Fertility Flashcards

1
Q

Spinnbarkheit (acellular mucus with low viscosity and high stretchability) formation is induced by:

secretory endometrium

progesterone effects on the endometrium

ovarian androgens

oestrogen action on cervical glands

prostaglandin secretion

A

oestrogen action on cervical glands (thus the cervical mucous becomes receptive to sperm)

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2
Q

Ejaculation from the posterior urethra is achieved by contractions of the smooth muscles of the urethra and striated muscles of the bulbocavernosus and…

A

ischiocavernosus

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3
Q

Emission is the movement of spermatozoa only into the urethra.
True or false?

A

False

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4
Q

Emission is sympathetically mediated via the hypogastric plexus.
True or false?

A

True

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5
Q

All of the following occur in fertilization except:

the acrosome reaction

the zona reaction

capacitation

breeching of the corona radiata by the sperm

breeching of the zona pellucida by the sperm

A

Capacitation

The zona reaction occurs in fertilization to prevents polyspermy. Capacitation occurs prior to fertilization.

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6
Q

Successful fertilisation is most likely to occur when the oocyte is in:

the oviduct and has entered the second meiotic division

the uterus and has completed the first meiotic division

the Graafian follicle which then enters the oviduct

the uterus, extruding the second polar body and implanting

metaphase of first mitosis

A

the oviduct and has entered the second meiotic division

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7
Q

Select the correct statement concerning hormonal contraception:

Oestrogen is used as a contraceptive on its own

Progesterone cannot prevent implantation of the blastocyst

The contraceptive action of oestrogen is to inhibit FSH release

Progesterone directly inactivates sperm

The combined oral contraceptive pill is taken every day.

A

The contraceptive action of oestrogen is to inhibit FSH release.

(Hence, follicular development is inhibited)

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8
Q

Select the correct statement. Implantation occurs:

4 days after fertilisation

when the embryo is at the morula stage

only after priming the uterus by oestrogen and progesterone

on the first day after entry of the embryo into the uterus

occurs during the proliferative phase o the uterine cycle

A

only after priming the uterus by oestrogen and progesterone

Implantation occurs usually 6 days after fertilization

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9
Q

The next ovulatory cycle after implantation is postponed because of:

high levels of prolactin

production of human chorionic gonadotrophin (hCG) by syncytiotrophoblast cells

production of prostaglandins by the corpus luteum

the depletion of oocytes in the ovary

low levels of progesterone

A

production of human chorionic gonadotrophin (hCG) by syncytiotrophoblast cells

(This maintains the secretory activities of the corpus luteum and hence oestrogen secretion which inhibits FSH and LH release and therefore further follicular development)

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10
Q

The oocyte completes its first meiotic division when the sperm penetrates the plasma membrane.
True or false?

A

False

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11
Q

Polyspermy (repeated fertilisation) is prevented by depolarisation of the oocyte membrane and changes in the zona pellucida.
True or false?

A

True

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12
Q

In semen analysis, an abnormal morphology of greater than 20% is considered abnormal.
True or false?

A

False

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13
Q

The semen rapidly coagulates upon deposition in the female due to proteins in the cervical mucous.
True or false?

A

False

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