Bonus Flashcards

1
Q

Where is sperm produced?

A

The seminiferous tubules of the testes.

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2
Q

Where do sperm mature and are stored?

A

Epididymis of the testes.

5% of semen volume.

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3
Q

What is the function of the seminal vessels?

A

Contributes high fructose content to sperm.

60% of semen volume.

Sperm become motile after receiving fluid.

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4
Q

What is the function of the prostate gland?

A

Secretes acid phosphatase, citric acid, zinc and proteolytic enzymes.

Responsible for coagulation and liquification after ejaculation.

20-30% of semen volume.

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5
Q

What is the function of the bulbourethral/Cowper gland?

A

Secretes thick alkaline mucus that helps neutralize acidity.

5% of semen volume.

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6
Q

What does sperm collection require?

A

Sexual abstinence for 3-5 days.

Collection by masturbation or nonlubricant condoms.

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7
Q

What are the normal characteristics of semen?

A

Liquefaction time- 30-60min

Grey-white and light yellow, translucent, musty odour.

Normal vol- 2-5mL

Normally pours in droplets- 0 (watery)- 4 (gel like)

pH- 7.2-8.0

Sperm concentration- 20-160 mil/mL

Sperm count- 740 mil/ejaculate

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8
Q

What other colours may semen be and what are they indicative of?

A

Dark yellow- high flavin concentration

Brown/red- blood

Highly turbid- leukocytes, infection or inflammation

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9
Q

What does a pH other than normal indicate?

A

Increased- infection

Decreased- increased prostatic fluid

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10
Q

What are the fractions of semen?

A

Testes and epididymis

Seminal vesicles

Prostate

Bulbourethral glands

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11
Q

How is a Neubauer counting chamber used for sperm?

A

1:20 dilution with sodium bicarbonate and formalin or tap water

Count W vs R squares, only fully developed cells

Two sides should be within 10%

Multiply by dilution factor (1000000)

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12
Q

How is sperm movement described?

A

Forward progressive movement, normal ~50% in an hour.

4- rapid, straight

3- slower, somewhat lateral movement

2- slow progression, noticeable lateral movement

1- no forward progression

0- no movement

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13
Q

How is sperm morphology observed?

A

Stained- Wright’s, Giemsa’s or Papanicolaou’s

Head and tail abnormalities

Normal- oval head (3um x 3um) and long flagellar tail (45um)

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14
Q

What is the difference between strict and routine requirements for sperm morphology?

A

Strict >30% normal forms

Routine >50% normal forms

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15
Q

What are additional sperm tests?

A

Sperm viability- count dead cells out of 100, eosin-nigrosin stain, normal ~75%

Seminal fluid fructose- resorcinol test, normal ~>13umol/ejaculate

Antisperm antibodies- mixed agglutination reaction (normal ~1 million leukocytes/mL indicates infection

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16
Q

What are routine and anaerobic cultures and tests performed on sperm?

A

Chlamydia trachomatis

Mycoplasma hominis

Ureaplasma urealyticum

17
Q

What chemical tests are performed on sperm?

A

Neutral alpha-glucosidase (epididymis disorder)

Lack of prostatic fluid:
Zn

Citric acid

Acid phosphatase

18
Q

What is the purpose of a post vasectomy analysis?

A

Looking for reduced/absent spermatozoa.

19
Q

What are sperm function tests?

A

Hamster egg penetration- observe microscopically

Cervical mucus penetration

Hypoosmotic swelling- exposed to low sodium concentration, membrane viability

In vitro acrosome reaction- evaluation of enzyme production for ovum penetration