When evaluating sperm morphology, abnormalities are classified as a "primary defect" if the appearance of the sperm has:
                            
                         
                        
                            
                        
                             
                            
                            
                            
                                Explanation
                            
                                
                                    Answer: D - Heads that are too large, too small, or oddly shaped are an example of a "primary defect."  They are generally more serious than secondary defects, which include tail-less heads, bent or broken tails, and protoplasmic droplets on the mid-piece. Since improper specimen handling can cause secondary defects, proper collection and preparation techniques are mandatory.