Book: Semen Flashcards
Maturation of spermatozoa takes place in the:
A. Sertoli cells
B. Seminiferous tubules
C. Epididymis
D. Seminal vesicles
Epididymis
Enzymes for the coagulation and liquefaction of semen are produced by the:
A. Seminal vesicles
B. Bulbourethral glands
C. Ductus deferens
D. Prostate gland
Prostate gland
The major component of seminal fluid is:
A. Glucose
B. Fructose
C. Acid phosphatase
D. Citric acid
Fructose
If the first portion of a semen specimen is not collected, the semen analysis will have which of the following?
A. Decreased pH
B. Increased viscosity
C. Decreased sperm count
D. Decreased sperm motility
Decreased sperm count
Failure of laboratory personnel to document the time a semen sample is collected primarily affects the interpretation of semen:
A. Appearance
B. Volume
C. pH
D. Viscosity
Viscosity
Liquefaction of a semen specimen should take place within:
A. 1 hour
B. 2 hours
C. 3 hours
D. 4 hours
1 hour
A semen specimen delivered to the laboratory in a condom has a normal sperm count and markedly decreased sperm motility. This indicates:
A. Decreased fructose
B. Antispermicide in the condom
C. Increased semen viscosity
D. Increased semen alkalinity
Antispermicide in the condom
An increased semen pH may be caused by:
A. Prostatic infection
B. Decreased prostatic secretions
C. Decreased bulbourethral gland secretions
D. All of the above
All of the above
Proteolytic enzymes may be added to semen specimens to:
A. Increase the viscosity
B. Dilute the specimen
C. Decrease the viscosity
D. Neutralize the specimen
Decrease the viscosity
The normal sperm concentration is:
A. Less than 20 million/µ L
B. More than 20 million/mL
C. Less than 20 million/mL
D. More than 20 million/µ L
More than 20 million/mL
Given the following information, calculate the sperm concentration: dilution, 1:20; sperm counted in five RBC squares on each side of the hemocytometer, 80 and 86; volume, 3 mL.
A. 80 million/mL
B. 83 million/mL
C. 86 million/mL
D. 169 million/µ L
83 million/mL
Using the above information, calculate the sperm concentration when 80 sperm are counted in 1 WBC square and 86 sperm are counted in another WBC square.
A. 83 million/mL
B. 166 million per ejaculate
C. 16.6 million/mL
D. 50 million per ejaculate
16.6 million/mL
The primary reason to dilute a semen specimen before
performing a sperm concentration is to:
A. Immobilize the sperm
B. Facilitate the chamber count
C. Decrease the viscosity
D. Stain the sperm
Immobilize the sperm
When performing a sperm concentration, 60 sperm are
counted in the RBC squares on one side of the hemocytometer and 90 sperm are counted in the RBC squares on the other side. The specimen is diluted 1:20. The:
A. Specimen should be rediluted and counted
B. Sperm count is 75 million/mL
C. Sperm count is greater than 5 million/mL
D. Sperm concentration is abnormal
Specimen should be rediluted and counted
Sperm motility evaluations are performed:
A. Immediately after the specimen is collected
B. Within 1 hour of collection
C. After 3 hours of incubation
D. At 6-hour intervals for 1 day
Within 1 hour of collection
The percentage of sperm showing average motility that is considered normal is:
A. 25%
B. 50%
C. 60%
D. 75%
50%
The purpose of the acrosomal cap is to:
A. Penetrate the ovum
B. Protect the the nucleus
C. Create energy for tail movement
D. Protect the neckpiece
Penetrate the ovum
The sperm part containing a mitochondrial sheath is the:
A. Head
B. Neckpiece
C. Midpiece
D. Tail
Midpiece
All of the following are associated with sperm motility except the:
A. Head
B. Neckpiece
C. Midpiece
D. Tail
Head
The morphologic shape of a normal sperm head is:
A. Round
B. Tapered
C. Oval
D. Amorphous
Oval
Normal sperm morphology when using the WHO criteria is:
A. >30% normal forms
B. <30% normal forms
C. >15% abnormal forms
D. <15% normal forms
> 30% normal forms
Additional parameters measured by Kruger’s strict morphology include all of the following except:
A. Vitality
B. Presence of vacuoles
C. Acrosome size
D. Tail length
Vitality
Round cells that are of concern and may be included in sperm counts and morphology analysis are:
A. Leukocytes
B. Spermatids
C. RBCs
D. Both A and B
Both A and B
If 5 round cells per 100 sperm are counted in a sperm morphology smear and the sperm concentration is 30 million, the concentration of round cells is:
A. 150,000
B. 1.5 million
C. 300,000
D. 15 million
1.5 million
Following an abnormal sperm motility test with a normal sperm count, what additional test might be ordered?
A. Fructose level
B. Zinc level
C. MAR test
D. Eosin-nigrosin stain
Eosin-nigrosin stain
Follow-up testing for a low sperm concentration would
include testing for:
A. Antisperm antibodies
B. Seminal fluid fructose
C. Sperm vitality
D. Prostatic acid phosphatase
Seminal fluid fructose
The immunobead test for antisperm antibodies:
A. Detects the presence of male antibodies
B. Determines the presence of IgG, IgM, and IgA
antibodies
C. Determines the location of antisperm antibodies
D. All of the above
All of the above
Measurement of α -glucosidase is performed to detect a disorder of the:
A. Seminiferous tubules
B. Epididymis
C. Prostate gland
D. Bulbourethral glands
Epididymis
A specimen delivered to the laboratory with a request
for prostatic acid phosphatase and glycoprotein p30 was collected to determine:
A. Prostatic infection
B. Presence of antisperm antibodies
C. A possible rape
D. Successful vasectomy
A possible rape
Following a negative post-vasectomy wet preparation, the specimen should be:
A. Centrifuged and reexamined
B. Stained and reexamined
C. Reported as no sperm seen
D. Both A and B
Centrifuged and reexamined
Standardization of procedures and reference values for semen analysis is primarily provided by the:
A. Manufacturers of instrumentation
B. WHO
C. Manufacturers of control samples
D. Clinical Laboratory Improvement Amendments
WHO
