Fertility and Infertility — Flashcards

Flashcard 1: a woman is fertile during _____ days of her menstrual period

Answer: 8-22

Extra: 

Flashcard 2: In testing for infertility; ovulatory function may be gauged by testing mid luteal phase serum _____ level being more than 3ng on day 21

Answer: progesterone

Flashcard 3: The total sperm motility is less than _____% and the progressive sperm motility is less than 32% in asthenospermia

Answer: 40

Flashcard 4: Oligospermia: sperm concentration <_____ million/mL, and counts <5 million/mL are considered severe

Answer: 15

Flashcard 5: Cystic fibrosis may cause _____ in women due to abnormally thick cervical mucus and amenorrhea

Answer: subfertility

Flashcard 6: _____ disease can result in fallopian tubal scarring, which is a major risk factor for ectopic pregnancies and infertility

Answer: Pelvic inflammatory

Flashcard 7: A _____ test is an in vivo test that evaluates the interaction of sperm and cervical mucus, usually performed during the periovulatory period

Answer: postcoital

Flashcard 8: At ovulation, cervical mucus _____ in quantity and becomes more watery and penetrable by sperm

Answer: increases

Flashcard 9: Ovarian reserve is most commonly tested by determining day _____ of menstrual cycle FSH levels being more than 40 IU as diagnostic of failure

Answer: 3

Flashcard 10: _____ test is an in vitro test of sperm mucus interaction where penetration of sperms is observed under microscope

Answer: Kurzrok Miller

Flashcard 11: Treatment of infertility due to severe endometriosis is _____ to remove the endometriotic areas, followed by IVF

Answer: laparoscopy

Flashcard 12: _____ is used to treat infertility due to anovulation (e.g. PCOS)

Answer: Clomiphene

Flashcard 13: _____ ectopics are most common

Answer: Ampullary

Flashcard 14: Endometriosis spread to the fallopian tube mucosa presents with increased risk of _____ pregnancy and infertility

Answer: ectopic tubal

Flashcard 15: What is the most important indication for testicular biopsy?_____

Answer: Infertility workup

Flashcard 16: Surgical mx. for an ruptured ectopic is done with a _____ in all cases

Answer: salpingectomy

Flashcard 17: A patient of varicocele will have a _____ number of abnormal forms on semen analysis

Answer: increased

Flashcard 18: Normal sperm agglutination in semen is _____

Answer: <10% spermatozoa with adherent particles

Flashcard 19: In Kurzork-Miller test, penetration of less than _____ cm at 30 mins is considered abnormal

Answer: 3

Flashcard 20: Normal round cells in semen is _____

Answer: <5mil/mL

Flashcard 21: Tubal contractions secondary to cornual spasms on HSG can be ruled out using a _____

Answer: laparoscopy with chromotubation

Flashcard 22: Infertility is defined as lack of conception despite _____ months of regular unprotected intercourse in women aged > 35 years old

Answer: 6

Flashcard 23: Normal viscosity of Semen is _____ on a scale of 0-4

Answer: <3

Flashcard 24: _____ test is done to check the presence of anti-sperm antibodies and their source

Answer: Semen cervical mucus contact

Flashcard 25: _____ is the fertilization of two ova released in different menstrual cycles

Answer: Superfetation

Flashcard 26: _____ is given off-label in cases that are clomiphene resistant for infertility treatment of PCOS and acts by decreasing negative feedback of estrogen on the hypothalamus

Answer: Letrozole

Flashcard 27: What is the best time of the menstrual cycle to perform a HSG study?_____

Answer: 9th or 10th day of the cycle

Flashcard 28: Septate uterus is associated with intercornual distance _____ than 4cm on USG

Answer: less

Flashcard 29: _____ resection of the septum has the best obstetric outcome in Septoplasty

Answer: Transcervical hysteroscopic

Flashcard 30: Normal morphology of sperm in semen is _____ (strict criteria)

Answer: >4% normal form

Flashcard 31: What is the best test for ovarian reserve?_____

Answer: AMH levels

Flashcard 32: _____ is the fertilization of two different ova released in the same cycle, by separate acts of coitus within a short period of time.

Answer: Superfecundation

Flashcard 33: Septate uterus is associated with angle of divergence between uterine cavities d _____ on hysterosalpingography

Answer: 75

Flashcard 34: In Semen cervical mucus contact test, in the presence of antibodies, more than _____% of sperms show jerky or shaky movements by 30 min

Answer: 25

Flashcard 35: _____ is the most important factor/marker of semen analysis

Answer: Morphology

Flashcard 36: Normally, in postcoital test, _____ motile sperms are seen per high-power field in cervical mucus.

Answer: 10 50

Flashcard 37: In a post-mastectomy patient undergoing therapy with tamoxifen, it should be stopped for _____ months before she can conceive.

Answer: 3

Flashcard 38: Almost all cases of abdominal pregnancy follow early rupture or abortion of a _____ pregnancy.

Answer: tubal

Flashcard 39: _____ is typified by multiple ovarian follicular cysts accompanied by increased capillary permeability, in a patient on rx with HMG

Answer: Ovarian hyperstimulation syndrome

Flashcard 40: Mobile sperms in the vagina can be usually detected up to _____ hours after an intercourse.

Answer: 6

Flashcard 41: Normal progressive motility of sperm is _____

Answer: >32%

Flashcard 42: Infertility is defined as lack of conception despite _____ months of regular unprotected intercourse in women aged

Answer: 12

Flashcard 43: In a woman who has undergone hypophysectomy, what would be treatment to ensure fertility?_____

Answer: human menopausal gonadotrophin (hMG) followed by hCG (2)

Flashcard 44: Does mumps orchitis frequently lead to infertility?_____

Answer: No

Flashcard 45: In case of absence of sperm in the semen, the next step is to _____

Answer: repeat the semen analysis