Male Reproduction (Schmidt) Flashcards

1
Q

network of veins that acts as a heat exchanger, cooling blood as it enters the testes

A

pampiniform plexus

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2
Q

raises and lowers testes in response to temperature changes

A

cremasteric muscle

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3
Q

failure of the testes to descend

A

cryptorchidism

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4
Q

coiled mass of loops (800 ft!) in which germinal epithelial cells differentiate into mature sperm

A

seminiferous tubules

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5
Q

what fetal hormone is responsible for the descent of the testes into the scrotum?

A

testosterone

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6
Q

failure of the testes to descend is called what?

A

cryptorchidism

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7
Q

Spermatogenesis occurs within what structure?

A

testicular seminiferous tubules

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8
Q

testosterone synthesis and secretion is mediated by what cells?

A

leydig cells

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9
Q

Which one of these is NOT an important function of Sertoli cells?
A. they form the blood-testis barrier and a conduit through which germ cells migrate during development
B. they mediate testosterone synthesis
C. they nurture and control the process of spermatogenesis
D. they convert testosterone into estradiol (prior to puberty)
E. they secrete an androgen-binding protein

A

B. Testosterone synthesis is mediated by Leydig cells.

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10
Q

as sertoli cells differentiate, aromatase expression declines and estrogen synthesis shifts to what cells?

A

leydig cells

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11
Q

what is the functional significance of the androgen-binding proteins that are secreted by sertoli cells?

A

they bind testosterone (made by leydig cells) and carry it into the fluid of the seminiferous tubules, keeping it in a continuously available form to maturing sperm

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12
Q

what are the two hormones needed to regulate phenotypic gender expression and what cells secrete them?

A

testosterone secreted by leydig cells; Mullerian inhibiting substance (MIS, or anti Mullerian hormone) secreted by sertoli cells

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13
Q

outline the pathway of mature sperm:

seminiferous tubules –> _______ –> vas deferens –> ampulla –> _______ –> urethra

A

epididymus; prostate gland

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14
Q

From testis sperm empty into this structure, which is a coiled in which maturation is completed (that is, sperm become capable of movement and fertilization)

A

epididymus

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15
Q

site of sperm storage

A

ampulla (the widened portion of the vas deferens)

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16
Q

structure that secretes thin, milky alkaline fluid (citrate, Ca+2, clotting enzyme, profibrinolysin) into the ejaculatory duct, which adds bulk to semen and neutralizes acidic fluid of the vas deferens and vaginal secretions

A

prostate gland

17
Q

secrete a clear, viscous, mucus-like fluid that functions as lubricant

A

bulbourethral (cowper’s) glands

18
Q

activation of sperm for final process of fertilization

A

capacitation

19
Q

Which of the following regarding capacitation is FALSE?
A. Capacitation is the process whereby sperm are activated for the final process of fertilization
B. Destabilization of the sperm head provides for greater binding between sperm and oocyte
C. Capacitation decreases the permeability of the sperm’s cell membrane to Ca++
D. Capacitation is facilitated by the removal of steroids and non-covalently bound epididymal/seminal glycoproteins
E. Tripeptide FPP (fertilization promoting peptide) produced in the prostate gland is essential for this process because it increases adenylyl cyclase activity in the sperm.

A

C. Capacitation makes a sperm’s membrane more permeable to Ca++.

20
Q

True or False: FSH release is vital for stimulation of the Leydig cells to produce testosterone during spermatogenesis.

A

False. FSH stimulates Sertoli cells to make estradiol from testosterone for spermatogenesis. It is LH that stimulates the Leydig cells to secrete testosterone.

21
Q

Testosterone converted to estradiol via what enzyme?

A

aromatase

22
Q

Testosterone is metabolized to the much more potent ________ in some, but not all target tissues

A

dihydrotestosterone

23
Q

True or false: most testosterone is circulating freely in the blood.

A

False. Only about 2% is freely circulating, while the rest is bound to sex steroid-binding globulin or albumin.

24
Q

FSH stimulated Sertoli cells secrete what hormone, which

selectively inhibits FSH secretion in an important negative feedback mechanism for control of spermatogenesis?

A

inibin B

25
Q

This hormone is expressed in several tissues including the pituitary, and its role is to antagonize inhibin B action and stimulate FSH release

A

activin

26
Q

Absence of these hormones, due to nonfunctional testes or genetic absence of androgen receptors will result in a male (XY) who develops female sexual characteristics

A

androgens

27
Q

why is it that female brains are not “masculinzed” by the aromatization of testosterone to estrogen, as male brains are?

A

female fetuses have alpha-fetoprotein that binds the maternal estrogen so that female brains are not affected

28
Q

term that describes a turning point decrease in male sexual function due to declining testosterone

A

(male) climacteric

29
Q

True or false: although levels of testosterone decline with age, LH levels are often not elevated

A

True.

30
Q
The release of testosterone during puberty causes all of the following to increase except:
A. muscle mass
B. red blood cell production
C. retention of Ca++
D. VLDL synthesis
E. HDL synthesis
A

E. An increase in VLDL and a decrease in HDL synthesis following puberty leads to increased risk of coronary artery disease.

31
Q

testosterone diffuses into target cells and is metabolized to 5α-dihydrotestosterone (DHT) via what enzyme?

A

5α reductase

32
Q

True or false: testosterone can function directly on some tisues that lack metabolizing enzyme/DHT.

A

True. Examples of testosterone mediating a direct effect on target tissues include:

a. development and differentiation of the epididymis, vas deferens and seminal vesicles (internal genitalia)
b. effects on musculature and skeleton
c. effects on spermatogenesis
d. libido
e. promotes erythropoiesis
f. deepening of voice during puberty

33
Q

Which of the following statements concerning the regulation of testosterone secretion is TRUE?

A. Testosterone enhances its own rate of secretion by exerting long-loop positive feedback on the hypothalamus.
B. Descent of the testis into the scrotum is regulated by testosterone secreted by the fetal testis.
C. Testosterone secretion is stimulated via paracrine effects mediated by estradiol, which is secreted by pre-pubertal Sertoli cells.
D. Testosterone secretion reaches its maximal rate during the male climacteric.
E. Testosterone secretion immediately after the birth of a baby boy is responsible for development of the prostate gland.

A

B.

A is incorrect because testosterone negatively feedsback to the hypothalamus.
C is incorrect because estradiol does not mediate the secretion of testosterone - rather, LH stimulates leydig cells to synthesize and secrete testosterone, which is converted to estradiol in the sertoli cells
D is incorrect because testosterone secretion declines during the male climacteric.
E is incorrect because it is fetal testosterone that is responsible for the development of the prostate gland.

34
Q

A healthy, 16-year-old boy (5’6” tall and weighing 136 lbs.) exhibits the following symptoms: small penis, poor muscular development, high-pitched voice, and no growth of facial hair. Clinical analyses indicate that his serum testosterone and sperm count are both very low. Injections of GnRH fail to elevate his serum LH and FSH levels. However, injections of HCG and FSH for several weeks result in normal sperm count, elevated testosterone levels and eventual development of secondary sex characteristics. Based on these data, the best explanation for this young man’s original problem would be which of the following?

A. Sertoli cells in his testes express non-functional FSH receptors
B. Inadequate secretion of GnRH by his hypothalamus
C. Cryptorchidism
D. Pituitary gonadotropes express non-functional GnRH receptors
E. Sertoli cells in the testes hypersecrete inhibin B.

A

D