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Chapter 17 - Reproduction

Chapter 17
Reproduction
 

Multiple Choice Questions


 

1. SRY 
A. Protein is normally coded for by a gene that is present on the Y chromosome
B. Protein is normally coded for by a gene that is present on the X chromosome
C. Gene codes for testosterone
D. Gene is indirectly involved in differentiation of the indifferent gonad and directly involved
in the regression of the Müllerian ducts
E. Both protein is normally coded for by a gene that is present on the Y chromosome and gene
is indirectly involved in differentiation of the indifferent gonad and directly involved in the
regression of the Müllerian ducts are correct

Bloom's Level: 1. Remember


Section 17B.03
Topic: Reproductive System
 

2. Sexual differentiation of the embryo is normally determined by 


A. The presence of two X chromosomes, which directs the undifferentiated gonads to develop
into ovaries
B. The presence of the Y chromosome, which directs the undifferentiated gonads to develop
into testes (when there is one X chromosome present as well)
C. Hormones produced by the placenta
D. Both the presence of two X chromosomes, which directs the undifferentiated gonads to
develop into ovaries and hormones produced by the placenta
E. Both the presence of the Y chromosome, which directs the undifferentiated gonads to
develop into testes (when there is one X chromosome present as well) and hormones
produced by the placenta

Bloom's Level: 2. Understand


Section 17B.03
Topic: Reproductive System
 

17-1
Chapter 17 - Reproduction

3. In the differentiation of a normal male, 


A. Undifferentiated gonads develop into testes during the fifth week of embryonic life
B. The Wolffian ducts regress
C. Pituitary LH causes fetal Leydig cells to secrete testosterone
D. Testosterone directly stimulates development of the epididymis, vas deferens, and seminal
vesicles
E. Testosterone directly stimulates development of the penis and scrotum

Bloom's Level: 1. Remember


Section 17B.03
Topic: Reproductive System
 

4. In the differentiation of a normal female, 


A. Müllerian inhibiting substance causes the Müllerian ducts to regress
B. The uterus and uterine tubes are formed from the Wolffian ducts
C. Female genitalia form in the absence of hormonal stimulation
D. The gonads remain undifferentiated throughout fetal life
E. None of the choices are true

Bloom's Level: 1. Remember


Section 17B.03
Topic: Reproductive System
 

5. Which of the following best describes the reproductive organs of a genetic male who lacks
androgen receptors (i.e., has androgen insensitivity)? 
A. He will have normal male genitals and sex accessory organs
B. He will have female-appearing genitals and sex accessory organs
C. He will have female-appearing external genitals but normal male sex accessory organs
derived from the Wolffian ducts
D. He will have male genitals but will have female-appearing sex accessory organs derived
from the Müllerian ducts
E. He will have female-appearing external genitals but no internal sex accessory organs
derived from the duct structures

Bloom's Level: 3. Apply


Section 17B.03
Topic: Reproductive System
 

17-2
Chapter 17 - Reproduction

6. The onset of puberty is triggered by an increase in 


A. Sensitivity of the gonads to pituitary gonadotropins
B. Sensitivity of the pituitary to GnRH
C. GnRH secretion
D. Sensitivity of the gonads to pituitary gonadotropins and sensitivity of the pituitary to
GnRH
E. All of the choices are correct

Bloom's Level: 1. Remember


Section 17C.05
Topic: Reproductive System
 

7. Meiosis 
A. Differs from mitosis in that in meiosis cell division occurs without chromosome replication
B. Differs from mitosis in that in meiosis two cell divisions follow one chromosomal
replication
C. Allows for mixing of paternal and maternal genes on homologous chromosomes
D. Both differs from mitosis in that in meiosis cell division occurs without chromosome
replication and allows for mixing of paternal and maternal genes on homologous
chromosomes are correct
E. Both differs from mitosis in that in meiosis two cell divisions follow one chromosomal
replication and allows for mixing of paternal and maternal genes on homologous
chromosomes are correct

Bloom's Level: 2. Understand


Section 17B.01
Topic: Reproductive System
 

8. Spermatogenesis 
A. Begins with the mitotic division of a single spermatogonium
B. Results in four primary spermatocytes for every spermatogonium
C. Results in four spermatozoa for every primary spermatocyte
D. Both begins with the mitotic division of a single spermatogonium and results in four
spermatozoa for every primary spermatocyte are correct
E. All of the choices are correct

Bloom's Level: 1. Remember


Section 17C.02
Topic: Reproductive System
 

17-3
Chapter 17 - Reproduction

17-4
Chapter 17 - Reproduction

9. The process of spermatogenesis from primary spermatocyte to sperm 


A. Takes about three weeks in the human
B. Takes place in an environment different from that of the mitotic cell divisions that precede
it
C. Requires participation of Sertoli cells
D. Both takes about three weeks in the human and takes place in an environment different
from that of the mitotic cell divisions that precede it are correct
E. Both takes place in an environment different from that of the mitotic cell divisions that
precede it and requires participation of Sertoli cells are correct

Bloom's Level: 2. Understand


Section 17C.02
Topic: Reproductive System
 

10. Which of the following statements is false? 


A. Sperm formed in the testes enter the epididymis before entering the vas deferens
B. The seminal fluid is alkaline and rich in nutrients
C. The Sertoli cells produce androgen-binding protein
D. Sperm entering the epididymis are fully motile
E. Most of the seminal volume is provided by the secretions of the seminal vesicles and
prostate gland

Bloom's Level: 2. Understand


Section 17C.02
Topic: Reproductive System
 

11. Sperm 
A. Are stored in the vas deferens and the last part of the epididymis
B. Mature in the vas deferens
C. Become concentrated in the epididymis
D. Both are stored in the vas deferens and the last part of the epididymis and become
concentrated in the epididymis are correct
E. All of the choices are correct

Bloom's Level: 1. Remember


Section 17C.03
Topic: Reproductive System
 

17-5
Chapter 17 - Reproduction

12. The androgen-binding protein functions to 


A. Confer responsiveness of certain cells to male sex hormones
B. Transport androgens in the plasma
C. Bind and maintain high concentrations of testosterone in the seminiferous tubules
D. Both confer responsiveness of certain cells to male sex hormones and transport androgens
in the plasma
E. Do all of these things

Bloom's Level: 1. Remember


Section 17C.02
Topic: Reproductive System
 

13. Sertoli cells 
A. Form a barrier between the blood and developing germ cells
B. Secrete inhibin
C. Protect spermatagonia from chemicals in the blood that might damage them
D. Both form a barrier between the blood and developing germ cells and secrete inhibin are
correct
E. All of the choices are correct

Bloom's Level: 1. Remember


Section 17C.02
Topic: Reproductive System
 

14. Which of the following statements about the male sex accessory organs is true? 
A. The prostate gland secretes prostaglandins
B. The seminal vesicles secrete prostaglandins
C. The bulbourethral glands secrete mucus
D. Both the prostate gland secretes prostaglandins and the bulbourethral glands secrete mucus
are true
E. Both the seminal vesicles secrete prostaglandins and the bulbourethral glands secrete
mucus are true

Bloom's Level: 1. Remember


Section 17C.01
Topic: Reproductive System
 

17-6
Chapter 17 - Reproduction

15. As sperm travel from their site of production in the testes to the exterior, the sequence of
ducts through which they will pass is: 
A. Rete testis; efferent ductules; epididymis; vas deferens; ejaculatory duct; prostatic urethra;
penile urethra
B. Efferent ductules; rete testis; epididymis; vas deferens; ejaculatory duct; prostatic urethra;
penile urethra
C. Rete testis; efferent ductules; epididymis; vas deferens; prostatic urethra; ejaculatory duct;
penile urethra
D. Rete testis; afferent ductules; epididymis; vas deferens; ejaculatory duct; prostatic urethra;
penile urethra
E. Rete testis; efferent ductules; epididymis; vas deferens; prostatic urethra; penile urethra;
ejaculatory duct

Bloom's Level: 1. Remember


Section 17C.03
Topic: Reproductive System
 

16. Which of the following is not true regarding erection of the penis? 


A. It is a spinal reflex
B. It is a result of sympathetic stimulation of vascular smooth muscle in the erectile tissue of
the penis
C. It can be triggered by stimulation of tactile receptors in the penis
D. It is a result of arteriolar vasodilation and venous constriction of blood vessels in the penis
E. It can be inhibited by input to the autonomic nerves from higher brain centers

Bloom's Level: 2. Understand


Section 17C.03
Topic: Reproductive System
 

17. Ejaculation is accompanied by dilation of the pupils. This pupillary dilation 


A. Occurs because ejaculation is triggered by a parasympathetic reflex
B. Occurs because ejaculation is triggered by a sympathetic reflex
C. Is a coincidence unrelated to reflexes
D. Is a consequence of prior intense physical exertion
E. Is a myth

Bloom's Level: 2. Understand


Section 17C.03
Topic: Reproductive System
 

17-7
Chapter 17 - Reproduction

17-8
Chapter 17 - Reproduction

18. Which of the following would be likely to occur in an adult male whose Sertoli cells have
begun to produce excessive amounts of inhibin? 
A. FSH secretion would be selectively inhibited, but LH secretion would be normal
B. Spermatogenesis would be depressed but testosterone secretion would be normal
C. Spermatogenesis would be enhanced because of the elevated production of testosterone
D. Both FSH secretion would be selectively inhibited, but LH secretion would be normal and
spermatogenesis would be depressed but testosterone secretion would be normal are correct
E. Both FSH secretion would be selectively inhibited, but LH secretion would be normal and
spermatogenesis would be enhanced because of the elevated production of testosterone are
correct

Bloom's Level: 3. Apply


Section 17C.04
Topic: Reproductive System
 

19. A female whose adrenal glands began secreting unusually high levels of androgen would
probably have increased 
A. Subcutaneous fat deposition
B. Growth of facial hair
C. Development of skeletal muscle strength
D. Subcutaneous fat deposition and growth of facial hair
E. Growth of facial hair and development of skeletal muscle strength

Bloom's Level: 3. Apply


Section 17D.06
Topic: Reproductive System
 

20. The uterine tubes 


A. Are also called fallopian tubes
B. Are also called oviducts
C. Connect the uterus to the ovaries
D. Both are also called fallopian tubes and are also called oviducts are correct
E. All of the choices are correct

Bloom's Level: 1. Remember


Section 17D.01
Topic: Reproductive System
 

17-9
Chapter 17 - Reproduction

21. Menstrual cycles 
A. Refer only to events occurring in the uterus
B. Are caused by changes in hormone levels
C. In normal women repeat every 28 days
D. Both refer only to events occurring in the uterus and are caused by changes in hormone
levels are correct
E. All of the choices are correct

Bloom's Level: 1. Remember


Section 17D
Topic: Reproductive System
 

22. If you start at the plasma membrane of an oocyte in a mature follicle and move outward,
which is the correct order in which you would encounter the three structures listed below? 
A. Zona pellucida; granulosa cells; theca cells
B. Zona pellucida; theca cells; granulosa cells
C. Granulosa cells; zona pellucida; theca cells
D. Granulosa cells; theca cells; zona pellucida
E. Theca cells; zona pellucida; granulosa cells

Bloom's Level: 1. Remember


Section 17D.02
Topic: Reproductive System
 

23. The dominant follicle 


A. Undergoes atresia
B. Continues to develop after other antral follicles have begun to degenerate
C. Undergoes ovulation
D. Both undergoes atresia and undergoes ovulation are correct
E. Both continues to develop after other antral follicles have begun to degenerate and
undergoes ovulation are correct

Bloom's Level: 1. Remember


Section 17D.02
Topic: Reproductive System
 

17-10
Chapter 17 - Reproduction

24. The maturation of ovarian follicles 


A. Promotes the maturation of the oocyte so that it can be fertilized after ovulation
B. Results in the secretion of estrogen, which stimulates the LH surge that in turn causes
ovulation
C. Culminates with the second meiotic division of the egg
D. Both promotes the maturation of the oocyte so that it can be fertilized after ovulation and
results in the secretion of estrogen, which stimulates the LH surge that in turn causes
ovulation are correct
E. All of the choices are correct

Bloom's Level: 1. Remember


Section 17D.02
Topic: Reproductive System
 

25. At ovulation, 
A. The follicle ruptures
B. The second meiotic division of the oocyte occurs
C. The oocyte, along with its surrounding thecal layer, is expelled onto the ovarian surface
D. The follicle ruptures and the second meiotic division of the oocyte occurs
E. All of the choices occur

Bloom's Level: 1. Remember


Section 17D.02
Topic: Reproductive System
 

26. Which of the following organs can produce androgens? 


A. Testes
B. Ovaries
C. Adrenal cortices
D. Both testes and ovaries are correct
E. All of the choices are correct

Bloom's Level: 1. Remember


Section 17D.03
Topic: Reproductive System
 

17-11
Chapter 17 - Reproduction

27.  According to the two-cell mechanism of follicular estrogen synthesis,  


A.  Granulosa cells synthesize an androgen which the theca cells convert to estrogen
B.  Sertoli cells synthesize an androgen which the granulosa cells convert to
dihydrotestosterone
C.  The ca cells synthesize an androgen which luteal cells convert to estrogen
D.  Production of progesterone by the corpus luteum requires cooperative interaction between
two cell types
E.  Theca cells synthesize an androgen which the granulosa cells convert to estrogen

Bloom's Level: 2. Understand


Section 17D.03
Topic: Reproductive System
 

28. Beginning on the first day of the menstrual cycle, the order of events in the uterus is 
A. Proliferative, secretory, menstrual phases
B. Secretory, proliferative, menstrual phases
C. Menstrual, secretory, proliferative phases
D. Menstrual, proliferative, secretory phases
E. Secretory, menstrual, proliferative phases

Bloom's Level: 1. Remember


Section 17D.03
Topic: Reproductive System
 

29. The follicular phase of the ovarian cycle coincides with which phase or phases of the
uterine cycle? 
A. The menstrual phase
B. The proliferative phase
C. The secretory phase
D. The last half of the proliferative and the first half of the secretory phases
E. Both the menstrual phase and the proliferative phase are correct

Bloom's Level: 2. Understand


Section 17D.04
Topic: Reproductive System
 

17-12
Chapter 17 - Reproduction

30. Shedding of the endometrial lining occurs 


A. Because the corpus luteum of that cycle is regressing
B. As a result of a fall in plasma levels of estradiol and progesterone
C. Soon after the LH surge
D. Both because the corpus luteum of that cycle is regressing and as a result of a fall in
plasma levels of estradiol and progesterone are correct
E. All of the choices are correct

Bloom's Level: 1. Remember


Section 17D.04
Topic: Reproductive System
 

31. LH 
A. Stimulates androgen production by theca cells
B. Is required for estrogen secretion by granulosa cells
C. Secretion during the latter part of the follicular phase is decreased by inhibin secreted by
granulosa cells
D. Both stimulates androgen production by theca cells and is required for estrogen secretion
by granulosa cells are correct
E. All of the choices are correct

Bloom's Level: 1. Remember


Section 17D.03
Topic: Reproductive System
 

32. Which of the following statements about estrogen is not true? 


A. In low plasma concentration, estrogen inhibits pituitary secretion of LH and FSH
B. In high plasma concentration, estrogen stimulates pituitary sensitivity to GnRH
C. In the presence of high plasma concentration of progesterone, estrogen stimulates
increased secretion of GnRH
D. Estrogen secretion is required for the LH surge
E. Estrogen stimulates follicular growth

Bloom's Level: 2. Understand


Section 17D.03
Topic: Reproductive System
 

17-13
Chapter 17 - Reproduction

33.  Effects of the LH surge on the mature follicle include  


A.  Stimulation of estrogen secretion
B.  Stimulation of prostaglandin secretion
C.  Luteinization of the unovulated granulosa cells
D.  Stimulation of estrogen secretion and stimulation of prostaglandin secretion
E.  Stimulation of prostaglandin secretion and luteinization of the unovulated granulosa cells

Bloom's Level: 2. Understand


Section 17D.03
Topic: Reproductive System
 

34. On day 1 of the menstrual cycle, FSH levels will be ________. The follicle that will
become dominant is in the ________ stage of maturation. Progesterone levels in blood are
________. 
A. Rising; primordial; low
B. Rising; preantral to antral; low
C. Rising; preantral to antral; high
D. Falling; expanding; low
E. Falling; atretic; high

Bloom's Level: 1. Remember


Section 17D.03
Topic: Reproductive System
 

35. On day 14 of a typical 28 day menstrual cycle, LH levels will be ________. The
endometrium will be ________. Estrogen levels in the blood are ________. 
A. Level; sloughing off; low
B. At or near a peak; near the end of the proliferative phase; relatively high
C. Low but rising; in the secretory phase; high
D. At or near a peak; in the secretory phase; low
E. Level; starting the proliferative phase; level but high

Bloom's Level: 1. Remember


Section 17D.04
Topic: Reproductive System
 

17-14
Chapter 17 - Reproduction

36. During the early part of the menstrual cycle, ________ acts on granulosa cells, which
________. ________ acts on theca cells, which ________. 
A. LH; convert androgens to estrogens; FSH; synthesize androgens
B. LH; synthesize androgens; FSH; convert androgens to estrogens
C. FSH; convert androgens to estrogens; LH; synthesize androgens
D. FSH; synthesize androgens; LH; convert androgens to estrogens
E. Progesterone; synthesize androgens; LH; secrete estrogens

Bloom's Level: 1. Remember


Section 17D.03
Topic: Reproductive System
 

37. The secretory phase of the menstrual cycle 


A. Corresponds to the luteal phase of the ovarian cycle
B. Refers to the endocrine function of the endometrium
C. Requires both estrogen and progesterone
D. Both corresponds to the luteal phase of the ovarian cycle and refers to the endocrine
function of the endometrium are correct
E. Both corresponds to the luteal phase of the ovarian cycle and requires both estrogen and
progesterone are correct

Bloom's Level: 2. Understand


Section 17D.04
Topic: Reproductive System
 

17-15
Chapter 17 - Reproduction

38. The transition between the (X) ________ and the (Y) ________ phases of the uterine
cycle coincides with ________. The (X) phase is terminated by ________ in the plasma
concentration of ________ and ________ in the concentration of ________. 
A. Follicular; luteal; a rise in basal body temperature; a decrease; estrogen and progesterone; a
decrease; inhibin
B. Proliferative; secretory; ovulation; a decrease; estrogen; an increase; progesterone
C. Menstrual; proliferative; the onset of follicular growth; an increase; estrogen; a decrease;
progesterone
D. Secretory; proliferative; the LH surge; a decrease; FSH; an increase; estrogen and
progesterone
E. Proliferative; secretory; the LH surge; an increase; inhibin; a decrease; estrogen and
progesterone

Bloom's Level: 1. Remember


Section 17D.04
Topic: Reproductive System
 

17-16
Chapter 17 - Reproduction

39. Estradiol is proconception because it 


A. Stimulates follicle and oocyte maturation and promotes ovulation
B. Changes cervical mucus to make it penetrable by sperm
C. Increases libido, or sex drive, in women
D. Both stimulates follicle and oocyte maturation and promotes ovulation and changes
cervical mucus to make it penetrable by sperm are correct
E. Does all of these things

Bloom's Level: 1. Remember


Section 17D.04
Topic: Reproductive System
 

40. Which of the following is not an action of estrogen? 


A. Stimulation of fat deposition under the skin in the breasts and hips
B. Vaginal cornification
C. Stimulation of myometrial contractions
D. Stimulation of bone growth and strength
E. Stimulation of growth of pubic hair

Bloom's Level: 1. Remember


Section 17D.05
Topic: Reproductive System
 

41. The actions of progesterone 


A. On the female reproductive tract are often antagonistic to those of estrogen
B. Are limited to the female reproductive tract and breasts
C. Are mediated through plasma membrane receptors
D. Both on the female reproductive tract are often antagonistic to those of estrogen and are
limited to the female reproductive tract and breasts are correct
E. Both on the female reproductive tract are often antagonistic to those of estrogen and are
mediated through plasma membrane receptors are correct

Bloom's Level: 1. Remember


Section 17D.05
Topic: Reproductive System
 

17-17
Chapter 17 - Reproduction

42. Regarding transport of the egg, 


A. During ovulation the secondary oocyte is ejected from the ovary directly into the uterine
tube
B. Movement of the oocyte into the uterine tube is facilitated by cilia beating toward the
ovary
C. Movement of the oocyte into the uterine tube is facilitated by cilia beating toward the
uterus
D. Both during ovulation the secondary oocyte is ejected from the ovary directly into the
uterine tube and movement of the oocyte into the uterine tube is facilitated by cilia beating
toward the ovary are correct
E. Both during ovulation the secondary oocyte is ejected from the ovary directly into the
uterine tube and movement of the oocyte into the uterine tube is facilitated by cilia beating
toward the uterus are correct

Bloom's Level: 1. Remember


Section 17D.09
Topic: Reproductive System
 

43. Regarding transport of sperm in the female reproductive tract, 


A. Most of the ejaculated sperm arrive in the vicinity of the ovum (if there is one)
B. Sperm transport through the cervix is made possible by actions of progesterone on the
cervical mucus
C. During this transport sperm acquire the ability to fertilize an ovum
D. Both most of the ejaculated sperm arrive in the vicinity of the ovum (if there is one) and
sperm transport through the cervix is made possible by actions of progesterone on the cervical
mucus are correct
E. Both sperm transport through the cervix is made possible by actions of progesterone on the
cervical mucus and during this transport sperm acquire the ability to fertilize an ovum are
correct

Bloom's Level: 1. Remember


Section 17D.09
Topic: Reproductive System
 

17-18
Chapter 17 - Reproduction

44. Normally, only one sperm can fertilize an egg because 


A. The first sperm to fuse with the oocyte plasma membrane triggers a process whereby
enzymes begin to inactivate other nearby sperm
B. The first sperm to fuse with the oocyte plasma membrane triggers a process whereby the
zona pellucida becomes impenetrable to other sperm
C. Only one sperm normally makes it to the vicinity of the egg
D. Only one sperm undergoes the acrosome reaction
E. Only one sperm undergoes capacitation

Bloom's Level: 2. Understand


Section 17D.09
Topic: Reproductive System
 

45.  The blastocyst implants in the uterus on about the ________ day of the 28 day menstrual
cycle. At this time, the endometrium is ________ and progesterone levels are _______.  
A.  21st; thick and secretory; high
B.  28th; thick and secretory; low
C.  14th; thick and secretory; low
D.  7th; thin and proliferating; high
E.  1st; thin and proliferating; low

Bloom's Level: 1. Remember


Section 17D.09
Topic: Reproductive System
 

46. The implanting blastocyst "rescues" the corpus luteum by secreting 


A. Large quantities of FSH and LH
B. GnRH, which stimulates the pituitary gland to secrete FSH and LH
C. Chorionic gonadotropin
D. Progesterone and estrogen
E. All of these things

Bloom's Level: 1. Remember


Section 17D.09
Topic: Reproductive System
 

17-19
Chapter 17 - Reproduction

47. Implantation 
A. Outside the uterus is said to be myopic
B. Normally occurs midway through the luteal phase
C. Is a result of digestion of myometrial cells by enzymes in the trophoblast
D. Both outside the uterus is said to be myopic and normally occurs midway through the
luteal phase are correct
E. Both normally occurs midway through the luteal phase and is a result of digestion of
myometrial cells by enzymes in the trophoblast are correct

Bloom's Level: 1. Remember


Section 17D.09
Topic: Reproductive System
 

48. The placenta 
A. Is an organ of nourishment for the embryo/fetus
B. Functions as the lungs and kidneys of the fetus prior to birth
C. Allows for mixing of fetal and maternal blood
D. Both is an organ of nourishment for the embryo/fetus and functions as the lungs and
kidneys of the fetus prior to birth are correct
E. All of the choices are correct

Bloom's Level: 1. Remember


Section 17D.09
Topic: Reproductive System
 

49. Functions of estrogen during pregnancy include each of the following except 


A. Stimulation of myometrial growth
B. Maintenance of the endometrium
C. Stimulation of prolactin secretion
D. Stimulation of breast development
E. Stimulation of milk synthesis

Bloom's Level: 2. Understand


Section 17D.09
Topic: Reproductive System
 

17-20
Chapter 17 - Reproduction

50. During pregnancy, the 


A. Corpus luteum must remain functional for 38 weeks
B. Placenta secretes steroid and peptide hormones
C. Placenta requires precursors from the fetal adrenal cortex for estrogen synthesis
D. Both corpus luteum must remain functional for 38 weeks and placenta requires precursors
from the fetal adrenal cortex for estrogen synthesis are correct
E. Both placenta secretes steroid and peptide hormones and placenta requires precursors from
the fetal adrenal cortex for estrogen synthesis are correct

Bloom's Level: 2. Understand


Section 17D.09
Topic: Reproductive System
 

51. During pregnancy, an important role of progesterone is to inhibit 


A. The sensitivity of the myometrium to stimuli that promote contraction
B. Penetration of the uterus by producing thickened cervical mucus
C. Growth of the mammary glands
D. Both the sensitivity of the myometrium to stimuli that promote contraction and penetration
of the uterus by producing thickened cervical mucus
E. All of these things

Bloom's Level: 2. Understand


Section 17D.09
Topic: Reproductive System
 

52. Which of the following statements is true? 


A. The mother and the fetus exchange nutrients by exchanging blood in the placenta
B. Chorionic gonadotropin maintains the corpus luteum
C. Chorionic gonadotropin levels are the highest at the end of pregnancy
D. From the time of implantation through delivery, the corpus luteum is the major source of
progesterone
E. All of the choices are true

Bloom's Level: 2. Understand


Section 17D.09
Topic: Reproductive System
 

17-21
Chapter 17 - Reproduction

53. During pregnancy, placental lactogen serves to 


A. Inhibit glucose utilization by maternal tissues
B. Promote breast growth
C. Increase maternal metabolism of fatty acids
D. Inhibit glucose utilization by maternal tissues and promote breast growth
E. Do all of these things

Bloom's Level: 1. Remember


Section 17D.09
Topic: Reproductive System
 

54. Normal physiological consequences of pregnancy to the mother include 


A. Increased appetite
B. Increased blood volume
C. Increased blood pressure
D. Increased appetite and increased blood volume
E. All of the choices

Bloom's Level: 1. Remember


Section 17D.09
Topic: Reproductive System
 

55. At the end of pregnancy, the uterus becomes responsive to stimuli to which it was
previously refractory because 
A. Plasma progesterone levels fall while the levels of estrogen continue to rise
B. The ratio of progesterone to estrogen decreases
C. The myometrium has reached the limits of its distensibility
D. All of the choices are correct
E. None of the choices are correct

Bloom's Level: 2. Understand


Section 17D.09
Topic: Reproductive System
 

17-22
Chapter 17 - Reproduction

56. Parturition 
A. Refers to delivery of the infant and placenta
B. Normally occurs between the 27th and 28th weeks of pregnancy
C. Is an example of positive feedback
D. Includes refers to delivery of the infant and placenta and is an example of positive
feedback
E. All of the choices are correct

Bloom's Level: 1. Remember


Section 17D.09
Topic: Reproductive System
 

57. Which of the following statements regarding the control of parturition is not true? 
A. Oxytocin secretion is stimulated by cervical dilation
B. Coordinated uterine contractions cause the cervix to dilate
C. Oxytocin increases myometrial estrogen receptors
D. Prostaglandins stimulate myometrial contractions
E. Stretching of the myometrium is one signal that begins uterine contractions

Bloom's Level: 2. Understand


Section 17D.09
Topic: Reproductive System
 

58. Which of the following statements regarding breast growth is correct? 


A. During puberty, ductal growth is stimulated by rising estrogen levels in plasma
B. Some alveolar growth occurs after ovulatory cycles start because of the combined actions
of estrogen, progesterone, and prolactin
C. During pregnancy, full lobulo-alveolar growth is stimulated by the combined actions of
estrogen, progesterone, and placental gonadotropin
D. Both during puberty, ductal growth is stimulated by rising estrogen levels in plasma and
some alveolar growth occurs after ovulatory cycles start because of the combined actions of
estrogen, progesterone, and prolactin are correct
E. All of the choices are correct

Bloom's Level: 2. Understand


Section 17D.09
Topic: Reproductive System
 

17-23
Chapter 17 - Reproduction

59. Lactation normally does not occur during pregnancy because 


A. The breasts are not fully developed until the end of pregnancy
B. The high levels of estrogen and progesterone in maternal plasma inhibit milk synthesis by
the breasts
C. Maternal plasma levels of prolactin are low during pregnancy
D. Both the breasts are not fully developed until the end of pregnancy and the high levels of
estrogen and progesterone in maternal plasma inhibit milk synthesis by the breasts are correct
E. Both the high levels of estrogen and progesterone in maternal plasma inhibit milk synthesis
by the breasts and maternal plasma levels of prolactin are low during pregnancy are correct

Bloom's Level: 2. Understand


Section 17D.09
Topic: Reproductive System
 

60. At the time of birth, the mother's breast is filled with a fluid that 
A. Is called colostrum
B. Has a high concentration of immune globulins and other proteins
C. Has the same composition as the milk that is produced throughout lactation
D. Both is called colostrum and has a high concentration of immune globulins and other
proteins are correct
E. Both has a high concentration of immune globulins and other proteins and has the same
composition as the milk that is produced throughout lactation are correct

Bloom's Level: 1. Remember


Section 17D.09
Topic: Reproductive System
 

61. Oxytocin is a hormone that 


A. Is secreted by the posterior pituitary and stimulates uterine contractions
B. Is synthesized by the hypothalamus and promotes contraction of myoepithelial cells
C. Facilitates the birth process
D. Both is secreted by the posterior pituitary and stimulates uterine contractions and is
synthesized by the hypothalamus and promotes contraction of myoepithelial cells are correct
E. Does all of these things

Bloom's Level: 1. Remember


Section 17D.09
Topic: Reproductive System
 

17-24
Chapter 17 - Reproduction

62. Lactation is maintained by 


A. The suckling stimulus
B. Removal of milk from the breast
C. The secretion of oxytocin
D. The secretion of prolactin
E. All of these choices

Bloom's Level: 1. Remember


Section 17D.09
Topic: Reproductive System
 

63. Menopause 
A. Is the cessation of menstrual cycles
B. Results in low plasma levels of estrogens
C. Occurs as a result of cessation of gonadotropin secretion
D. Both is the cessation of menstrual cycles and results in low plasma levels of estrogens are
correct
E. All of the choices are correct

Bloom's Level: 1. Remember


Section 17D.10
Topic: Reproductive System
 

64. The source of the estrogens; estradiol and progesterone is the 


A. Thyroid gland
B. Adrenal gland
C. Testis
D. Ovary
E. Uterus

Bloom's Level: 1. Remember


Section 17D.02
Topic: Reproductive System
 

17-25
Chapter 17 - Reproduction

65. Which of the following hormones is formed by the placenta during pregnancy? 


A. Aromatase
B. Estradiol
C. Estrone
D. Progestin
E. Andromin

Bloom's Level: 1. Remember


Section 17D.09
Topic: Reproductive System
 

66. Following crossing-over in Meiosis I - all of the following are true, except: 


A. Maternal and paternal chromatids will always orient to opposite poles of the cell,
remaining segregated from one another
B. Random orientation of maternal and parental chromatids to either pole of the cell allows
mixing of these in resultant gametes
C. It is extremely unlikely that that all 23 maternal and paternal chromosomes will end up in
the same gamete
D. A resulting gamete may have over eight million possible different combinations of
maternal and paternal chromosomes
E. It is possible for one gamete to carry only maternal chromosomes or paternal chromosomes

Bloom's Level: 2. Understand


Section 17B.01
Topic: Reproductive System
 

67. In the second part of meiosis - Meiosis II 


A. Replicated DNA undergoes additional genetic recombination
B. The final product is two haploid daughter cells with 23 chromosomes each
C. Additional recombinations occur, producing an even higher number of different paternal
and maternal chromosomal combinations
D. Both replicated DNA undergoes additional genetic recombination and the final product is
two haploid daughter cells with 23 chromosomes each are correct
E. Both the final product is two haploid daughter cells with 23 chromosomes each and
additional recombinations occur, producing an even higher number of different paternal and
maternal chromosomal combinations are correct

Bloom's Level: 2. Understand


Section 17B.01
Topic: Reproductive System
 

17-26
Chapter 17 - Reproduction

17-27
Chapter 17 - Reproduction

68. During in utero (fetal) development of the ovary 


A. Cell division of primary oogonia stops at 7 months following conception
B. Cell division of primary oogonia begins and does not cease until menopause begins, long
after birth at age 40-50
C. Production of primary oocytes is initiated and continues to the point of producing fully
functional ova (egg cells) at the time of birth
D. The mitotic division of primary and secondary oocytes produces cells with 23
chromosomes each
E. All of the choices are correct

Bloom's Level: 2. Understand


Section 17D.02
Topic: Reproductive System
 

69. To promote pregnancy, sexual intercourse must introduce spermatozoa into the vagina no
more than ______ days before ovulation, and no more than ______ days after ovulation. 
A. 0, 3
B. 1, 1
C. 2, 3
D. 2, 4
E. 5, 1

Bloom's Level: 1. Remember


Section 17D.09
Topic: Reproductive System
 

70. Implantation of the blastocyst 


A. Occurs within the uterine (fallopian) tube
B. Takes place during days 14-21 of the typical menstrual cycle
C. Is dependent upon the proper preparation of the endometrial epithelium of the uterus
D. Takes place only if levels of progesterone in the blood have risen to the point of relaxing
smooth muscle in the uterus
E. Both takes place during days 14-21 of the typical menstrual cycle and is dependent upon
the proper preparation of the endometrial epithelium of the uterus are correct

Bloom's Level: 1. Remember


Section 17D.09
Topic: Reproductive System
 

17-28
Chapter 17 - Reproduction

71. The retention of a developing embryo from a zygote and implantation in the wall of the
uterine tube creates an extreme risk of rupture, hemorrhage, and spontaneous abortion and is
called a(n) _______. 
A. Stillbirth
B. Erythroblastosis fetalis
C. Ectopic pregnancy
D. Endometriosis
E. Placenta previa

Bloom's Level: 3. Apply


Section 17D.09
Topic: Reproductive System
 

72. Umbilical arteries 
A. Provide the means for distribution of oxygen and nutrients between maternal and fetal
blood
B. Deliver oxygen and nutrient rich blood from the fetus to the placenta
C. Direct blood with low oxygen and high metabolic wastes away from the fetus to the
placenta
D. Carry highly oxygenated blood to the fetus
E. Transport poorly oxygenated blood low rich in nutrients toward the fetal heart

Bloom's Level: 2. Understand


Section 17D.09
Topic: Reproductive System
 
 

True / False Questions


 

73. One way in which gametogenesis in males differs from gametogenesis in females is that
mitosis of primordial germ cells occurs in males only during fetal life. 
FALSE

Bloom's Level: 1. Remember


Section 17B.01
Topic: Reproductive System
 

17-29
Chapter 17 - Reproduction

74. Meiosis results in germ cells with 23 maternal chromosomes in one daughter cell and 23
paternal chromosomes in the other. 
FALSE

Bloom's Level: 1. Remember


Section 17B.01
Topic: Reproductive System
 

75. The testes are located outside the abdomen because spermatogenesis requires a
temperature lower than core body temperature. 
TRUE

Bloom's Level: 1. Remember


Section 17C.02
Topic: Reproductive System
 

76. In the testis, spermatogenesis takes place in the seminiferous tubules and testosterone is
produced by the Leydig cells. 
TRUE

Bloom's Level: 1. Remember


Section 17C.02
Topic: Reproductive System
 

77. Prostaglandins were given their name because they are secreted in high concentration into
semen by the prostate gland. 
FALSE

Bloom's Level: 1. Remember


Section 17C.01
Topic: Reproductive System
 

17-30
Chapter 17 - Reproduction

78. The products of the first meiotic division of spermatogenesis are spermatids. 


FALSE

Bloom's Level: 1. Remember


Section 17C.02
Topic: Reproductive System
 

17-31
Chapter 17 - Reproduction

79. Conversion of spermatids to spermatozoa involves cell division. 


FALSE

Bloom's Level: 1. Remember


Section 17C.02
Topic: Reproductive System
 

80. The part of the spermatozoan that enables it to swim through fluid is the acrosome. 
FALSE

Bloom's Level: 1. Remember


Section 17C.02
Topic: Reproductive System
 

81. The only endocrine cells of the testis are the Leydig cells. 
FALSE

Bloom's Level: 1. Remember


Section 17C.01
Topic: Reproductive System
 

82. One function of semen is to buffer the acidic secretions of the vagina. 


TRUE

Bloom's Level: 1. Remember


Section 17C.01
Topic: Reproductive System
 

83. The primary storage site for sperm is the seminal vesicles. 


FALSE

Bloom's Level: 1. Remember


Section 17C.03
Topic: Reproductive System
 

17-32
Chapter 17 - Reproduction

84. Vasectomy results in sterility because it inhibits sperm production. 


FALSE

Bloom's Level: 1. Remember


Section 17C.03
Topic: Reproductive System
 

85. Erection of the penis is a result of vasodilation brought about by a reflex involving


nonadrenergic, noncholinergic autonomic neurons. 
TRUE

Bloom's Level: 1. Remember


Section 17C.03
Topic: Reproductive System
 

86. Luteinizing hormone stimulates testosterone secretion by the Leydig cells of the testes. 
TRUE

Bloom's Level: 1. Remember


Section 17C.04
Topic: Reproductive System
 

87. Spermatogenesis and testosterone production are interdependent events, meaning that


neither process can occur without the other. 
FALSE

Bloom's Level: 1. Remember


Section 17C.02
Topic: Reproductive System
 

88. The female external genitalia are collectively called the vulva. 


TRUE

Bloom's Level: 1. Remember


Section 17D.01
Topic: Reproductive System
 

17-33
Chapter 17 - Reproduction

17-34
Chapter 17 - Reproduction

89. At birth, the ovaries of a female baby contain about one million oogonia. 
FALSE

Bloom's Level: 1. Remember


Section 17D.02
Topic: Reproductive System
 

90. Most of the primordial follicles a woman is born with eventually are ovulated. 
FALSE

Bloom's Level: 1. Remember


Section 17D.02
Topic: Reproductive System
 

91. With respect to hormonal control and secretion, theca cells in the ovary are analogous to
Leydig cells in the testis. 
TRUE

Bloom's Level: 1. Remember


Section 17D.02
Topic: Reproductive System
 

92. Inhibin secreted by granulosa cells selectively inhibits secretion of FSH by the pituitary. 
TRUE

Bloom's Level: 1. Remember


Section 17D.03
Topic: Reproductive System
 

93. Atresia of all but the dominant follicle is a result of the diminished secretion of FSH
during the second week of the follicular phase. 
TRUE

Bloom's Level: 1. Remember


Section 17D.03
Topic: Reproductive System
 

17-35
Chapter 17 - Reproduction

17-36
Chapter 17 - Reproduction

94. The secretory phase of the uterus coincides with the follicular phase of the ovary. 
FALSE

Bloom's Level: 1. Remember


Section 17D.04
Topic: Reproductive System
 

95. Progesterone increases the thickness of the myometrium in preparation for implantation. 


FALSE

Bloom's Level: 1. Remember


Section 17D.04
Topic: Reproductive System
 

96. Cervical mucus secreted under the influence of estrogen alone is clear and nonviscous,
while that secreted under the influence of both estrogen and progesterone is thick and sticky. 
TRUE

Bloom's Level: 1. Remember


Section 17D.04
Topic: Reproductive System
 

97. Most of the hormonal effects on female accessory sex organs and secondary sex
characteristics are attributable to progesterone. 
FALSE

Bloom's Level: 1. Remember


Section 17D.05
Topic: Reproductive System
 

98. Dysmenorrhea refers to pain or discomfort during menses. 


TRUE

Bloom's Level: 1. Remember


Topic: Reproductive System
 

17-37
Chapter 17 - Reproduction

17-38
Chapter 17 - Reproduction

99. The mechanisms underlying the physiological response of females to sexual stimulation


are similar to those resulting in erection in males. 
TRUE

Bloom's Level: 1. Remember


Section 17D.08
Topic: Reproductive System
 

100. The fertilization of an egg normally occurs in the uterus. 


FALSE

Bloom's Level: 1. Remember


Section 17D.09
Topic: Reproductive System
 

101. Detection of LH in the urine or blood of a woman is an indicator that she is pregnant. 


FALSE

Bloom's Level: 1. Remember


Section 17D.09
Topic: Reproductive System
 

102. While passing down the uterine tube, the zygote undergoes several meiotic cell
divisions. 
FALSE

Bloom's Level: 1. Remember


Section 17D.09
Topic: Reproductive System
 

103. Blood in the umbilical arteries is well-oxygenated, whereas that in the umbilical vein is
poorly oxygenated. 
FALSE

Bloom's Level: 1. Remember


Section 17D.09
Topic: Reproductive System
 

17-39
Chapter 17 - Reproduction

17-40
Chapter 17 - Reproduction

104. Amniocentesis is the removal of a sample of amniotic fluid for diagnosis of genetic or


chromosomal disorders of the fetus. 
TRUE

Bloom's Level: 1. Remember


Section 17D.09
Topic: Reproductive System
 

105. Symptoms of preeclampsia generally include glucose in the urine, abnormal fluid


retention, and hypertension. 
FALSE

Bloom's Level: 1. Remember


Section 17D.09
Topic: Reproductive System
 

106. Oxytocin stimulates myometrial contractions most strongly when plasma progesterone


levels are low relative to estrogen. 
TRUE

Bloom's Level: 1. Remember


Section 17D.09
Topic: Reproductive System
 

107. The major constituents of milk are water, protein, fat, and glucose. 
FALSE

Bloom's Level: 1. Remember


Section 17D.09
Topic: Reproductive System
 

17-41
Chapter 17 - Reproduction

108. Milk ejection is a neural reflex arc involving afferent input to the hypothalamus from
receptors in the nipples and a neural efferent output to the myoepithelial cells in the ducts of
the mammary glands. 
FALSE

Bloom's Level: 1. Remember


Section 17D.09
Topic: Reproductive System
 

109. A woman cannot become pregnant while she is lactating. 


FALSE

Bloom's Level: 1. Remember


Section 17D.09
Topic: Reproductive System
 

110. A compound that inhibits the binding of progesterone to its receptor would be an
effective contraceptive. 
TRUE

Bloom's Level: 1. Remember


Section 17D.09
Topic: Reproductive System
 

111. Combination oral contraceptives act by inhibiting ovulation, interfering with endometrial


proliferation, and inducing changes in the composition of the cervical mucus. 
TRUE

Bloom's Level: 1. Remember


Section 17D.09
Topic: Reproductive System
 

17-42
Chapter 17 - Reproduction

112. The gene on the Y chromosome that determines whether gonads will be testes or ovaries
codes for a protein called Müllerian inhibiting substance. 
FALSE

Bloom's Level: 1. Remember


Section 17B.03
Topic: Reproductive System
 

113. The presence of sex chromatin in a smear of epithelial cells indicates that the donor of
the cells is a genetic female. 
TRUE

Bloom's Level: 1. Remember


Section 17B.03
Topic: Reproductive System
 

114. An individual with androgen insensitivity syndrome is a genetic male with female
internal reproductive organs. 
FALSE

Bloom's Level: 1. Remember


Section 17B.03
Topic: Reproductive System
 

115. The onset of puberty may be delayed indefinitely in girls who are very thin. 
TRUE

Bloom's Level: 1. Remember


Section 17D.07
Topic: Reproductive System
 

17-43
Chapter 17 - Reproduction

116. Postmenopausal women are at increased risk, compared to premenopausal women, for


osteoporosis and atherosclerosis. 
TRUE

Bloom's Level: 1. Remember


Section 17D.10
Topic: Reproductive System
 

17-44
Chapter 17 - Reproduction

117. All steroid hormones act in the same general way; they bind with internal receptors, and
then control the rate of formation of mRNA's called for to synthesize protein. 
TRUE

Bloom's Level: 1. Remember


Section 17A
Topic: Reproductive System
 

118.  During meiosis crossing-over results in the exchange of homologous genes from one of
a pair of chromatids to the other with no net change in possibilities for genetic expression.  
FALSE

Bloom's Level: 1. Remember


Section 17B.01
Topic: Reproductive System
 

119. Within the ovary, there are always a large number of ovarian follicles poised to release an
ovum at ovulation. 
FALSE

Bloom's Level: 1. Remember


Section 17D.02
Topic: Reproductive System
 

120. Since many (10-25) antral follicles may begin the process of development but only one
will usually progress to the point of ovulation it is likely that those that do are induced to
proceed by increased levels of estrogens. 
TRUE

Bloom's Level: 1. Remember


Section 17D.02
Topic: Reproductive System
 

17-45
Chapter 17 - Reproduction

121. Infertility treatments most often involve the administration of aromatases through


injections leading to enhanced numbers of developing early ovarian antral follicles. 
FALSE

Bloom's Level: 1. Remember


Section 17D.09
Topic: Reproductive System
 

122. 99.9% of the ovarian follicles a woman produces in her lifetime are viable and capable of
being fertilized. 
FALSE

Bloom's Level: 1. Remember


Section 17D.02
Topic: Reproductive System
 

123. If an egg (ovum) is present in the uterine tube, fertilization is promoted only after several
hours of capacitation have passed for sperm cells. 
TRUE

Bloom's Level: 1. Remember


Section 17D.09
Topic: Reproductive System
 

17-46

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