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MCQs JA 26 year old married woman presents with infertility andamenorrhoea. She has anormal satisfying sexual life.On work up she was found to be normal 46XX, nooestrogen or progesterone norevidence of androgens. She has poorly developed breasts.HSG is normal.The following are possible causes

a) Testicular feminization syndromeb) Mullerian dysgenesisc) Gonadal dysgenesisd) B and C abovee) All the above

A 23-year-old white nulligravid woman with 2-yearhistory of primary infertility. Menstrual periods occurat regular 28-day intervals. She has a history ofchronic pelvic pain. Analysis of her husband's semenshows a sperm count of 40 million with 65% motilityand normal morphology. Diagnostic laparoscopy withhydrotubation shows normal pelvic anatomy, with noevidence of endometriosis or pelvic adhesions. Bothfallopian tubes spill methylene blue dye. The patient'sbasal body temperatures recorded during the pastmonth are shown. Which of the following is the mostlikely cause of the patient's inability to conceive?

A) AnovulationB) Male factor infertilityC) Old pelvic inflammatory diseaseD) Polycystic ovary syndromeE) No cause can be identified at this time

Lady with infertility with bilateral tubal block at cornua.Best method of management is :

a) Laparoscopy & Hysteroscopy

b) Hydrotubation

c) IVF

d) Tuboplasty

Correct answer : a) Laparoscopy & Hysteroscopy

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Histology :1.What are developing gametes called?a. Oogenesisb. Ovaryc. Ovulationd. Oocytee. Ova

Answer: d

The term for the production of gametes is calledgametogenesis. Gametogenesis in the female is referredto as oogenesis. The ovary is the organ wheregametogenesis (oogenesis) occurs. Ovulation is therelease of an oocyte and occurs every 28-30 days. Thedeveloping gametes are called oocytes. The maturegamete is an ova.

2.What is the inner part of the ovary?a. Follicleb. Germinal epitheliumc. Medullad. Tunica albugineae. Cortex

Answer: c

The ovary is covered with germinal epithelium.Underneath the germinal epithelium is connective tissuecalled the tunica albuginea. The outer region of the ovaryis called the cortex. The inner region of the ovary is calledthe medulla. The ovarian follicle contains the oocyte.

Note from Sarah Bellham: The outer region of some otherorgans is also sometimes called a cortex. Theinner/middle region of some other organs is alsosometimes called a medulla.

3.Which stage of the follicle is arrested in prophase?a. Primordial follicleb. Primary folliclec. Secondary follicled. Mature folliclee. Graffian follicle

Answer: aA primordial follicle is a primary oocyte in the outer region


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of the cortex. It isarrested in the first meiotic prophase. It is surrounded byflattened follicularepithelial cells.

The primary follicle is marked by the surrounding offlattened (squamous) follicular cells becoming cuboidaland the oocyte becomes bigger.

The presence of the antrum is a characteristic of asecondary follicle. A follicle at this stage is also called an"antral follicle".

The mature follicle is also called the Graffian follicle.

4.What is the cavity within a secondary follicle?a. Graffian follicleb. Theca folliculic. Granulosa cellsd. Zona pellucidae. Antrum

Answer: e

The follicle which is ovulated is the Graffian follicle. Theconnective tissue layer around the primary follicle is thetheca folliculi. The follicular cells are granulosa cells. Theacidophilic glycoprotein coat surrounding the oocyte isthe zona pellucida. A cavity within the follicle is theantrum.

5.During the first week to 10 days, what is the mainhormone which stimulates the growth of the follicles?a. FSH

b. LHc. HCGd. Estrogene. Progesterone

Answer: a

During the first week to 10 days, FSH is the mainhormone which stimulates the growth of the follicles.Ovulation is triggered by a dramatic increase in LH.During a pregnancy, HCG is the hormone whichmaintains the corpus luteum.

6.

What is the female organ called where gametogenesisoccurs?a. Oogenesisb. Ovaryc. Ovulationd. Oocytee. Ova

Answer: b

The term for the production of gametes is calledgametogenesis. Gametogenesis in the female is referredto as oogenesis. The ovary is the organ wheregametogenesis (oogenesis) occurs. Ovulation is the

release of an oocyte and occurs every 28-30 days. Thedeveloping gametes are called oocytes. The mature


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gamete is an ova.

7.Which stage of the follicle is marked by the surroundingof flattened (squamous) follicular cells becomingcuboidal?a. Primordial follicleb. Primary follicle

c. Secondary follicled. Mature folliclee. Graffian follicle

Answer: b

A primordial follicle is a primary oocyte in the outer regionof the cortex. It isarrested in the first meiotic prophase. It is surrounded byflattened follicularepithelial cells.

The primary follicle is marked by the surrounding offlattened (squamous) follicular cells becoming cuboidal

and the oocyte becomes bigger.The presence of the antrum is a characteristic of asecondary follicle. A follicle at this stage is also called an"antral follicle".

The mature follicle is also called the Graffian follicle.

8.What is ovulated?a. Graffian follicleb. Theca folliculic. Granulosa cellsd. Zona pellucida

e. AntrumAnswer: a

The follicle which is ovulated is the Graffian follicle. Theconnective tissue layer around the primary follicle is thetheca folliculi. The follicular cells are granulosa cells. Theacidophilic glycoprotein coat surrounding the oocyte isthe zona pellucida. A cavity within the follicle is theantrum.

9.What is the outer part of the ovary?a. Follicle

b. Germinal epitheliumc. Medullad. Tunica albugineae. Cortex

Answer: e


Note from Sarah Bellham: The outer region of some other

organs is also sometimes called a cortex. Theinner/middle region of some other organs is also


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sometimes called a medulla.

10.During a pregnancy, which hormone which maintains thecorpus luteum?a. FSHb. LHc. HCG

d. Estrogene. Progesterone

Answer: c

During the first week to 10 days, FSH is the mainhormone which stimulates the growth of the follicles.Ovulation is triggered by a dramatic increase in LH.During a pregnancy, HCG is the hormone whichmaintains the corpus luteum

11.Which structure contains the oocyte?a. Follicle

b. Germinal epitheliumc. Medullad. Tunica albugineae. Cortex

Answer: a


Note from Sarah Bellham: The outer region of some other

organs is also sometimes called a cortex. Theinner/middle region of some other organs is alsosometimes called a medulla.

12.Which follicular stage is also called an antral follicle?a. Primordial follicleb. Primary folliclec. Secondary follicled. Mature folliclee. Graffian follicle

Answer: c

A primordial follicle is a primary oocyte in the outer regionof the cortex. It isarrested in the first meiotic prophase. It is surrounded byflattened follicularepithelial cells.

The primary follicle is marked by the surrounding offlattened (squamous) follicular cells becoming cuboidaland the oocyte becomes bigger.

The presence of the antrum is a characteristic of asecondary follicle. A follicle at this stage is also called an"antral follicle".

The mature follicle is also called the Graffian follicle.--


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1..The appearance of the antrum is a

characteristic of which stage offolliculardevelopment?

a. Primordial follicleb. Primary follicle

c.Secondary follicled. Mature follicle

e. GraffianfollicleAnswer:c

2.

What isthe acidophilic glycoprotein coatwhich surrounds the oocyte?

a. Graffianfollicleb. Theca folliculi

c. Granulosa cellsd. Zona pellucida

e.AntrumAnswer:d

3.What tissuesurrounds the ovary?

a. Follicleb. Germinal epithelium

c.Medullad. Tunica albuginea

e. CortexAnswer: b

4.What is a mature gamete called?

a.Oogenesisb. Ovaryc. Ovulation

d. Oocytee.Ova

Answer:e5.

Which stageof the follicle is characterized bya surrounding of flattened (squamous(

follicular cells?a. Primordial follicle

b. Primary folliclec.Secondary follicle

d. Mature folliclee. Graffianfollicle

Answer:a6.

What isanother term for the mature follicle?a. Primordial follicle

b. Primaryfolliclec. Secondary follicle

d. Antral folliclee. Graffianfollicle

Answer:e7.

What occurscyclically in a female?a. Oogenesis


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b. Ovaryc. Ovulation

d.Oocytee. Ova

Answer: c8.

What is the connective tissue layer around

the primaryfollicle? a. Graffian follicleb. Theca folliculi

c. Granulosacellsd. Zona pellucida

e. AntrumAnswer: b

9.Ovulation is triggered by a dramaticincrease

in which hormone?a. FSH

b. LHc. HCG

d. Estrogene.Progesterone

Answer:b10.

What is theconnective tissue whichsurrounds the ovary?

a. Follicleb. Germinalepithelium

c. Medullad. Tunica albuginea

e.CortexAnswer:d

11.In thefemale, what is the correct term for theproduction of gametes called?

a.Oogenesisb. Ovary

c. Ovulationd. Oocyte

e.OvaAnswer:a

12.What are thefollicular cells?

a. Graffian follicle

b. Theca folliculic. Granulosacellsd. Zona pellucida

e. AntrumAnswer: c

1.How many corpora cavernosa are there ?a. 1b. 2c. 3d. 4e. 5Answer: b


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2.Which one of the following are the earliest cells ofspermatogenesis ?a. Primary spermatocytesb. Secondary spermatocytesc. Spermatidsd. Spermatozoa

e .SpermatogoniaAnswer :e

3.Which cells are also called "nurse cells ?"a. Interstitial cellsb. Leydig cellsc .Sertoli cellsd. Sustentacular cellse. Both c and dAnswer :e

4.

When do the testes descend into the scrotum ?a. Fetal developmentb. Infancyc .Pubertyd. Adulthoode. During arousalAnswer: a

5.Which is the largest accessory structure of the malereproductive systema. Epididymisb. Prostatec .Seminal vesicled. Bulbourethral glande. Cowper's glandAnswer :b

6.What is the capsule that surrounds the testes ?a. Tunica adventitiab. Tunica externac. Tunica mediad. Tunica intimae. Tunica albuginea

7.What is the "cap"at the anterior portion of aspermatazoon ?a. Headb. Tailc. Acrosomed. End piecee. Middle piece

8.What is another term for the corpus cavernosumurethrae ?

a. Corpora cavernosab. Corpus spongiosum


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c. Urethrad .Corpus cavernosum clitoridise Erectile tissue

9.How many corpus spongiosum are there ?a. 1b. 2

c. 3d. 4e. 5Answer: a

10.What is the mature sperm cell ?a .Primary spermatocytesb. Secondary spermatocytesc. Spermatidsd .Spermatozoae. Spermatogonia

Answer: d


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