Reproduction: fertilization and childbirth Flashcards

1
Q

Where does fertilization typically occur in the female reproductive tract?
A. Cervix
B. Uterus
C. Ampulla of the fallopian tube
D. Infundibulum of the fallopian tube

A

Fertilization typically occurs in the ampulla, the widened region of the fallopian tube. While sperm may enter through the cervix and uterus, the actual union of sperm and egg occurs in the ampulla.

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2
Q

Which of the following
sequences accurately describes the key events of fertilization?
A. Capacitation → Acrosome reaction → Sperm-egg fusion → Cortical reaction

B. Acrosome reaction → Capacitation → Zona hardening → Sperm fusion

C. Sperm fusion → Cortical granule release → Capacitation → Meiosis II

D. Capacitation → Zona hardening → Sperm entry → Acrosome reaction

A

Capacitation – sperm undergo physiological changes for fertilization.
Acrosome reaction – enzymes are released to penetrate the zona pellucida.
Sperm-egg fusion – plasma membranes fuse.
Cortical reaction – prevents polyspermy.

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3
Q

Why is polyspermy not favoured and how is polyspermy prevented?

A

Not favoured because more than one sperm wont make the zygote viable since it results in an abnormla number of chromosomes

Polyspermy is prevented by the oocyte, whihc creates a block to prevent the entry of sperm

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4
Q

Which of the follow is true on how the oocyte blocks polyspermy
A. oocyte removes zona pellucia
B. Change of membrane potential
C. Hardening of the zona pellucida with enzymes
D. Has enzymes that inactivate the sperm binding receptor
E. release contents from cortical grandule

A

The oocyte does not remove the zona pellucida

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5
Q

Polyspermy is prevented by which of the following mechanisms?
A. Inhibition of sperm motility by acidic pH
B. Release of cortical granules that harden zona pellucida
C. Increased production of progesterone
D. Sperm binding to trophoblast receptors

A

After the first sperm fuses with the egg, cortical granules release enzymes that harden the zona pellucida, forming a block to further sperm entry and thus preventing polyspermy.

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6
Q

What happens to the fertilized egg within the first 5 days post-fertilization?
A. It implants directly into the uterine wall
B. It transforms into a morula and travels toward the uterus
C. It develops into a blastocyst and completes implantation
D. It fuses with another ovum to become a zygote

A

It transforms into a morula and travels toward the uterus
The fertilized zygote undergoes cleavage to become a morula, which travels toward the uterus. Around day 5, it becomes a blastocyst, and implantation occurs around day 6–7, not during the first 5 days.

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7
Q

List the correct sequene of how a baby’s name is changed during pregnancy
- fetus, zygote, embryo, morula

A
  • zygote (when DNA is replicated)
  • morula
  • embryo (first two months)
  • fetus (after two months)
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8
Q

Which of the following best defines implantation and its key process?
A. Formation of morula and migration into cervix
B. Attachment of inner cell mass to the myometrium
C. Invasion of trophoblast cells into endometrium around day 6-7
D. Hatching of blastocyst and expansion of zona pellucida

A

Implantation begins around day 6–7 when trophoblast cells of the blastocyst invade the endometrium. The inner cell mass will eventually become the embryo, but it’s the trophoblast that initiates implantation.

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9
Q
A
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10
Q

Which combination correctly lists both the functions and major hormones of the placenta?
A. Gas exchange, anti-insulin hormone: estrogen and LH
B. Nutrient filtration, GH-like hormone: hPL and progesterone
C. Immunological barrier, maintains corpus luteum: hCG and hPL
D. Oxygen supply, sperm attraction: estrogen and oxytocin

A

The placenta acts as an immunological barrier and secretes hCG to maintain the corpus luteum early in pregnancy. It also produces hPL (human placental lactogen) for metabolic adaptation.

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11
Q

Which process gives identical twins and fraternal twins?
- division of totoipotent morula cells
- fertilization of two oocytes

A

Division of totopoitant cells give identical twins

Fertilization of two oocytes gives fraternal twins (non-identical)

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12
Q

Which is true about a blastocyts:
A. It is implanted on the uterine wall
B. It is immediately placed in the uterine lining
C. The outer layer has a trophoblast which becomes the placenta
D. It loses its zona pellucida
E. it looses it totipotency
F. A and D

A

The correct answer is :
- it looses its zona pellucida
- the outer layer has a trophoblast which becomes the placenta
- it is implanted on the uterine wall 4-5 days after fertilization (KNOW)
- it looses it totipotency
Why the others are incorrect:
B- it takes 4-5 days to be on the uterine wall
E. C is also correct

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13
Q

What does does it mean when a blastocysts looses its totipotency?

A

It means that each cell in the blastocyst have an assigned role now (yay)

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14
Q

Which of the following best describes the process of implantation?
A. The morula attaches to the uterine wall and invades the myometrium B. The blastocyst adheres to the endometrium, and trophoblast cells invade to form the placenta
C. The zygote fuses with endometrial blood vessels to initiate placental development
D. The inner cell mass of the blastocyst penetrates the cervical canal for nutrient absorption

A

The blastocysts adheres to the endometrium and trphoblast cells invade the placenta and throphoblasts ared fused on the uterine lining

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15
Q

Why is there a physical barrier in between the maternal sinus and the maternal blood (venule and arteriole)?

A

There is a physical barrier to prevent the mother and the babies blood from mixing (recall the effects of different blood types interacting with eachother)

Exchange still occurs but there is no mixing

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16
Q

Why do we need a spike of human gonadotrophin hormone during the early stages of pregnancy?

A
  • we need HCG to maintain the corpus luteum
17
Q

Why do we need the corpus luteum?

A
  • to prevent dessication of the corpus luteum
  • the cL gives a lot of progesterone and estrogen to maintain the placenta during the early stages of pregnancy
  • through pregnancy the corpus luteum desentegrates
18
Q

What is the role of human chorionic somatomamotropin (hCS) and human placental lactogen (hPL) (protein)?
A. Maintaining the corupus luteum
B. Growth of the uterus (myometrium) and mammary ducts
C. Decreases urine contractions, growth of mammary alveolar glands, and secretion of unfriendly sperm mucus in the cervix
D. Has GH and anti-insulin like actions and helps the fetus get more glucose

A

Has GH and anti-insulin like actions and helps the fetus get more glucose

A- is for hcg
B- estrogen
C- progesterone

19
Q

John

20
Q

I am

21
Q

Why are LH and FSH inhibited during pregnancy when the placenta is active?
A. To stimulate ovulation in the second trimester
B. To support follicle maturation for twin development
C. Because high levels of estrogen and progesterone from the placenta suppress the hypothalamic-pituitary axis
D. Because hCG directly stimulates LH and FSH production from the placenta

A

The placenta produces estrogen and progesterone, which exert negative feedback on the hypothalamus and anterior pituitary, thereby suppressing LH and FSH. This prevents ovulation and new follicle development during pregnancy.

22
Q

How do porgesterone and estrogen differ in developing the mammary glands?

A

Progesterone helps growth of mammary alveolar glands

Estrogen helps with growth in mammary ducts

23
Q

Why is the placenta considered an endocrine gland, and how does it obtain androgens?
A. The placenta produces digestive enzymes and absorbs maternal testosterone for conversion to estrogen
B. The placenta synthesizes hormones like hCG and estrogen, and relies on fetal adrenal conversion of progesterone to androgens
C. The placenta stores maternal LH and converts it into progesterone using syncytiotrophoblasts
D. The placenta secretes oxytocin, and fetal liver converts cholesterol into androgens for estrogen synthesis

A

The placenta synthesizes hormones like hCG and estrogen, and relies on fetal adrenal conversion of progesterone to androgens

24
Q

How does the placenta obtain androgens? (starting with obtaining cholesterol from the mother)

A

Know that the placenta does not directly make androgens.

How it gets androgens:
Progesterone goes into the fetus and the fetus converts progesterone to androgens

The fetus has the enzymes capable of converting progesterone into androgens

25
Which of the following triggers parturition most directly? A. Increased progesterone, decreased prostaglandin B. Pressure on cervix → oxytocin release → uterine contractions C. Inhibition of oxytocin by relaxin D. Cervical softening due to prolactin
Pressure on cervix → oxytocin release → uterine contractions - weak urine contractions causes pressure of the fetus against the cervix. A message is sent to the hypothalamus which secretes oxytocin via posterior pituitary Oxytocin strengthens uterine contractions, leading to birth
26
What is the primary role of the hormone relaxin during pregnancy? A. Stimulates uterine contractions during labor B. Promotes milk production in the mammary glands C. Softens the cervix and relaxes pelvic ligaments in preparation for childbirth D. Inhibits estrogen to maintain endometrial thickness
Softens the cervix and relaxes pelvic ligaments in preparation for childbirth
27
Which hormones primarily regulate mammary gland development at puberty? A. Prolactin and relaxin B. Estrogen and progesterone C. Oxytocin and growth hormone D. Estrogen and oxytocin
Estrogen and progesterone During puberty, estrogen promotes ductal growth, while progesterone stimulates lobuloalveolar development. Prolactin and oxytocin play roles in milk production and ejection after pregnancy, not during puberty.
28
What hormone initiates milk synthesis post-delivery and how is it regulated? A. Oxytocin; regulated by estrogen levels B. Estrogen; stimulated by progesterone drop C. Prolactin; stimulated by decline in estrogen and progesterone D. Relaxin; triggered by uterine contractions
: After childbirth, estrogen and progesterone levels drop, removing inhibition on prolactin, which then stimulates milk synthesis in the alveoli of the breast. Porlactin is the answer
29
What hormone mediates the “let-down” reflex and how does it act? A. Prolactin; increases milk production in alveoli B. Oxytocin; causes contraction of myoepithelial cells around alveoli C. Estrogen; stimulates milk duct dilation D. Progesterone; maintains ductal tone for milk ejection
Oxytocin; causes contraction of myoepithelial cells around alveoli The let-down reflex is controlled by oxytocin, which causes myoepithelial cells around the milk-producing alveoli to contract, propelling milk through ducts to the nipple during breastfeeding.
30
Which of the following hormones increase and inhibit cervical ripening Options: progesterone, prostaglandins, relaxin, estrogen
Increase with prostaglandins and relaxin Inhibited by progesterone
31
Which of the following increase and inhibit myometrial contractions? Options: pprogesterone, prostaglandins, relaxin, oxytocin, estrogen
Increased by Estrogen Prostaglandin and oxytocin and stretch (EPOS) Inhibited by progesterone and relaxin)
32
A term to process and maintain lactation
Galactopoiesis
33
_____ plays a role in lactogenesis (initiation of milk synthesis) and ____ is for growth factors
Prolactin and oxytocin
34
Why are progesterone and estrogen levels low during lactation?
Because high prolactin levels (which stimulate milk production) inhibit the hypothalamic-pituitary-ovarian axis, suppressing the release of GnRH, which in turn reduces LH and FSH. This prevents ovulation and the formation of a new corpus luteum, which is the main source of progesterone (and also helps maintain estrogen levels).