A +
PAEA OBGYN EOR Topics 2025/2026
Exam Questions Marking Scheme New
Update | A+ Rated
Follicular Phase vs. Luteal phase - 🧠 ANSWER ✔✔1. Estrogen dominant (Day 1-
14)
2. Progesterone dominant (Day 14-28)
FSH vs. LH - 🧠 ANSWER ✔✔1. Causes follicle & egg maturation
2. Stimulate maturing follicle to produce estrogen
Estrogen vs. Progesterone - 🧠 ANSWER ✔✔1. Thickens endometrium
2. Enhances lining of uterus to prepare for implantation
In the follicular phase (days 1-14) of the menstrual cycle, FSH is increasing which
causes a _______ to develop which produces ________ to help proliferate the
lining of the endometrium; at the end of this phase _______ surges causing
ovulation - 🧠 ANSWER ✔✔1. Primary ovarian follicle
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, A +
2. Estrogen
3. LH
In the luteal phase (days 14-28), after ovulation, the leftover follicle becomes the
_________ which produces _________ which maintains the endometrial lining for
fertilization - 🧠 ANSWER ✔✔1. Corpus luteum
2. Progesterone
In the luteal phase, the endometrial lining is prepared for fertilization from
progesterone from the corpus luteum; the ________ degrades causing a drop in
progesterone/estrogen and _________ begins - 🧠 ANSWER ✔✔1. Corpus luteum
2. Menstruation
In the luteal phase, the endometrium is prepared for fertilization by progesterone
from the corpus luteum; if fertilization does occur __________ gets released by the
developing trophoblast/placenta which maintains the __________ to continue
making progesterone/estrogen - 🧠 ANSWER ✔✔1. hCG
2. Corpus luteum
Cryptomenorrhea - 🧠 ANSWER ✔✔Light flow or spotting
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, A +
Metrorrhagia vs. Menometrorrhagia - 🧠 ANSWER ✔✔1. Irregular bleeding
between expected menstrual cycles
2. Irregular EXCESSIVE bleeding between expected menstrual cycles
Oligomenorrhagia - 🧠 ANSWER ✔✔Infrequent menstruation *(prolonged cycle
length >35 days but <6 months)*
Chronic anovulation (90% of DUB) is due to disruption of the hypothalamus-
pituitary axis which causes what hormal imbalances? And what kind of menstrual
regularity? (3) - 🧠 ANSWER ✔✔1. No ovulation
2. Unopposed *estrogen* (no progesterone) → *risk of carcinoma*
3. *irregular*, unpredictable bleeding due to endometrial overgrowth
*REMEMBER this is a Dx of exclusion*
What is the pathophysiology of ovulatory DUB (10% of Dysfunctional UB)? (4) -
🧠 ANSWER ✔✔1. Still ovulate
2. Prolonged *progesterone* (decreased estrogen)
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, A +
3. *Regular* cyclical shedding
4. Increased blood loss (due to endometrial vessel dilation and prostaglandins) =
*menorrhagia*
*REMEMBER this is a Dx of exclusion*
Primary Amenorrhea Definition (2) - 🧠 ANSWER ✔✔1. No menstruation by *age
15* in the *presence* of 2° sex characteristics
2. No menstruation by *age 13* in the *absence* of 2° sex characteristics
In a pt with primary amenorrhea, who's uterus & breasts are present, what may be
the cause? - 🧠 ANSWER ✔✔Outflow obstruction (transverse vaginal septum,
imperforated hymen)
In a pt with primary amenorrhea, who's uterus is present but breasts are not, what
may be the cause? (2) - 🧠 ANSWER ✔✔1. If elevated FSH and LH = *Ovarian
causes* (Premature ovarian failure, gonadal dysgenesis)
2. If normal/low FSH and LH = *Hypothalamus-Pituitary failure*
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
PAEA OBGYN EOR Topics 2025/2026
Exam Questions Marking Scheme New
Update | A+ Rated
Follicular Phase vs. Luteal phase - 🧠 ANSWER ✔✔1. Estrogen dominant (Day 1-
14)
2. Progesterone dominant (Day 14-28)
FSH vs. LH - 🧠 ANSWER ✔✔1. Causes follicle & egg maturation
2. Stimulate maturing follicle to produce estrogen
Estrogen vs. Progesterone - 🧠 ANSWER ✔✔1. Thickens endometrium
2. Enhances lining of uterus to prepare for implantation
In the follicular phase (days 1-14) of the menstrual cycle, FSH is increasing which
causes a _______ to develop which produces ________ to help proliferate the
lining of the endometrium; at the end of this phase _______ surges causing
ovulation - 🧠 ANSWER ✔✔1. Primary ovarian follicle
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, A +
2. Estrogen
3. LH
In the luteal phase (days 14-28), after ovulation, the leftover follicle becomes the
_________ which produces _________ which maintains the endometrial lining for
fertilization - 🧠 ANSWER ✔✔1. Corpus luteum
2. Progesterone
In the luteal phase, the endometrial lining is prepared for fertilization from
progesterone from the corpus luteum; the ________ degrades causing a drop in
progesterone/estrogen and _________ begins - 🧠 ANSWER ✔✔1. Corpus luteum
2. Menstruation
In the luteal phase, the endometrium is prepared for fertilization by progesterone
from the corpus luteum; if fertilization does occur __________ gets released by the
developing trophoblast/placenta which maintains the __________ to continue
making progesterone/estrogen - 🧠 ANSWER ✔✔1. hCG
2. Corpus luteum
Cryptomenorrhea - 🧠 ANSWER ✔✔Light flow or spotting
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, A +
Metrorrhagia vs. Menometrorrhagia - 🧠 ANSWER ✔✔1. Irregular bleeding
between expected menstrual cycles
2. Irregular EXCESSIVE bleeding between expected menstrual cycles
Oligomenorrhagia - 🧠 ANSWER ✔✔Infrequent menstruation *(prolonged cycle
length >35 days but <6 months)*
Chronic anovulation (90% of DUB) is due to disruption of the hypothalamus-
pituitary axis which causes what hormal imbalances? And what kind of menstrual
regularity? (3) - 🧠 ANSWER ✔✔1. No ovulation
2. Unopposed *estrogen* (no progesterone) → *risk of carcinoma*
3. *irregular*, unpredictable bleeding due to endometrial overgrowth
*REMEMBER this is a Dx of exclusion*
What is the pathophysiology of ovulatory DUB (10% of Dysfunctional UB)? (4) -
🧠 ANSWER ✔✔1. Still ovulate
2. Prolonged *progesterone* (decreased estrogen)
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, A +
3. *Regular* cyclical shedding
4. Increased blood loss (due to endometrial vessel dilation and prostaglandins) =
*menorrhagia*
*REMEMBER this is a Dx of exclusion*
Primary Amenorrhea Definition (2) - 🧠 ANSWER ✔✔1. No menstruation by *age
15* in the *presence* of 2° sex characteristics
2. No menstruation by *age 13* in the *absence* of 2° sex characteristics
In a pt with primary amenorrhea, who's uterus & breasts are present, what may be
the cause? - 🧠 ANSWER ✔✔Outflow obstruction (transverse vaginal septum,
imperforated hymen)
In a pt with primary amenorrhea, who's uterus is present but breasts are not, what
may be the cause? (2) - 🧠 ANSWER ✔✔1. If elevated FSH and LH = *Ovarian
causes* (Premature ovarian failure, gonadal dysgenesis)
2. If normal/low FSH and LH = *Hypothalamus-Pituitary failure*
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
