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1.

During their development within the male reproductive tract before ejaculation, sperm
spend the majority of time in which organ?
a. Epididymis
b. Ejaculatory ducts
c. Seminal vesicle
d. Testis
e. Urethra

2. The sperm region containing mitochondria is the:


a. tail.
b. head.
c. acrosome.
d. midpiece.
e. axoneme.

3. Which of the following statements about testosterone is the most accurate?


a. It is produced by the exocrine testis.
b. It exists mainly in the unbound or "free" form in the circulation.
c. It is regulated by follicle-stimulating hormone.
d. Its production is increased by excess prolactin.
e. One of its metabolites is dihydrotestosterone (DHT).

4. Processes that must occur for a sperm to normally fertilize an egg include all of the
following EXCEPT:
a. development of motility.
b. acrosome reaction.
c. capacitation.
d. zona pellucida binding.
e. sexual intercourse.

5. After ejaculation the contents of the vas deferens are:


a. returned to the seminal vesicles.
b. maintained in the ampulla.
c. released into the ejaculatory ducts.
d. propelled back into the epididymis.
e. released into the bladder.

6. The finding most consistent with spermatogenic impairment is:


a. a testis volume as measured by Prader orchidometer less than 30 mL.
b. a testis volume as measured by scrotal ultrasonography less than 30 mL.
c. a testis longitudinal axis as measured by caliper orchidometer less than 4.6 cm.
d. an engorged epididymis.
e. an absent vas deferens.

7. A man evaluated for azoospermia has absent vasa bilaterally. The next step is cystic
fibrosis transmembrane conductance regulator (CFTR) gene sequence assay for him
and his partner and:
a. transrectal ultrasound.
b. renal ultrasound.
c. postejaculatory urinalysis.
d. seminal vesicle aspiration.
e. testis biopsy.

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