Endocrine and Reproductive Physiology

Menstrual Cycle and Spermatogenesis Practice Questions

40 free Menstrual Cycle and Spermatogenesis practice questions for the Physiology. Tap an option to answer — you get instant feedback, the correct answer, and a detailed explanation for every question.

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Question 1 of 40 Medium

Which hormone is primarily responsible for the mid-cycle surge that triggers ovulation?

  1. A Follicle-stimulating hormone
  2. B Luteinizing hormone
  3. C Estrogen
  4. D Progesterone

Correct answer: Luteinizing hormone

The mid-cycle surge of luteinizing hormone (LH) induces ovulation by causing rupture of the mature Graafian follicle. This surge is triggered by sustained high estrogen levels exerting positive feedback on the hypothalamic-pituitary axis.

Question 2 of 40 Medium

The proliferative phase of the menstrual cycle is dominated by which ovarian hormone?

  1. A Progesterone
  2. B Inhibin
  3. C Estrogen
  4. D Luteinizing hormone

Correct answer: Estrogen

Estrogen secreted from developing ovarian follicles stimulates proliferation of the endometrial lining. This phase prepares the uterus for possible implantation.

Question 3 of 40 Medium

Which cell type in the testes is directly stimulated by luteinizing hormone?

  1. A Sertoli cells
  2. B Leydig testis cells
  3. C Type A spermatogonia
  4. D Peritubular myoid cells

Correct answer: Leydig testis cells

Luteinizing hormone stimulates Leydig cells to produce testosterone. Testosterone is essential for spermatogenesis and development of male secondary sexual characteristics.

Question 4 of 40 Medium

Which hormone is essential for the maintenance of the secretory phase of the endometrium?

  1. A Estrogen
  2. B Follicle-stimulating hormone
  3. C Progesterone
  4. D Oxytocin

Correct answer: Progesterone

Progesterone from the corpus luteum maintains the secretory endometrium after ovulation. It promotes glandular secretion and vascularization required for implantation.

Question 5 of 40 Medium

In spermatogenesis, meiosis I occurs at which stage?

  1. A Spermatogonium to primary spermatocyte
  2. B Primary to secondary spermatocyte
  3. C Secondary spermatocyte to spermatid
  4. D Spermatid to mature spermatozoa

Correct answer: Primary to secondary spermatocyte

Meiosis I occurs when a primary spermatocyte divides to form two secondary spermatocytes. This division reduces the chromosome number from diploid to haploid.

Question 6 of 40 Medium

Which structure forms from the ruptured ovarian follicle after ovulation?

  1. A Corpus albicans
  2. B Corpus luteum
  3. C Atretic body
  4. D Primary follicle

Correct answer: Corpus luteum

After ovulation, the ruptured follicle transforms into the corpus luteum. It secretes progesterone and estrogen to support the luteal phase.

Question 7 of 40 Medium

Which hormone inhibits follicle-stimulating hormone secretion during the menstrual cycle?

  1. A Progesterone
  2. B Estradiol
  3. C Inhibin B
  4. D Prolactin

Correct answer: Inhibin B

Inhibin selectively inhibits FSH secretion from the anterior pituitary. It helps regulate follicular development and spermatogenesis.

Question 8 of 40 Medium

The blood-testis barrier is primarily formed by which cells?

  1. A Leydig cells
  2. B Sertoli cells
  3. C Spermatids
  4. D Endothelial cells

Correct answer: Sertoli cells

Tight junctions between Sertoli cells form the blood-testis barrier. This barrier protects developing germ cells from immune attack.

Question 9 of 40 Medium

Which change occurs immediately after ovulation if fertilization does not take place?

  1. A Increase in estrogen levels
  2. B Degeneration of the corpus luteum
  3. C Rise in follicle-stimulating hormone
  4. D Persistence of progesterone secretion

Correct answer: Degeneration of the corpus luteum

In the absence of fertilization, the corpus luteum degenerates into the corpus albicans. This leads to a fall in progesterone and estrogen levels.

Question 10 of 40 Medium

Which hormone is primarily responsible for initiating spermatogenesis?

  1. A Circulating testicular testosterone
  2. B Follicle-stimulating hormone
  3. C Luteinizing hormone (LH)
  4. D Sertoli-cell inhibin

Correct answer: Follicle-stimulating hormone

Follicle-stimulating hormone acts on Sertoli cells to initiate and support spermatogenesis. It promotes synthesis of androgen-binding protein.

Question 11 of 40 Medium

The luteal phase of the menstrual cycle typically lasts approximately how long?

  1. A 7 days
  2. B 10 days
  3. C 14 days
  4. D 21 days

Correct answer: 14 days

The luteal phase is relatively constant and lasts about 14 days. It corresponds to the lifespan of the corpus luteum.

Question 12 of 40 Medium

Which hormone causes a slight rise in basal body temperature after ovulation?

  1. A Estrogen
  2. B Progesterone
  3. C Luteinizing hormone
  4. D Follicle-stimulating hormone

Correct answer: Progesterone

Progesterone has a thermogenic effect that raises basal body temperature after ovulation. This change is used clinically to confirm ovulation.

Question 13 of 40 Medium

Which stage of spermatogenesis involves morphological transformation without cell division?

  1. A Spermatocytogenesis
  2. B Meiosis I
  3. C Meiosis II
  4. D Spermiogenesis

Correct answer: Spermiogenesis

Spermiogenesis is the transformation of spermatids into mature spermatozoa. It involves nuclear condensation and flagellum formation without division.

Question 14 of 40 Medium

Which hormone maintains the corpus luteum during early pregnancy?

  1. A Luteal progesterone
  2. B Ovarian estradiol
  3. C Human chorionic gonadotropin
  4. D Anterior pituitary prolactin

Correct answer: Human chorionic gonadotropin

Human chorionic gonadotropin secreted by the developing embryo maintains the corpus luteum. This ensures continued progesterone secretion until placental takeover.

Question 15 of 40 Medium

Which event marks the beginning of the menstrual phase?

  1. A Ovulation
  2. B Drop in estrogen and progesterone
  3. C Rise in luteinizing hormone
  4. D Increase in follicle-stimulating hormone

Correct answer: Drop in estrogen and progesterone

Menstruation begins when estrogen and progesterone levels fall due to corpus luteum regression. This hormonal withdrawal leads to shedding of the endometrium.

Question 16 of 40 Medium

Which hormone produced by Sertoli cells binds testosterone within seminiferous tubules?

  1. A Sertoli-derived inhibin
  2. B Androgen-binding protein
  3. C Anti-Mullerian hormone
  4. D Local aromatized estrogen

Correct answer: Androgen-binding protein

Androgen-binding protein binds testosterone and maintains high local concentrations. This is essential for normal spermatogenesis.

Question 17 of 40 Medium

The primary function of estrogen during the follicular phase is to:

  1. A Stimulate milk production
  2. B Promote endometrial growth
  3. C Maintain corpus luteum
  4. D Inhibit luteinizing hormone

Correct answer: Promote endometrial growth

Estrogen promotes proliferation of the endometrial lining during the follicular phase. This prepares the uterus for possible implantation.

Question 18 of 40 Medium

Which hormone exerts negative feedback on both the hypothalamus and pituitary in males?

  1. A Follicle-stimulating hormone
  2. B Luteinizing hormone
  3. C Testosterone
  4. D Inhibin

Correct answer: Testosterone

Testosterone provides negative feedback to the hypothalamus and anterior pituitary. This regulates secretion of gonadotropins.

Question 19 of 40 Medium

Which phase of the menstrual cycle corresponds to maximum endometrial thickness?

  1. A Menstrual phase
  2. B Proliferative phase
  3. C Ovulatory phase
  4. D Secretory phase

Correct answer: Secretory phase

The secretory phase shows maximal endometrial thickness under progesterone influence. The glands become coiled and highly secretory.

Question 20 of 40 Medium

What is the approximate duration of a complete spermatogenic cycle in humans?

  1. A 14 days
  2. B 28 days
  3. C 64 days
  4. D 120 days

Correct answer: 64 days

A complete spermatogenic cycle takes about 64 days in humans. Additional time is required for sperm maturation in the epididymis.

Question 21 of 40 Medium

Which hormone is primarily responsible for the recruitment and early growth of primary follicles during the follicular phase of the menstrual cycle?

  1. A Mid-cycle luteinizing hormone surge
  2. B Follicle-stimulating hormone (FSH)
  3. C Ovarian progesterone (P4)
  4. D Sertoli-cell inhibin B (IB)

Correct answer: Follicle-stimulating hormone (FSH)

FSH is released by the anterior pituitary to stimulate the growth of ovarian follicles. As follicles develop, they begin to secrete estrogen, which provides feedback to the hypothalamus and pituitary.

Question 22 of 40 Medium

The 'LH surge' that triggers ovulation is primarily caused by which physiological event?

  1. A A rapid drop in progesterone levels
  2. B Negative feedback from low levels of estrogen
  3. C Positive feedback from high levels of estrogen
  4. D The secretion of GnRH from the posterior pituitary

Correct answer: Positive feedback from high levels of estrogen

When estrogen levels reach a high threshold for approximately 36 to 48 hours, the feedback loop switches from negative to positive. This results in a massive release of LH, leading to the rupture of the dominant follicle.

Question 23 of 40 Medium

In the male reproductive system, where exactly does the process of spermatogenesis occur?

  1. A Interstitial cells of Leydig
  2. B Epididymis
  3. C Seminiferous tubules
  4. D Rete testis

Correct answer: Seminiferous tubules

Spermatogenesis takes place within the seminiferous tubules of the testes. The Leydig cells produce testosterone, while the epididymis is the site of sperm maturation and storage.

Question 24 of 40 Medium

Which cells provide structural support, nourishment, and protection to developing sperm cells throughout spermatogenesis?

  1. A Sertoli cells
  2. B Leydig cells
  3. C Spermatogonia
  4. D Theca cells

Correct answer: Sertoli cells

Sertoli cells are 'nurse' cells located within the seminiferous tubules that facilitate the transition of germ cells to spermatozoa. They also form the blood-testis barrier to protect developing sperm from the immune system.

Question 25 of 40 Medium

During the luteal phase, the corpus luteum primarily secretes which hormone to prepare the endometrium for implantation?

  1. A Estrogen only
  2. B LH and FSH
  3. C Progesterone
  4. D Human chorionic gonadotropin (hCG)

Correct answer: Progesterone

After ovulation, the remains of the follicle transform into the corpus luteum, which secretes high levels of progesterone. Progesterone stabilizes the endometrial lining and promotes a secretory environment.

Question 26 of 40 Medium

Which of the following describes the correct chronological order of cells in spermatogenesis?

  1. A Spermatogonia -> Secondary spermatocyte -> Primary spermatocyte -> Spermatid
  2. B Spermatogonia -> Primary spermatocyte -> Secondary spermatocyte -> Spermatid
  3. C Spermatid -> Primary spermatocyte -> Secondary spermatocyte -> Spermatogonia
  4. D Primary spermatocyte -> Spermatogonia -> Secondary spermatocyte -> Spermatid

Correct answer: Spermatogonia -> Primary spermatocyte -> Secondary spermatocyte -> Spermatid

Spermatogenesis begins with diploid spermatogonia, which divide to become primary spermatocytes. These undergo Meiosis I to become secondary spermatocytes and Meiosis II to become haploid spermatids.

Question 27 of 40 Medium

What is the primary function of the hormone Inhibin B in males?

  1. A Stimulates Leydig cells to make testosterone
  2. B Suppresses FSH release from the pituitary
  3. C Promotes the secretion of GnRH from hypothalamus
  4. D Increases the overall rate of Meiosis I

Correct answer: Suppresses FSH release from the pituitary

Inhibin B is produced by Sertoli cells in response to FSH and sperm production. It acts as a negative feedback signal specifically to the anterior pituitary to reduce FSH secretion.

Question 28 of 40 Medium

In the absence of fertilization, why does menstruation occur?

  1. A The corpus luteum degenerates and progesterone falls
  2. B High LH levels directly force the endometrial lining to shed
  3. C Rising prolactin triggers uterine vasoconstriction
  4. D The pituitary gland abruptly stops secreting GnRH

Correct answer: The corpus luteum degenerates and progesterone falls

The drop in progesterone and estrogen following the involution of the corpus luteum causes the spiral arteries to constrict. This leads to ischemia and the subsequent sloughing of the functional layer of the endometrium.

Question 29 of 40 Medium

Which enzyme is responsible for the conversion of testosterone to estradiol in both the brain and the ovaries?

  1. A 5-alpha reductase
  2. B Aromatase (CYP19A1)
  3. C 17-beta hydroxysteroid dehydrogenase
  4. D Cholesterol side-chain cleavage enzyme

Correct answer: Aromatase (CYP19A1)

Aromatase is the key enzyme that converts androgens (like testosterone) into estrogens (like estradiol). In the ovaries, this occurs in the granulosa cells under the influence of FSH.

Question 30 of 40 Medium

Which stage of the menstrual cycle is characterized by the growth of the functionalis layer of the endometrium under the influence of estrogen?

  1. A Secretory phase
  2. B Early luteal phase
  3. C Proliferative phase
  4. D Ischemic shedding phase

Correct answer: Proliferative phase

The proliferative phase coincides with the follicular phase of the ovary. Estrogen stimulates mitosis in the basal layer to rebuild the functionalis layer that was lost during menstruation.

Question 31 of 40 Medium

What is 'spermiogenesis'?

  1. A Division of spermatogonia into primary spermatocytes
  2. B Meiosis I and II occurring in the male germ cells
  3. C Reshaping of round spermatids into mature spermatozoa
  4. D Release of spermatozoa into the seminiferous tubule lumen

Correct answer: Reshaping of round spermatids into mature spermatozoa

Spermiogenesis is the final stage of spermatogenesis where round spermatids undergo structural changes. This includes the formation of the acrosome, condensation of the nucleus, and development of the flagellum.

Question 32 of 40 Medium

Which hormone acts directly on Leydig cells to stimulate testosterone production?

  1. A Follicle-stimulating hormone
  2. B Luteinizing hormone
  3. C Gonadotropin-releasing hormone
  4. D Inhibin

Correct answer: Luteinizing hormone

Luteinizing hormone (LH) binds to receptors on the interstitial cells of Leydig. This triggers the signaling pathway that increases the conversion of cholesterol to testosterone.

Question 33 of 40 Medium

During the menstrual cycle, the 'secretory phase' of the uterus corresponds to which ovarian phase?

  1. A Follicular phase
  2. B Ovulatory
  3. C Luteal phase
  4. D Menstrual phase

Correct answer: Luteal phase

The secretory phase occurs after ovulation, driven by progesterone from the corpus luteum. During this time, the endometrium becomes highly vascularized and glycogen-rich in preparation for a potential embryo.

Question 34 of 40 Medium

What is the function of the acrosome in a mature sperm cell?

  1. A To generate the ATP that is required for flagellar motility
  2. B To carry and protect the haploid paternal genetic material
  3. C To store enzymes required to penetrate the zona pellucida
  4. D To anchor the sperm tail firmly to the Sertoli cell body

Correct answer: To store enzymes required to penetrate the zona pellucida

The acrosome is a cap-like vesicle filled with hydrolytic enzymes (like hyaluronidase). These enzymes are released during the acrosome reaction to digest the protective layers of the oocyte.

Question 35 of 40 Medium

Which of the following is true regarding the number of functional gametes produced from one primary spermatocyte vs one primary oocyte?

  1. A Both produce four functional gametes
  2. B Primary spermatocyte produces four; primary oocyte produces one
  3. C Primary spermatocyte produces one; primary oocyte produces four
  4. D Both produce only one functional gamete

Correct answer: Primary spermatocyte produces four; primary oocyte produces one

Spermatogenesis results in four viable haploid sperm from one primary spermatocyte. Oogenesis involves unequal cytoplasmic division, resulting in one large functional ovum and three non-functional polar bodies.

Question 36 of 40 Medium

At which stage of meiosis is the primary oocyte arrested from birth until puberty?

  1. A Anaphase I
  2. B Prophase I
  3. C Metaphase II
  4. D Prophase II

Correct answer: Prophase I

Oocytes begin meiosis during fetal development but are arrested in the diplotene stage of Prophase I. They remain in this state until they are recruited during a menstrual cycle after puberty.

Question 37 of 40 Medium

Which hormone is responsible for maintaining the corpus luteum if fertilization and implantation occur?

  1. A Progesterone from the corpus luteum
  2. B Estrogen from follicles
  3. C Luteinizing hormone from the pituitary
  4. D Human chorionic gonadotropin

Correct answer: Human chorionic gonadotropin

hCG is produced by the syncytiotrophoblast of the developing embryo. It mimics LH to maintain the corpus luteum, ensuring continued progesterone production until the placenta can take over.

Question 38 of 40 Medium

The 'blood-testis barrier' is primarily formed by which of the following?

  1. A Basement membrane of the seminiferous tubule
  2. B Tight junctions between Sertoli cells
  3. C Endothelial cells of the testicular capillaries
  4. D The tunica albuginea

Correct answer: Tight junctions between Sertoli cells

Tight junctions between adjacent Sertoli cells create a physical barrier. This prevents the blood-borne substances and immune cells from reaching the germ cells, which are genetically distinct and would be attacked as 'foreign'.

Question 39 of 40 Medium

A rise in basal body temperature (approximately 0.5 degrees Celsius) is a clinical indicator that which event has occurred?

  1. A Menstruation
  2. B Ovulation
  3. C LH surge
  4. D Follicle recruitment

Correct answer: Ovulation

Progesterone has a thermogenic effect on the hypothalamus. Since progesterone levels rise sharply after ovulation (secreted by the corpus luteum), a sustained rise in temperature indicates ovulation has taken place.

Question 40 of 40 Medium

What happens to the level of GnRH secretion when testosterone levels in the blood become excessively high?

  1. A GnRH secretion rises to compensate
  2. B GnRH secretion decreases due to negative feedback
  3. C GnRH secretion stays constant while LH selectively falls
  4. D GnRH secretion is permanently and irreversibly halted

Correct answer: GnRH secretion decreases due to negative feedback

Testosterone exerts negative feedback on both the hypothalamus (decreasing GnRH pulse frequency) and the anterior pituitary (decreasing LH/FSH sensitivity). This maintains homeostatic levels of androgens.

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