Male reproductive system

1) Testosterone is secreted by……………..

a) Sertoli cells
b) Leydig cells
c) Thyroid
d) Spermatogenic cells
Answer: B
2) For spermatogenesis to occur, which of the following is essential?
a) Exposure to certain chemicals.
b) Low levels of testosterone.
c) Lower temperature than the body temperature.
d) Protein restriction in diet.
Answer: C
3) Spermatogenesis:
a. Needs higher temperature than the body temperature
b. Not affected by the diet
c. Depressed by radiation
d. Is the production of ova by females
Answer: C
4) Testosterone secretion in male fetus is stimulated by:
a) ACTH.
b) hCG.
c) GnRH.
d) LH.
Answer: B
5) Regarding Leydig cells choose the correct statement
A- responsible for spermatocyte formation under control of FSH.
B- responsible for testosterone secretion under control of LH.
C- responsible for spermatocyte formation under control of LH.
D- responsible for testosterone secretion under control of FSH.
Answer: B
6) Mullerian inhibiting substance (MIS) is produced by:
a. Theca cells b. Sertoli cells c. Leydig cells d. granulosa cells
Answer: B
7) Sertoli cells play a key role in which of the following process?
a. Spermatogenesis b. Testosterone secretion
c. Secretion of seminal fluid d. Oogenesis.
Answer: A
8) Spermatogenesis occurs at:
a. Body temperature
b. Temperature lower than core body temperature
c. Temperature higher than core body temperature
d. Temperature does not play a role
Answer: B
9) Testosterone is converted into DHT by the 5 α-reductase enzyme in
which of the following sites:
A) Testes.
B) Seminal vesicle.
C) Cowper's gland.
D) Prostate.
Answer: D
10) Regarding the Counter-current mechanism in the male reproductive
system:
A) Testosterone passed from the testicular artery to the pampiniform plexus
of veins.
B) Heat is transported from testicular arteries to the pampiniform plexus of
veins.
C) Responsible for the hyperosmolarity of medullary interstitium as in renal
tubules.
D) Transport sperms from the testes to the epididymis.
Answer: B
11) Aromatase enzyme which converts androgen into estrogen is present
inside:
A) Sertoli Cells.
B) Leydig cells.
C) Theca interna cells.
D) Zona pellucida.
Answer: A
12) Prostatic secretions contribute with which of the following in the
contents of semen:
A) Fructose.
B) Fibrinogen.
C) Prostaglandins.
D) Fibrinolysin.
Answer: D
13) Spermatogenesis depends on the following hormones:
a) somatostatin.
b) oxytocin
c) FSH only.
 d) FSH and androgen.
Answer: D

14) All of the following statements regarding testosterone are true,

EXCEPT, it:
a. is produced by the fetal testes.
b. inhibits LH secretion from the anterior pituitary.
c. causes closure of epiphysis of long bones after puberty.
d. is inactivated to dihydrotestosterone.
Answer: D
15) Dihydrotestosterone is needed for:
a. sex drive (libido).
b. formation of male internal genitalia during development.
c. development and growth of male external genitalia.
d. increase of muscle bulk due to its protein anabolic action.
Answer: C
16) Congenital deficiency of 5- reductase will present with all of the
following, EXCEPT:
a. Female external genitalia.
b. Low levels of testosterone and LH at puberty.
c. Weak muscles.
d. Normal testes.
Answer: B
17) Sertoli cells have the following functions, EXCEPT it:
a. Secretes androgen-binding proteins and inhibin.
b. Synthesize androgen.
c. Produce estrogen from androgen.
d. Form blood-testicular barrier.
Answer: B
18) Regarding testosterone all of the following are true statement,
EXCEPT:
a. Testosterone increases protein synthesis in the muscle.
b. Testosterone is converted into progesterone in sertoli cell.
c. To be active on the male external genitalia, testosterone is converted to
dihydrotestosterone.
d. Near end of puberty testosterone produces calcification of epiphyseal plate of
long bones.
Answer: B
19) Regarding spermatogenesis:
a. It takes 7 days to form a mature sperm from spermatogonium.
b. Stage from spermatogonia to spermatid is androgen-dependent.
 c. Maturation from spermatids to spermatozoa is androgen independent.
d. Spermatozoa leaving testis acquire motility in the epididymis.
Answer: D
20) In cryptorchidism (undescended testis):
a. the gametogenic function of the testis is not affected.
b. testosterone secretion markedly decreases at onset of puberty.
c. there is a higher incidence of malignant transformation of the testis.
d. pituitary gonadotropin secretion is increased.
Answer: C
21) Human spermatozoa:
a) are produced faster at 37°C.
b) are actively motile in the seminiferous tubules.
c) are stored in the seminal vesicles.
d) have enzymes in the acrosomes which help penetration of the ovum.
Answer: D
22) Erection of the penis:
a) cannot occur after complete transection of the spinal cord at mid-thoracic region
b) is mediated by NO that produces vasodilatation of blood vessels of the penis.
c) depends on sympathetic nerve activity.
d) depends on high level of oxytocin secretion.
Answer: B
23) All the following statements about precocious pseudopuberty in 7-
year-old boy are true, EXCEPT, it:
a) could be due to tumor of zona reticularis.
b) is associated with spermatogenesis.
c) is associated with development of male sexual characters.
d) is associated with short stature.
Answer: B
24) Secondary sexual characteristics do not develop in male children:
a) who have one undescended testis.
b) lacking the posterior pituitary function.
c) whose seminiferous tubules have been damaged by atomic radiations.
d) lacking anterior pituitary hormones.
Answer: D
25) Male sterility may be suspected if:
a) 15 % of the sperms are abnormal.
b) the sperm count is 80 X 106/ ml.
c) there are no motile sperms 20 minutes after ejaculation.
d) the volume of ejaculated semen is less than 5 ml.
Answer: C
26) The interstitial cells of Leydig :
a) are stimulated to secrete by FSH .
b) are non functional in cryptorchidism .
c) secrete the hormone inhibin.
d) are stimulated to secrete by luteinizing hormone (LH).
Answer: D