BC Infertility Flashcards
A significant decline in the fecundability rate does not begin until age(years)
A- 27 B- 38 C- 32 D-40 E- 43
32
In general, infertility evaluation is initiated after a couple fails to conceive
after one year of unprotected intercourse of reasonable frequency.
When should earlier be considered.
A- age >35 B- chronic anovulatory cycles C- previous PID D- Secondary dysmenorrhea E- All of the above
All of the above
Infertility can be attributed to the male partner in approximately 1/3 and to both
parents in approximately what percentage?
A- 1% B- 15% C- 60% D- 33% E- 50%
33%
Regarding couples attempting pregnancy, what percentage of women are expected to have conceived at one year?
A- 60% B- 85% C- 30% D- 65% E- 10%
85%
A 31 year old nulligravida has been trying to conceive for the last three years. She consumes five alcoholic drinks weekly, smokes approximately 10 cigarettes and drinks 3 extra large coffees daily. She works as a retailer with daily Dry cleaning fluid exposure. She was treated for Hodgkin’s lymphoma 10 years ago.
Which of the following exposure is least likely affecting her fertility?
A- caffeine B- Dry cleaning fluid exposure C- cigarettes D- alcohol E- pelvic radiation
Dry cleaning fluid exposure`
Which of the following is not known to impair sperm production
A- tight underwear B- chronic hot tub use C- chemotherapy D- local radiation E- Febrile illness
Tight undies
With regards to varicoceles and infertility, which of the following is true?
A- A vacricocele is present in nearly 20% of adult male general
population
B- repair of subclinical varicocele leads to correction of semen abnormalities
C- all should be repaired
D- they are an established cause of infertility
E- they carry risk of developing lymphoma
A- A vacricocele is present in nearly 20% of adult male general
population
What are RF for infertility?
Obesity, Underweight, smoking, alcohol, illicit drugs, toxins, caffeine
Use of which of these is most likely to damage testicular function permanently?
A- Gentamycin B- spironolactone C- Amiloride D- Anabolic steroids E- Alcohol consumption
Anabolic steroids
Which of the following should be completed during the initial infertility evaluation,
If not already up to date as part of routine well woman care?
A- Determine rubella immunity B- screen for cervical cancer C- N. gonorrhoeae screening D- Chlamydia Trachomatis screeing E- all of the above
All of the above
Gynecomastia in a male patient may suggest the presence of which of the following?
A- Klinefelter syndrome B- pituitary prolactona C- Edwards syndrome D- Patau syndrome E- 17B- hydroxysteroid dehydrogenase deficiency
Klinefelter Syndrome
Congenital bilateral absence of vas deferens is genetically related to which of the following?
A- Klinefelter syndrome B- cystic fibrosis C- Autosomal dominant type- PCKD D- Fragile X syndrome E- Autosomal recessive type-PCKD
Cystic Fibrosis
Other CF things (rectal prolapse, mec ileus, lung disease)
What is the most common cause of male infertility?
Varicocele
Regarding commercially available urinary luteinizing hormone kits, when does ovulation take place in relation to a positive result?
A- Day before B- Day after C- same day D- 48 hours after E- 72hours after
Day After
In reproductive aged women, which of the following increases with the passage of time?
A- Ovarian reserve B- Fertility C- Risk of spontaneous abortion D- success of donor insemination E- none of the above
Risk of spontaneous abortion
Hysteropsalpingography is least helpful for detecting which of the following?
A- Tubal patency B- Asherman syndrome C- pelvic adhesions D- congenital uterine anomaly E- uterine mass
pelvic adhesions
Liquefaction of the semen specimen after ejaculation is due to secretions from which of the following
A- Epididymis B- Cowper gland C- seminiferous tubules D- Prostate E- Bartholin glands
What glands that lubricate the vagina
Prostate
42 year old male on a beta blocking agent for Hypertension, which of the
following semen abnormalities may be seen due to retrograde ejaculation?
A- Azoospermia B- Low semen volume C- Oligospermia D-Teratospermia E- abnormal sperm morphology
low semen volume
A couple seeking fertility has undergone a thorough infertility evaluation.
The female partner is N. Semen analysis is performed. Sperm count- 4 million/ml
Semen volume is less than 1 ml.. In addition to a serum testosterone level
Which of the following should be measured during the hormonal evaluation of the male partner if an endocrinopathy is suspected?
A- prolactin B- FSH C- LH D-TSH E- all of the above
All of the above
What glands lubricate the vagina?
Bartholin glands
Genetic testing should be performed in response to which of the following
Semen analysis results?
A- semen volume of 2mls B- sperm concentration of 2 million/ml C- presence of fructose in semen sample D- 8- percent normal sperm morphology E- 40 percent progressive mortility
Sperm concentration of 2 million.
NORMAL
Volume – 1.5 mL
●Sperm concentration – 15 million spermatozoa/mL
●Total sperm number – 39 million spermatozoa per ejaculate
●Morphology – 4 percent normal forms
●Vitality – 58 percent live
●Progressive motility – 32 percent
●Total (progressive + nonprogressive motility) – 40 percent
What is the normal volume of sperm?
1.5ml
What is the normal sperm concentration?
15 million
What is the normal morphology?
4% normal forms
