Free Reproductive Anatomy and Conception MCQs with Answers

50 Reproductive Anatomy and Conception MCQs from Midwifery and Obstetric Nursing, each with the correct answer and a written explanation of why it is correct. Free and unlimited, with no account needed.

Female and male reproductive organs, pelvic anatomy, gametogenesis, the menstrual cycle and the hormonal control of ovulation lead into fertilisation, implantation and early embryonic development. Questions distinguish ovulation from menstruation, fertilisation from implantation, and the normal anatomical changes that allow conception and pregnancy to occur.

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50 questions · page 2 of 3

  • A. The fundus
  • B. The body
  • C. The cervix
  • D. The uterine tube

Explanation: The cervix is the lower, narrow part of the uterus that projects into the vagina.

Correct answer: The cervix
  • A. 23 chromosomes
  • B. .length 46 chromosomes
  • C. 44 chromosomes
  • D. 92 chromosomes

Explanation: A normal sperm or ovum is haploid and contains 23 chromosomes. Fertilisation restores the diploid number of 46 chromosomes in the zygote…

Correct answer: 23 chromosomes
Easy
  • A. The fall in ovarian hormones causes endometrial shedding
  • B. The rise in human chorionic gonadotropin causes uterine bleeding
  • C. The sudden release of follicle-stimulating hormone destroys the endometrium
  • D. The increase in oxytocin causes the functional layer to detach

Explanation: When the corpus luteum regresses, progesterone and estrogen levels fall, causing the functional endometrial layer to shed.

Correct answer: The fall in ovarian hormones causes endometrial shedding
Moderate
  • A. Granulosa cells
  • B. Theca interna cells
  • C. Corpus albicans cells
  • D. Germinal epithelial cells

Explanation: Theca interna cells respond to luteinizing hormone and produce androgen precursors.

Correct answer: Theca interna cells
Very hard
  • A. Prophase I of meiosis
  • B. Metaphase I of meiosis
  • C. Prophase II of meiosis
  • D. Metaphase II of meiosis

Explanation: Primary oocytes begin meiosis before birth and remain arrested in prophase I until selected for maturation.

Correct answer: Prophase I of meiosis
  • A. The acrosome reaction
  • B. The menstrual reaction
  • C. The luteal reaction
  • D. The endometrial reaction

Explanation: The acrosome reaction releases enzymes from the sperm head that help it penetrate the zona pellucida.

Correct answer: The acrosome reaction
Fairly easy
  • A. Human chorionic gonadotropin
  • B. Follicle-stimulating hormone
  • C. Prolactin
  • D. Oxytocin

Explanation: The early trophoblast produces human chorionic gonadotropin, which supports the corpus luteum and its progesterone secretion.

Correct answer: Human chorionic gonadotropin
Hard
  • A. The iliac crest
  • B. The ischial spines
  • C. The pubic symphysis
  • D. The sacral promontory

Explanation: The ischial spines project inward and form an important landmark for assessing the midpelvis and fetal station.

Correct answer: The ischial spines
  • A. The trophoblast and maternal endometrium
  • B. The corpus luteum and cervical mucus
  • C. The zona pellucida and ovarian stroma
  • D. The myometrium and uterine peritoneum

Explanation: The fetal part of the placenta develops mainly from the trophoblast, while the maternal part develops from the modified endometrium.

Correct answer: The trophoblast and maternal endometrium
  • A. Arrange urgent assessment for possible ruptured ectopic pregnancy
  • B. Advise bed rest and repeat a pregnancy test next week
  • C. Offer oral fluids and document the pain for routine review
  • D. Teach her that mild discomfort is normal in early pregnancy

Explanation: The symptoms suggest internal bleeding from a possible ruptured ectopic pregnancy, so urgent assessment is required.

Correct answer: Arrange urgent assessment for possible ruptured ectopic pregnancy
  • A. Endometrium
  • B. Myometrium
  • C. Perimetrium
  • D. Parametrium

Explanation: The myometrium is the thick smooth-muscle layer of the uterus and produces contractions during labour.

Correct answer: Myometrium
  • A. Seminal vesicle
  • B. Prostate gland
  • C. Bulbourethral gland
  • D. Epididymis

Explanation: The prostate surrounds the proximal urethra and contributes a thin, slightly alkaline fluid to semen.

Correct answer: Prostate gland
  • A. Leydig cells
  • B. Sertoli cells
  • C. Prostatic cells
  • D. Bulbourethral cells

Explanation: Sertoli cells support, nourish and regulate developing sperm within the seminiferous tubules.

Correct answer: Sertoli cells
Moderate
  • A. A sustained slight rise in temperature
  • B. A sustained fall in temperature
  • C. A sudden rise before menstruation only
  • D. No temperature change throughout the cycle

Explanation: Progesterone released after ovulation raises basal body temperature slightly, and the rise remains during the luteal phase.

Correct answer: A sustained slight rise in temperature
  • A. Mitosis
  • B. Meiosis
  • C. Binary fission
  • D. Budding

Explanation: Meiosis reduces the chromosome number by half and produces genetically varied gametes.

Correct answer: Meiosis
  • A. The chromosome carried by the ovum
  • B. The chromosome carried by the sperm
  • C. The number of polar bodies formed
  • D. The thickness of the zona pellucida

Explanation: The ovum normally contributes an X chromosome, whereas the sperm contributes either an X or a Y chromosome.

Correct answer: The chromosome carried by the sperm
Fairly easy
  • A. Sperm may remain viable in the female tract for several days
  • B. The ovum remains viable for about one menstrual cycle
  • C. Implantation occurs immediately after intercourse
  • D. Menstruation permanently stores sperm in the uterus

Explanation: Sperm can remain viable in favourable cervical mucus for several days, so they may be present when ovulation occurs.

Correct answer: Sperm may remain viable in the female tract for several days
Moderate
  • A. Trophoblast
  • B. Inner cell mass
  • C. Zona pellucida
  • D. Chorionic cavity

Explanation: The inner cell mass, also called the embryoblast, develops into the embryo proper.

Correct answer: Inner cell mass
Very hard
  • A. Decidua
  • B. Amnion
  • C. Chorion
  • D. Allantois

Explanation: The endometrium undergoes pregnancy-related changes and is called the decidua after implantation.

Correct answer: Decidua
  • A. Labia majora
  • B. Cervix
  • C. Uterine tube
  • D. Endometrium

Explanation: The labia majora are folds of skin forming part of the vulva and help protect the external genital openings.

Correct answer: Labia majora