough bleeding (D)</p> Signup and view all the answers

Which contraceptive method has a weight restriction of BMI >30?

<p>Xulane (A)</p> Signup and view all the answers

Which of the following is a true statement about SERMs?

<p>SERMs have agonist activity in some tissues and antagonist activity in others (B)</p> Signup and view all the answers

Which of the following is a true statement about tamoxifen?

<p>Tamoxifen is an antagonist in the uterus (B)</p> Signup and view all the answers

Which of the following is a true statement about raloxifene?

<p>Raloxifene is used for breast cancer prophylaxis (A)</p> Signup and view all the answers

Which of the following is a true statement about clomiphene?

<p>Clomiphene stimulates the release of FSH/LH (B)</p> Signup and view all the answers

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