Infertility and Abortion

Question 1

This is the probability of ahcieving pregnancy in one menstrual cycle

Answer 1

fecundability

Question 2

What is an accurate descriptor/definition of fertility?

Answer 2

fecundability

Question 3

For 35 and younger, when do you evaluate for infertility?

Answer 3

after 12 mo

Question 4

For women 35 and older, when do you evaluate for infertility?

Answer 4

after 6 mo

Question 5

This is the inability to conceive entirely

Answer 5

primary infertility

Question 6

this is the inability to conceive after previous fertility

Answer 6

secondary infertility

Question 7

A ______ is the fastest and first evaluation of potential male infertility

Answer 7

semen analysis

Question 8

semen analysis requires ____ days of abstinence and ___ samples 1-2 weeks apart

Answer 8

2-7 days

2 samples 2 weeks apart

Question 9

MC congenital abnormality for men?

Answer 9

Klinefelter

Question 10

3 MC causes of anovulation…

Answer 10

PCOS
Thyroid
hyperprolactinemia

Question 11

What medication causes elevated prolactin?

Answer 11

risperidone

Question 12

Which thyroid conditions can disrupt normal ovulation?

Answer 12

hypo and hyper

Question 13

If persistently elevated prolactin, what should be ordered?

Answer 13

MRI for pituitary adenoma

Question 14

hyperprolactinemia requires ______ for dx

Answer 14

second blood draw

Question 15

Medical tx for hyperprolactinemia…

Answer 15

bromocriptine (pregnancy safe)

Question 16

3 drugs that can be taken for PCOS

Answer 16

provera
metformin
clomiphene

Question 17

Pregnancy safe hyperthyroid med…

Answer 17

PTU

Question 18

pregnancy safe hypothyroid med…

Answer 18

levothyroxine

Question 19

which ovulation induction med?

SERM

Answer 19

clomiphene

Question 20

which ovulation induction med?

aromatase inhibitor
becoming 1st line

Answer 20

letrozole

Question 21

Serious side effect of clomiphene and letrozole (ovulation induction meds)

Answer 21

ovarian hyperstimulation (thrombosis)

Question 22

Two tubal factors for female infertility…

Answer 22

occluded oviduct

insult/surgery

Question 23

What diagnostic can rule out tubal factor infertility?

Answer 23

hysterosalpingogram

Question 24

HSG evaluates for tubal _____ not ____

Answer 24

tube patency not function

Question 25

is surgical repair recommended for tubal factors?

Answer 25

no

Question 26

recommended tx for tubal factors…

Answer 26

IVF

Question 27

Female infertility: 2 important questions in HPI

Answer 27

regular cycles?

intercourse frequency?

Question 28

Most abortions occur prior to what week?

Answer 28

13

Question 29

Medical abortion is indicated up to ___ days of gestational age

Answer 29

70 days

Question 30

This is the most common complication of pregnancy…

Answer 30

spontaneous abortion

Question 31

spontaneous abortion occurs prior to what gestational age?

Answer 31

20 weeks

Question 32

Workup for SAB

Answer 32

CBC
Rh type
HCG quant
Pelvic/transvaginal US

Question 33

MC Cause of spontaneous abortion?

Answer 33

abnormal karyotype

Question 34

Rh negative in presence of SAB requires…

Answer 34

rhogam injection

Question 35

What type of SAB?

retention of part/all products of conception

Answer 35

incomplete

Question 36

What type of SAB?

closed cervical os

Bleeding despite (+) urine preg

Answer 36

threatened

Question 37

What type of SAB?

open cervical os

(+) bleeding

Answer 37

inevitable

Question 38

what type of SAB?

absent heartbeat

no bleeding

cervix closed

Answer 38

missed abortion

Question 39

recurrent abortion is ____ or more abortions prior to 20 weeks

Answer 39

3+

Question 40

Recurrent abortion workup

Answer 40

karyotype both parents
karyotype of embryo
luteal phase progesterone
antiphospholipid Ab
lupus workup
uterine cavity eval