A. Tes:cular Biopsy B. Adop:on C. IUI D. ICSI E. Scrotal ultrasound to R/O varicocele
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1 A 36 year old man with azospermia wishes to have children, he underwent Y chromosome microdele:on assay, the results show an AZFa abnormality, what is the next step? A. Tes:cular Biopsy B. Adop:on C. IUI D. ICSI E. Scrotal ultrasound to R/O varicocele
2 A 32- year- old man with infer:lity has unilateral absence of vas deferens and 28 ml testes. Semen analysis reveals a volume of 0.5 ml, azoospermia, and a ph of 6.4. FSH is 4.9IU/l. Transrectal U/S reveals ipsilateral seminal vesicle agenesis and contralateral SV hypoplasia. The next step is: A. renal ultrasound B. scrotal explora:on with vasography C. scrotal ultrasound D. sweat test E. tes:s biopsy
3 What is the next step in the evalua:on of the azoospermic pa:ent with palpable vasa deferen:a, normal sized testes and normal hormonal studies. A. Karyotype B. Vasography C. Tesicular biopsy D. Detec:on of muta:on E. Transrectal ultrasound
4 Ini:al Hormone evalua:on in an infer:le man with oligospermia includes: A. Testosterone and FSH B. FSH and LH C. FSH, LH and prolac:ne D. FSH and inhibin B E. LH, prolac:ne and free testosterone
5 DNA fragmenta:on is associated with all of the following except: A. Smoking B. Chemotherapy C. Leukocytospermia D. Oxida:ve stress E. Vaginal lubricants
6 Semen analysis variables that have been clearly linked to fer:lity outcomes include all except: A. Sperm concentra:on B. Sperm mo:lity C. Semen volume D. Semen viscosity E. Semen morphology
7 Kallmann syndrome is associated with all of the following signs/symptoms except: A. Recurrent bronchi:s B. Anosmia C. Hypogonadotropic hypogonadism D. Small tes:s E. Infer:lity
8 Which laboratory values would be typical for a man with hypogonadotropic hypogonadism? A. Low testosterone, low LH, low FSH, low prolac:n B. Low testosterone, low LH, low FSH, normal prolac:n C. Low testosterone, high LH, low FSH, normal prolac:n D. Low testosterone, high LH, high FSH, high prolac:n E. Low testosterone, low LH, high FSH, normal prolac:n
9 What is the most appropriate next step in treatment of a pa:ent with normal testosterone, normal FSH and a single semen analysis with a volume of 0.5 ml, sperm concentra:on of 1 million/ml and 37% mo:lity? A. Gene:c tes:ng B. Repeat semen analysis C. Repeat semen analysis with post- ejaculatory urine pellet D. Tes:s biopsy E. Testosterone supplementa:on
10 A 27- year- old man on an alpha- blocker for hypertension undergoing an infer:lity evalua:on has a normal physical examina:on. Two semen analyses demonstrate volumes of less than 1 ml, ph of 7.4, normal viscosity, and sperm counts in the range of 60 million/ml with 80% mo:lity and 8% normal forms. The following test provides the most useful informa:on: A. TRUS. B. post ejaculatory urinalysis. C. serum testosterone. D. serum FSH and LH. E. serum prolac:n.
11 A 36 year old man with azospermia wishes to have children, he underwent Y chromosome microdele:on assay, the results show an AZFa abnormality, what is the next step? A. Tes:cular Biopsy B. Adop:on C. IUI D. ICSI E. Scrotal ultrasound to R/O varicocele
12 A 32- year- old man with infer:lity has unilateral absence of vas deferens and 28 ml testes. Semen analysis reveals a volume of 0.5 ml, azoospermia, and a ph of 6.4. FSH is 4.9IU/l. Transrectal U/S reveals ipsilateral seminal vesicle agenesis and contralateral SV hypoplasia. The next step is: A. renal ultrasound B. scrotal explora:on with vasography C. scrotal ultrasound D. sweat test E. tes:s biopsy
13 What is the next step in the evalua:on of the azoospermic pa:ent with palpable vasa deferen:a, normal sized testes and normal hormonal studies. A. Karyotype B. Vasography C. Tesicular biopsy D. Detec:on of muta:on E. Transrectal ultrasound
14 Ini:al Hormone evalua:on in an infer:le man with oligospermia includes: A. Testosterone and FSH B. FSH and LH C. FSH, LH and prolac:ne D. FSH and inhibin B E. LH, prolac:ne and free testosterone
15 DNA fragmenta:on is associated with all of the following except: A. Smoking B. Chemotherapy C. Leukocytospermia D. Oxida:ve stress E. Vaginal lubricants
16 Semen analysis variables that have been clearly linked to fer:lity outcomes include all except: A. Sperm concentra:on B. Sperm mo:lity C. Semen volume D. Semen viscosity E. Semen morphology
17 Kallmann syndrome is associated with all of the following signs/symptoms except: A. Recurrent bronchi:s B. Anosmia C. Hypogonadotropic hypogonadism D. Small tes:s E. Infer:lity
18 Which laboratory values would be typical for a man with hypogonadotropic hypogonadism? A. Low testosterone, low LH, low FSH, low prolac:n B. Low testosterone, low LH, low FSH, normal prolac:n C. Low testosterone, high LH, low FSH, normal prolac:n D. Low testosterone, high LH, high FSH, high prolac:n E. Low testosterone, low LH, high FSH, normal prolac:n
19 What is the most appropriate next step in treatment of a pa:ent with normal testosterone, normal FSH and a single semen analysis with a volume of 0.5 ml, sperm concentra:on of 1 million/ml and 37% mo:lity? A. Gene:c tes:ng B. Repeat semen analysis C. Repeat semen analysis with post- ejaculatory urine pellet D. Tes:s biopsy E. Testosterone supplementa:on
20 A 27- year- old man on an alpha- blocker for hypertension undergoing an infer:lity evalua:on has a normal physical examina:on. Two semen analyses demonstrate volumes of less than 1 ml, ph of 7.4, normal viscosity, and sperm counts in the range of 60 million/ml with 80% mo:lity and 8% normal forms. The following test provides the most useful informa:on: A. TRUS. B. post ejaculatory urinalysis. C. serum testosterone. D. serum FSH and LH. E. serum prolac:n.
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