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161 Cards in this Set

  • Front
  • Back
Where in the nephron does most solute reabsorption occur?

a. proximal convoluted tubule
b. distal convoluted tubule
c. glomerulus
d. collecting duct
Proximal convoluted tubule
Approximately 80% of the energy used for active transport is devoted to the reabsorption of __________.

a. potassium
b. glucose
c. sodium
d. water
Sodium
What is the juxtaglomerular apparatus?

a. a system that regulates the rate of filtrate formation and systemic blood pressure
b. a system for concentrating urine
c. a system for diluting urine
d. a system that protects the nephron from some chemicals found in blood
A system that regulates the rate of filtrate formation and systemic blood pressure.
Which of the following substances is not normally found in filtrate?

a. water and small solutes
b. blood cells and large particles
c. nitrogenous waste particles, such as urea
d. ions, such as sodium and potassium
Blood cells and large particles
What is the primary driving force (pressure) that produces glomerular filtration?

a. hydrostatic pressure of blood (blood pressure)
b. colloid osmotic pressure of blood
c. gravity
Hydrostatic pressure of blood (blood pressure)
Which of the following would only be found in the glomerular filtrate if the glomerular membrane were damaged?

a. glucose
b. chloride
c. creatinine
d. protein
Protein
If the osmotic pressure in the glomerular capillaries increased from 28 mm Hg to 35 mm Hg, would net filtration increase or decrease?

a. net filtration would not be altered
b. net filtration would decrease
c. net filtration would increase
Net filtration would decrease
Calculate the net filtration pressure if capillary hydrostatic pressure is 60 mm Hg, capillary osmotic pressure is 25 mm Hg, and capsular hydrostatic pressure is 10 mm Hg.

a. 35 mm Hg
b. 25 mm Hg
c. 60 mm Hg
d. 50 mm Hg
25 mm Hg
(Yes, 60 – (25 + 10) = 25 mm Hg. The two pressures that oppose filtration must be subtracted from the force favoring filtration.)
Most solutes that are reabsorbed in the proximal convoluted tubule use which of the following pathways?

a. transcellular
b. paracellular
Transcellular
During reabsorption of water in the proximal convoluted tubule, what causes water to diffuse from the lumen into the interstitial space?

a. a decrease in the osmolarity of the interstitium
b. active transport of water
c. an increase in the osmolarity of the interstitium
An increase in the osmolarity of the interstitium
The decreased intracellular concentration of sodium in tubular cells during active transport is caused by which of the following mechanisms?

a. the sodium-potassium ATPase pump in the luminal membrane
b. sodium-glucose cotransporter
c. the sodium-potassium ATPase pump in the basolateral membrane
d. passive sodium channels
The sodium-potassium ATPase pump in the basolateral membrane
The active transport of which ion out of proximal convoluted tubule cells causes the reabsorption of both water and solutes?

a. chloride
b. sodium
c. potassium
Sodium
Which of the following transporters in the luminal membrane results in secretion?

a. Na+-glucose cotransporter
b. Na+-H+ countertransport
c. glucose carrier transporter
d. potassium ion channel
Na+-H+ countertransport
What is the limiting factor for the reabsorption of most actively transported solutes in the proximal tubule?

a. number of transport carriers in the basolateral membrane
b. number of transport carriers in the luminal membrane
c. number of sodium-potassium ATPase pumps in the basolateral membrane
Number of transport carriers in the luminal membrane
Which of the following best describes glomerular filtration rate (GFR)?

a. the volume of blood flowing through the glomerular capillaries per minute
b. the volume of filtrate created at the glomerulus per liter of blood flowing through the glomerular capillaries
c. the volume of urine leaving the kidneys per minute
d. the volume of filtrate created by the kidneys per minute
The volume of filtrate created by the kidneys per minute
GFR regulation mechanisms primarily affect which of the following?

a. capsular osmotic pressure (OPc)
b. blood osmotic pressure (OPg)
c. glomerular hydrostatic pressure (HPg)
d. capsular hydrostatic pressure (HPc)
Glomerular hydrostatic pressure (HPg)
Which of the following are mechanisms of intrinsic control of glomerular filtration (renal autoregulation)?

a. sympathetic nervous system control and the renin-angiotensin mechanism
b. myogenic mechanism and sympathetic nervous system control
c. tubuloglomerular feedback and the renin-angiotensin mechanism
d. myogenic mechanism and tubuloglomerular feedback
Myogenic mechanism and tubuloglomerular feedback
Macula densa cells of the juxtaglomerular apparatus (JGA) regulate GFR through which intrinsic mechanism?

a. myogenic mechanism
b. sympathetic nervous system control
c. tubuloglomerular feedback
d. renin-angiotensin mechanism
Tubuloglomerular feedback
The myogenic mechanism of renal autoregulation primarily involves smooth muscle in which blood vessels?

a. efferent arterioles
b. systemic arterioles
c. afferent arterioles
d. glomeruli
Afferent arterioles
What does a high concentration of NaCl in the renal tubule at the juxtaglomerular apparatus (JGA) most likely indicate?

a. insufficient NaCl reabsorption due to low GFR
b. insufficient NaCl reabsorption due to high GFR
c. excessive NaCl reabsorption due to high GFR
d. excessive NaCl reabsorption due to low GFR
Insufficient NaCl reabsorption due to high GFR
Through the tubuloglomerular feedback mechanism, how would an increase in filtrate NaCl concentration affect afferent arteriole diameter?

a. Afferent arteriole diameter would increase.
b. Afferent arteriole diameter would decrease.
c. Afferent arteriole diameter would stay about the same.
Afferent arteriole diameter would decrease.
Granular cells of the juxtaglomerular apparatus (JGA) regulate GFR through which mechanism?

a. myogenic mechanism
b. sympathetic nervous system controls
c. tubuloglomerular feedback mechanism
d. renin-angiotensin mechanism
Renin-angiotensin mechanism
Which part of the brain controls the micturition reflex?

a. cerebrum
b. pons
c. hypothalamus
d. medulla oblongata
Pons
The __________ keeps the urethra closed when urine is not being passed from the bladder and prevents leaking between voiding.

a. internal urethral sphincter
b. external urethral sphincter
c. prostatic urethra
d. external urethral orifice
Internal urethral sphincter
Since most patients with renal failure produce little or no urine, hemodialysis often involves removal of water from the blood. However, side-effects may develop if too much fluid is removed from the blood. Which of the following is NOT one of the potential side-effects?

a. dizziness
b. vasoconstriction of afferent arterioles
c. low blood pressure
d. muscle fatigue
Vasoconstriction of afferent arterioles
The frequency of cystitis in men is lower than in women because ______.

a. the external urethral sphincter in men is usually closed
b. the internal urethral sphincter in men is usually closed
c. the pH of a man's urine is usually more acidic than a woman's urine
d. the male urethra is longer than the female urethra
The male urethra is longer than the female urethra
Urinary incontinence may occur if a person has ______.

a. an internal urethral sphincter that is too frequently relaxed
b. an external urethral sphincter that is too frequently contracted
c. an overactive detrusor muscle
d. All of the listed responses are correct.
An overactive detrusor muscle
What two structures constitute the renal corpuscle?

a. glomerulus and glomerular (Bowman's) capsule
b. proximal convoluted tubule and nephron loop
c. renal tubule and collecting duct
d. glomerulus and renal tubule
Glomerulus and glomerular (Bowman's) capsule
Which capillary bed produces filtrate?


a. glomerulus
b. vasa recta
c. juxtaglomerular complex (JGC)
d. peritubular capillaries
Glomerulus
What is the function of the macula densa cells of the juxtaglomerular complex (JGC)?

a. The macula densa cells pass regulatory signals between other cells of the juxtaglomerular complex.
b. The macula densa cells produce filtrate.
c. The macula densa cells monitor the NaCl content of the filtrate entering the distal convoluted tubule.
d. The macula densa cells sense blood pressure in the afferent arteriole.
The macula densa cells monitor The NaCl content of the filtrate entering the distal convoluted tubule.
What vessel directly feeds into the glomerulus?

a. efferent arteriole
b. vasa recta
c. cortical radiate artery
d. afferent arteriole
Afferent arteriole
The glomerulus differs from other capillaries in the body in that it ________.

a. is impermeable to most substances
b. is drained by an efferent arteriole
c. has a basement membrane
d. has a blood pressure much lower than other organ systems
Is drained by an efferent arteriole
The fatty tissue surrounding the kidneys is important because it ________.

a. is necessary as a barrier between the adrenal glands and kidneys
b. stabilizes the position of the kidneys by holding them in their normal position
c. ensures adequate energy for the adrenal glands to operate efficiently
d. produces vitamin D and other chemicals needed by the kidney
Stabilizes the position of the kidneys by holding them in their normal position
Select the correct statement about the nephrons.

a. The parietal layer of the glomerular capsule is simple squamous epithelium.
b. Podocytes are the branching epithelial cells that line the tubules of the nephron.
c. Filtration slits are the pores that give fenestrated capillaries their name.
d. The glomerulus is correctly described as the proximal end of the proximal convoluted tubule.
The parietal layer of the glomerular capsule is simple squamous epithelium.
What is the most direct function of the juxtaglomerular apparatus?

a. help regulate blood pressure and the rate of excretion by the kidneys
b. help regulate urea absorption by the kidneys
c. help regulate water and electrolyte excretion by the kidneys
d. help regulate blood pressure and the rate of blood filtration by the kidneys
Help regulate blood pressure and the rate of blood filtration by the kidneys
T/F: The proximal convoluted tubule is the portion of the nephron that attaches to the collecting duct.
False
Calculate the net filtration pressure if blood pressure in the glomerulus is unusually high, around 68 mm Hg.

a. 15 mm Hg
b. 113 mm Hg
c. 83 mm Hg
d. 23 mm Hg
23 mm Hg
T/F: Under normal conditions, the large renal arteries deliver one-fourth of the total cardiac output (about 1200 ml) to the kidneys each minute.
True
T/F: Glomerular hydrostatic pressure (HPg) is the chief force pushing water and solutes out of the blood and across the filtration membrane.
True
T/F: The leading cause of chronic renal disease is hypertension.
False
Reabsorption of high levels of glucose and amino acids in the filtrate is accomplished by ________.

a. passive transport
b. facilitated diffusion
c. countertransport
d. secondary active transport
Secondary active transport
Alcohol acts as a diuretic because it ________.

a. is not reabsorbed by the tubule cells
b. increases secretion of ADH
c. inhibits the release of ADH
d. increases the rate of glomerular filtration
Inhibits the release of ADH
If the Tm for a particular amino acid is 120 mg/100 ml and the concentration of that amino acid in the blood is 230 mg/100 ml, the amino acid will ________.

a. be completely reabsorbed by the tubule cells
b. appear in the urine
c. be actively secreted into the filtrate
d. be completely reabsorbed by secondary active transport
Appear in the urine
Which of the following is an electrolyte?

a. phospholipid
b. potassium
c. glucose
d. cholesterol
Potassium
What solute in body fluids determines most of their chemical and physical reactions?
a. glucose
b. nonelectrolytes
c. electrolytes
d. water
Electrolytes
The fluid link between the external and internal environment is ________.

a. intracellular fluid
b. cerebrospinal fluid
c. plasma
d. interstitial fluid
Plasma
The movement of fluids between cellular compartments ________.

a. is regulated by osmotic and hydrostatic forces
b. involves filtration
c. requires active transport
d. requires ATP for the transport to take place
Is regulated by osmotic and hydrostatic forces
T/F: Adipose tissue is one of the most hydrated of all tissues in the human body.
False
In a given day, what is the typical value for water intake?

a. 250 mL
b. 2500 ml
c. 750 ml
d. 1500 ml
2500 mL
How much water is generated per day from cellular metabolism?

a. 1500 ml
b. 750 ml
c. 2500 ml
d. 250 ml
250 ml
Which of the following is NOT involved in triggering the thirst mechanism?

a. osmoreceptors detect increased osmolality
b. dry mouth
c. increase in blood pressure
d. decrease in blood volume
Increase in blood pressure
What receptors does the brain use to detect changes in osmolality?

a. chemoreceptors
b. thermoreceptors
c. baroreceptors
d. osmoreceptors
Osmoreceptors
What hormone helps to maintain extracellular fluid (ECF) osmolality when concentrations become too high?

a. angiotensin II
b. aldosterone
c. antidiuretic hormone (ADH)
d. parathyroid hormone (PTH)
Antidiuretic hormone (ADH)
What type of water imbalance increases the amount of fluid in all compartments?

a. edema
b. dehydration
c. hypotonic hydration
d. inflammation
Hypotonic hydration
Which of the following conditions promotes edema?

a. hemorrhage
b. hyponatremia
c. diabetes mellitus
d. hypoproteinemia
Hypoproteinemia
What is the hallmark of hypotonic hydration?


a. hypernatremia
b. hypercalcemia
c. hypoproteinemia
d. hyponatremia
Hypoatremia
Under normal circumstances, most water is lost in __________.

a. feces
b. insensible losses via skin and lungs
c. urine
d. sweat
Urine
The role of ADH is to __________.

a. decrease water reabsorption
b. lower blood pressure
c. increase water reabsorption
d. produce dilute urine
Increase water reabsorption
What is the driving force for water intake?

a. ADH
b. thirst
c. aldosterone
d. glucose concentration
Thirst
The body's water volume is closely tied to a powerful water "magnet." What magnet is referred to here?

a. water level in the intracellular compartment
b. ionic potassium
c. water level in the extracellular compartment
d. ionic sodium
Ionic sodium
Which of the following hormones is important in stimulating water conservation in the kidneys?

a. atrial natriuretic peptide
b. antidiuretic hormone
c. aldosterone
d. progesterone
Antidiuretic hormone
One of the major physiological factors that triggers thirst is ________.

a. drinking caffeinated beverages
b. a rise in plasma osmolality
c. a dry mouth from high temperatures
d. becoming overly agitated
A rise in plasma osmolality
T/F: The thirst center in the brain is located in the hypothalamus.
True
T/F: Dehydration can be caused by endocrine disturbances such as diabetes mellitus or diabetes insipidus.
True
T/F: Water imbalance, in which output exceeds intake, causing an imbalance in body fluids, is termed dehydration.
True
What is the most important trigger for aldosterone release?


a. decreased sodium ion concentration in the extracellular fluids (ECF)
b. decreased K+ concentration in the extracellular fluids (ECF)
c. renin-angiotensin-aldosterone mechanism
d. increased osmolality of the extracellular fluids (ECF)
Renin-angiotensin-aldosterone mechanism
What results from increased levels of aldosterone?

a. increased K+ reabsorption
b. increased Ca2+ reabsorption
c. decreased Na+ reabsorption
d. increased Na+ reabsorption
Increased Na+ reabsorption
PTH (parathyroid hormone) acts on the __________ to __________ Ca2+ reabsorption.

a. liver; decrease
b. bones; decrease
c. large intestine; increase
d. DCT; increase
DCT; increase
T/F:Potassium balance is controlled mainly by renal mechanisms.
True
Which of the following is NOT a hormone involved in water and electrolyte balance?

a. ADH
b. aldosterone
c. atrial natriuretic peptide
d. thyroxine
Thyroxine
A patient is discovered to have a strange craving for iron objects. To try to determine the cause, her physician decides to order tests to determine if this patient might have some type of ______.

a. hypothyroidism
b. diabetes
c. acidosis
d. anemia
Anemia
Hypersecretion of aldosterone results in hypokalemia, which causes hyperpolarization of neurons; this in turn results in ______.

a. increased speed of sodium-potassium pump activity in order to compensate for the reduced concentration of potassium ions
b. decreased plasma membrane permeability to potassium ions
c. the need for a stronger than normal stimulus in order to trigger an action potential
d. a craving for more salt in the diet
The need for a stronger than normal stimulus in order to trigger an action potential
Which of the following is the only logical explanation for why hypocalcemia increases neuromuscular excitability and causes muscle tetany?

a. Low plasma calcium ion concentration decreases the release of calcium ions from the sarcoplasmic reticulum.
b. Low plasma calcium ion concentration decreases the rate of exocytosis of synaptic vesicles.
c. Low plasma calcium ion concentration increases the permeability of neuron membranes to sodium ions, thereby causing depolarization that in turn increases the likelihood of action potentials being generated.
d. Low plasma calcium ion concentration increases the likelihood of acetic acid and choline being formed in the synaptic cleft when a neuron is stimulated to the threshold level.
Low plasma calcium ion concentration increases the permeability of neuron membranes to sodium ions, thereby causing depolarization that in turn increases the likelihood of action potentials being generated.
Hypermagnesemia
Magnesium excess
Hypocalcemia
Calcium depletion
Hypernatremia
Sodium excess
Hyperkalemia
Potassium excess
Hyponatremia
Sodium depletion
An atypical accumulation of fluid in the interstitial space.
Edema
Hypoproteinemia
A condition of unusually low levels of plasma proteins resulting in tissue edema
A disorder entailing deficient mineralocorticoid hormone production by the adrenal cortex
Addison's Disease
Regulates sodium ion concentrations in the extracellular fluid
Aldosterone
A condition due to excessive water intake that results in net osmosis into tissue cells. This leads to severe metabolic disturbances.
Hyponatremia
Which of the following hormones is important in the regulation of sodium ion concentrations in the extracellular fluid?

a. erythropoietin
b. renin
c. aldosterone
d. antidiuretic hormone
Aldosterone
Atrial natriuretic peptide is a hormone that is made in the atria of the heart. The influence of this hormone is to ________.

a. reduce blood pressure and blood volume by inhibiting sodium and water retention
b. enhance atrial contractions
c. activate the renin-angiotensin mechanism
d. prevent pH changes caused by organic acids
Reduce blood pressure and blood volume by inhibiting sodium and water retention
The single most important factor influencing potassium ion secretion is ________.

a. the pH of the ICF
b. potassium ion concentration in blood plasma
c. intracellular sodium levels
d. the potassium ion content in the renal tubule cell
Potassium ion concentration in blood plasma
What hormone reduces blood pressure and blood volume by inhibiting nearly all events that promote vasoconstriction and sodium ion and water retention?

a. ADH
b. thyroxine
c. atrial natriuretic peptide
d. aldosterone
Atrial natriuretic peptide
Which of the following is not a trigger for juxtaglomerular granular cells to release renin?

a. increased extracellular fluid water levels
b. sympathetic stimulation
c. decreased filtrate NaCl concentration
d. decreased stretch due to decreased blood pressure
Increased extracellular fluid water levels
This chemical equation shows the reaction of a strong acid and weak base in the bicarbonate buffer system. Provide the products of the following reaction. HCl + NaHCO3 -->

a. NaHCO3 + H2O
b. H2CO3 + NaCl
c. NaOH + NaH2PO4
d. NaH2PO4 + NaCl
H2CO3 + NaCl
Which chemical buffer system is the only important system in the extracellular fluid (ECF) that resists short-term changes in pH?


a. protein buffer system
b. physiological buffering systems
c. bicarbonate buffer system
d. phosphate buffer system
Bicarbonate buffer system
In order to buffer a strong acid into a weak acid, which has a less dramatic effect on pH, what chemical should be used as the buffer?

a. weak base
b. weak acid
c. water
d. salt
Weak base
A decrease in blood CO2 levels leads to __________.

a. an increase in carbonic acid
b. an increase in blood pH
c. a drop in blood pH
d. an increased respiratory rate
An increase in blood pH
The most common cause of acid-base imbalance is __________.

a. metabolic acidosis
b. metabolic alkalosis
c. respiratory alkalosis
d. respiratory acidosis
Respiratory acidosis
Which buffer system is the most abundant in the body?

a. hydrogen
b. protein
c. phosphate
d. carbonic acid-bicarbonate
Protein
What is the effect of hyperventilation on pH?

a. respiratory acidosis
b. metabolic acidosis
c. metabolic alkalosis
d. respiratory alkalosis
Respiratory alkalosis
The term alkaline reserve is used to describe the ________ buffer system.

a. protein
b. bicarbonate
c. phosphate
d. hemoglobin
Bicarbonate
Which of the following is not a chemical buffer system?

a. protein
b. nucleic acid
c. bicarbonate
d. phosphate
Nucleic acid
Sperm is produced in the __________ of the testes.

a. tunica vaginalis
b. tunica albuginea
c. myoid cells
d. seminiferous tubules
Seminiferous tubules
Why are the male testes located in the scrotum outside the body?

a. Their external location is necessary for penile development.
b. Immature sperm are temperature sensitive.
c. It helps the male secondary sexual characteristics develop.
d. The testes develop better outside the body.
Immature sperm are temperature sensitive.
The dartos and cremaster muscles are important to the integrity of the male reproductive system. Which of the following is true about the role they play?

a. They contract to push sperm along the ductus deferens.
b They contract to allow ejaculation.
c. They are responsible for penile erection.
d. They regulate the temperature of the testes.
They regulate the temperature of the testes.
The most important risk for testicular cancer in young males is ________.

a. smoking
b. a diet high in fat
c. sexually transmitted infections
d. undescended testes
Undescended testes
How do the testes respond to exposure to excessive body warmth?

a. They move close to the pelvic cavity.
b. Excessive warmth is actually beneficial in that it speeds up the maturation of sperm.
c. Excessive warmth has no effect on the testicles because of their location in the scrotum.
d. They move away from the pelvic cavity.
They move away from the pelvic cavity.
Prostate cancer is _______.

a. the number-one cause of death in men
b. often the result of a distortion of the urethra
c. sometimes a slow-growing cancer that may never represent a threat to the patient
d. most common in Asians
Sometimes a slow-growing cancer that may never represent a threat to the patient
Which of the following cells is returned to the basal lamina to continue the pool of dividing germ cells?

a. type B daughter cell
b. type A daughter cell or spermatogonium
c. secondary spermatocyte
d. primary spermatocyte
Type A daughter cell or spermatogonium
Which of the following inhibits the release of FSH from the anterior pituitary and GnRH from the hypothalamus when the sperm count is high?

a. androgen-binding protein (ABP)
b. estradiol
c. luteinizing hormone (LH)
d. inhibin
Inhibin
Which of the following keeps the concentration of testosterone in the vicinity of the spermatogenic cells high to stimulate spermatogenesis?

a. inhibin
b. dihydrotestosterone (DHT)
c. GnRH
d. androgen-binding protein (ABP)
Androgen-binding protein (ABP)
Which of the following occurs during spermiogenesis?

a. spermatids are produced
b. sustentacular cells are produced
c. spermatogonia are produced
d. sperm are produced
Sperm are produced
Enzymes that allow sperm to penetrate the egg are located in the __________ of the sperm cell.

a. mitochondria
b. acrosome
c. midpiece
d. tail
Acrosome
The release of __________ encourages interstitial endocrine cells to release __________.

a. luteinizing hormone; testosterone
b. inhibin; testosterone
c. luteinizing hormone; androgen-binding protein
d. follicle-stimulating hormone; androgen-binding protein
Luteinizing hormone; testosterone
The ability of a male to ejaculate is due to the action of ________.

a. parasympathetic nerves
b. luteinizing hormone
c. the bulbospongiosus muscles
d. the dartos muscle
The bulbospongiosus muscles
Why is the blood testis barrier important?

a. because the barrier traps sex hormones, keeping them at a higher level than the blood.
b. because spermatozoa and developing cells produce surface antigens that are recognized as foreign by the immune system
c. because some blood contents are toxic to the spermatozoa
d. because immature sperm cells lose their motility when they encounter any blood component
Because spermatozoa and developing cells produce surface antigens that are recognized as foreign by the immune system
Erection of the penis results from ________.

a. dilation of the veins in the penis
b. a sympathetic reflex
c. a parasympathetic reflex
d. parasympathetic activation of the bulbo-urethral glands
A parasympathetic reflex
Which male hormone inhibits the secretion of FSH?

a. ICSH
b. inhibin
c. ACTH
d. GnRH
Inhibin
A boy who has not passed through puberty sustains an injury to his anterior pituitary such that FSH is no longer released, but LH is normal. After he grows to maturity, one would expect that he would ________.

a. not develop secondary sex characteristics
b. have impaired function of interstitial endocrine cells
c. be impotent (unable to have an erection)
d. be sterile
Be sterile
T/F: When a couple is having difficulty conceiving a child, it is necessary to investigate the sperm of the male.
True
Which wall of the uterus is made of smooth muscle?

a. endometrium
b. mesometrium
c. perimetrium
d. myometrium
Myometrium
Which specific layer of the uterus is shed during menstruation, approximately every 28 days?

a. stratum functionalis of the endometrium
b. mesometrium
c. stratum basalis of the endometrium
d. myometrium
Stratum functionalis of the endometrium
Which structure of the female's external genitalia has erectile tissue like the penis?

a. vulva
b. mons pubis
c. labia majora
d. clitoris
Clitoris
Which of the following is FALSE regarding the vagina of an adult female?

a. The pH of the adult vagina is alkaline.
b. The mucosa of the vagina is stratified squamous epithelium.
c. The vaginal mucosa lacks glands.
d. The vagina is also called the birth canal.
The pH of the adult vagina is alkaline
Which layer of the uterus is the site for implantation of a fertilized egg?

a. stratum functionalis of the endometrium
b. stratum basalis of the endometrium
c. perimetrium
d. myometrium
Stratus functionalis of the endometrium
Which of the following conditions might contribute to an increased probability of having an ectopic pregnancy?

a. reduced blood flow to the ovaries
b. decreased number of cilia in the uterine tubes
c. reduced number of granulosa cells
d. decreased rate of formation of vesicular follicles
Decreased number of cilia in the uterine tubes
Fertilization generally occurs in the ________.

a. ovary
b. vagina
c. uterine tubes
d. uterus
Uterine tubes
Which of the following cells is released during ovulation?

a. ovum
b. primary oocyte
c. oogonium
d. secondary oocyte
Secondary oocyte
How many functional gametes are produced by oogenesis?

a. one functional gamete
b. two functional gametes
c. three functional gametes
d. four functional gametes
One functional gamete
What event occurs during the proliferative phase?

a. menstruation
b. enrichment of the blood supply and glandular secretions prepare for reception of an embryo
c. ovulation
d. stratum functionalis is shed
Ovulation
What hormone promotes ovulation?

a. leptin
b. progesterone
c. luteinizing hormone (LH)
d. inhibin
Luteinizing hormone (LH)
During the secretory phase of the uterine cycle __________.

a. the endometrium prepares for implantation
b. the endometrium is shed
c. ovulation occurs
d. the functional layer of the endometrium regenerates
The endometrium prepares for implantation
Which of the following is an effect of estrogen in females?

a. promotes lactation
b. promotes oogenesis
c. suppresses the effect of follicle-stimulating hormone (FSH)
d. promotes water loss (diuresis)
Promotes oogenesis
T/F: Oocytes only complete meiosis II if they are fertilized.
True
Why does only one egg, rather than four eggs, develop during oogenesis, given that spermatogenesis results in four sperm formed from one stem cell?

a. Actually, gametogenesis (oogenesis in the female and spermatogenesis in the male) produces four eggs and four sperm.
b. The egg does not go through the meiotic division processes that the sperm undergo.
c. The unequal cytoplasmic division that results in one egg and three polar bodies ensures that a fertilized egg has ample nutrients for its journey to the uterus.
d. Only one egg can be fertilized at a time.
The unequal cytoplasmic division that results in one egg and three polar bodies ensures that a fertilized egg has ample nutrients for its journey to the uterus.
What is the role of the corpus luteum?

a. to stimulate the female sexual response
b. to produce the primary oocytes
c. to produce hormones that maintain the uterine lining during the first months of pregnancy
d. ovulation
To produce hormones that maintain the uterine lining during the first months of pregnancy
Amenorrhea can occur in women engaged in extremely strenuous physical activity, and also occurs in women who ______.

a. are pregnant
b. are overweight for a prolonged period of time
c. participate in normal physical activity
d. All of the listed responses are correct.
Are pregnant
In humans, separation of the cells at the two-cell state following fertilization may lead to the production of twins, which in this case would be ________.

a. fraternal
b. of different sexes
c. identical
d. dizygotic
Identical
Select the correct statement about the uterine cycle.

a. If fertilization occurs, the corpus luteum is maintained by a hormone secreted by the developing embryo.
b. The menstrual phase of the cycle is normally from day 1 to day 8.
c. During the proliferative phase, levels of progesterone rise as the follicle begins to produce more hormone.
d. During the secretory phase, estrogen levels are at their highest.
If fertilization occurs, the corpus luteum is maintained by a hormone secreted by the developing embryo.
The basic difference between spermatogenesis and oogenesis is that ________.

a. spermatogenesis involves mitosis and meiosis, but oogenesis involves meiosis only
b. in oogenesis, one mature ovum is produced, and in spermatogenesis four mature sperm are produced from the parent cell
c. during spermatogenesis two more polar bodies are produced
d. the mature ovum is n, while the sperm is 2n
In oogenesis, one mature ovum is produced, and in spermatogenesis four mature sperm are produced from the parent cell
All of the following statements referring to the uterine cycle are true except ________.

a. estrogen is secreted by the developing follicle in the follicular phase of the cycle
b. the corpus luteum is formed from the ruptured follicle after ovulation
c. a decrease in the levels of ovarian hormones signals menstruation
d. FSH and LH directly promote development of the uterine endometrium
FSH and LH directly promote development of the uterine endometrium
T/F: The corpus luteum secretes progesterone only.
False
The fertilized egg is known as the __________.

a. conceptus
b. embryo
c. zygote
d. fetus
Zygote
T/F: In humans, zonal inhibiting proteins destroy sperm receptors, preventing polyspermy.
True
How long is the egg viable and capable of being fertilized after it is ovulated?

a. 24-36 hours
b. 36-72 hours
c. 12-24 hours
d. a full week
12-24 hours
T/F: The period from fertilization through week eight is called the embryonic period.
True
Sperm freshly deposited in the female vagina are incapable of fertilizing an egg. What must happen first?

a. capacitation
b. gestation
c. cortical reaction
d. acrosomal reaction
Capacitation
How much time passes after fertilization until implantation occurs?

a. 3 days
b. 2 days
c. 36 hours
d. 7 days
7 days
What releases human chorionic gonadotropin (hCG)?

a. inner cell mass
b. trophoblast
c. blastocyst
d. morula
Trophoblast
What membrane does the trophoblast form after implantation?

a. amnion
b. yolk sac
c. chorion
d. allantois
Chorion
Together, what do the decidua basalis and the chorionic villi form?

a. chorion
b. placenta
c. yolk sac
d. amnion
Placenta
Which of the following is the primary germ layer that forms the basis for the digestive, respiratory, and urogenital systems, and for associated glands?

a. ectoderm
b. endoderm
c. gastroderm
d. mesoderm
Endoderm
Which hormone maintains the viability of the corpus luteum?

a. estrogen
b. human chorionic gonadotropin
c. progesterone
d. human placental lactogen
Human chorionic gonadotropin
The correct sequence of preembryonic structures is ________.

a. zygote, morula, blastocyst
b. blastocyst, morula, zygote
c. morula, zygote, blastocyst
d. zygote, blastocyst, morula
Zygote, morula, blastocyst
What structure(s) ultimately form(s) the placenta?

a. decidua basalis and chorionic villi
b. decidua capsularis and chorionic villi
c. decidua basalis and amnion
d. decidua capsularis and amnion
Decidua basalis and chorionic villi
T/F: A pregnancy test involves antibodies that detect GH levels in a woman's blood or urine.
False
What does the hormone relaxin promote?

a. Relaxin promotes the relaxation, widening, and increased flexibility of the pelvic ligaments and pubic symphysis.
b. Relaxin imparts a purplish hue to the vagina.
c. Relaxin promotes increased pigmentation of the facial skin of the nose and cheeks.
d. Relaxin promotes enlargement of the breasts.
Relaxin promotes the relaxation, widening, and increased flexibility of the pelvic ligaments and pubic symphysis.
A dangerous complication of pregnancy called __________ results in an insufficient placental blood supply, which can starve a fetus of oxygen. The pregnant woman becomes edematous and hypertensive, and proteinuria occurs.

a. parturition
b. dyspnea
c. preeclampsia
d. dystocia
Preeclampsia
T/F: While human chorionic gonadotropin levels spike and sharply decline to reach a low value by four months, estrogen and progesterone levels steadily increase over the course of the pregnancy.
True
Which body system of a pregnant woman shows the most dramatic physiological changes during pregnancy?

a. cardiovascular system
b. respiratory system
c. urinary system
d. digestive system
Cardiovascular system
What role does oxytocin play in promoting labor?


a. Oxytocin stimulates the uterus to contract.
b. Oxytocin stimulates the myometrial cells of the uterus to form oxytocin receptors.
c. Oxytocin antagonizes progesterone's quieting influence on uterine muscle.
d. Oxytocin promotes the formation of gap junctions between the uterine smooth muscle cells.
Oxytocin stimulates the uterus to contract
Which of the following serves as the trigger to begin the vigorous, rhythmic contractions of true labor?

a. oxytocin
b. progesterone
c. relaxin
d. prostaglandins
Prostaglandins
What is released from fetal lungs in the weeks before delivery to soften the cervix in preparation for labor?

a. estrogens
b. prostaglandins
c. surfactant protein A (SP-A)
d. oxytocin
Surfactant protein A (SP-A)
How long does the expulsion stage typically last in a first birth?

a. 6-12 hours
b. 20 minutes
c. 2-3 minutes
d. 50 minutes
50 minutes
T/F: An episiotomy is an incision made to widen the vaginal orifice, aiding fetal expulsion.
True
T/F: The placenta and its attached fetal membranes are collectively called the afterbirth.
True