ADDITIONAL TESTING Flashcards

1
Q

What is the significance of decreased sperm vitality?

A
  • Indicates normal sperm concentration but significantly reduced motility.
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2
Q

How is the number of dead sperm cells assessed?

A
  • Using the EOSIN-NIGROSIN STAIN method
  • Counting dead cells in 100 sperm under bright-field or phase contrast microscopy.
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3
Q

What percentage of living cells is considered normal sperm vitality?

A
  • Normal sperm vitality is defined as having 50% or more living cells.
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4
Q

How can you distinguish living sperm cells from dead ones based on their staining characteristics?

A
  • Living sperm cells remain bluish white
  • While dead cells stain red against a purple background.
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5
Q

What are the staining results for dead sperm cells when examining sperm vitality?

A
  • Stain red when observed against a purple background in sperm vitality testing.
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6
Q

What is the normal range of seminal fluid fructose in an ejaculate?

A
  • Equal to or greater than 13 µmol per ejaculate.
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7
Q

What are some conditions associated with low seminal fluid fructose levels?

A
  • Can be associated with abnormalities of the seminal vesicle,
  • Bilateral congenital absence of the vas deferens
  • Obstruction of the ejaculatory duct
  • Partial retrograde ejaculation
  • Androgen deficiency
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8
Q

What is the primary role of the Seminal Vesicle in the context of seminal fluid fructose?

A
  • Responsible for the production of seminal fluid fructose.
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9
Q

What is the function of the Vas Deferens in relation to sperm?

A
  • Responsible for moving sperm away from its storage place in the testicle.
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10
Q

What condition is associated with androgen deficiency in this context?

A
  • Androgen deficiency is associated with hormonal issues.
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11
Q

What should be done to prevent fructolysis in seminal fluid fructose testing?

A
  • Should be tested within 2 hours of collection or frozen to prevent fructolysis.
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12
Q

Are Anti-Sperm Antibodies present in both men and women?

A
  • Yes, Anti-Sperm Antibodies can be present in both men and women.
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13
Q

What is the possible effect of Anti-Sperm Antibodies on sperm?

A
  • Anti-Sperm Antibodies can kill sperm, potentially leading to infertility.
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14
Q

In which bodily fluids can Anti-Sperm Antibodies be detected?

A
  • Can be detected in semen, cervical mucosa, or serum
  • They are a possible cause of infertility.
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15
Q

What test can detect the presence of IgG Antibodies associated with Anti-Sperm Antibodies?

A

Mixed Agglutination Reaction Test

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16
Q

Which test is a more specific procedure for detecting Anti-Sperm Antibodies and can identify IgG, IgM, and IgA Antibodies?

A
  • The Immunobead Test is a more specific procedure that can detect
17
Q

What does a leukocyte count of >1.0 million/mL indicate in microbial and chemical testing, often related to the prostate?

A
  • A leukocyte count of >1.0 million/mL indicates the presence of infection
  • Frequently associated with the prostate.
18
Q

What are some of the most frequently performed microbial tests in microbial and chemical testing?

A
  • Include routine aerobic and anaerobic cultures
  • As well as tests for Chlamydia trachomatis, Mycoplasma hominis, and Ureaplasma urealyticum.
19
Q

What is the reference value for Neutral α-glucosidase?

A
  • The reference value for Neutral α-glucosidase is ≥20 mU.
20
Q

What does a decrease in Neutral α-glucosidase levels indicate?

A
  • A decrease in Neutral α-glucosidase levels may indicate a disorder of the epididymis.
21
Q

Which chemical component is being tested when looking at Glycerophosphocholine?

22
Q

What is the indication for a decrease in L-Carnitine levels?

23
Q

What is the reference value for Zinc?

A
  • The reference value for Zinc is ≥2.4 umol.
24
Q

What does a decrease in Citric Acid levels (≥52 umol) indicate?

A
  • A decrease in Citric Acid levels may indicate a lack of prostatic fluid.
25
What is the reference value for Acid Phosphatase?
* The reference value for Acid Phosphatase is ≥200 Units.
26
What does a decrease in Fructose levels (≥13 umol) suggest?
* A decrease in Fructose levels may suggest a lack of seminal fluid.
27
What is the purpose of post-vasectomy semen analysis?
* To determine the presence or absence of spermatozoa in semen samples.
28
When does the testing for post-vasectomy semen analysis typically begin, and when can it be considered successful?
* Typically begins at 2 months post-vasectomy * Is considered successful when two consecutive monthly specimens show no spermatozoa (zero sperm).
29
What is the purpose of post-vasectomy semen analysis, and when should it be performed?
* To confirm the absence of spermatozoa in the ejaculate after a vasectomy * It should be performed starting two months after the procedure and continued for two consecutive months until no spermatozoa are detected
30
What is the purpose of the Hamster Egg Penetration test in sperm function assessment?
* The Hamster Egg Penetration test assesses the sperm's ability to penetrate non-specific hamster eggs, observed under a microscope.
31
How is sperm's interaction with midcycle cervical mucus evaluated in the Cervical Mucus Penetration test?
* The Cervical Mucus Penetration test observes the sperm's ability to penetrate a partner's midcycle cervical mucus * Assessing its capability to navigate through this environment.
32
What does the Hypo-Osmotic Swelling test measure, and how is it evaluated?
* The Hypo-Osmotic Swelling test evaluates sperm membrane integrity and viability by exposing sperm to low-sodium concentrations * Normal sperm exhibit swelling in the tail, while abnormal sperm do not show this swelling.
33
What is assessed in the In Vitro Acrosome Reaction test, and how does it determine sperm functionality?
* Assesses the ability of the acrosome to produce enzymes crucial for ovum penetration * Sperm with an intact acrosome can penetrate the ovum, while those with a reacted acrosome cannot.