Infertility

Question 1

Male factor infertility is the cause of couple’s infertility in ___% of cases

Answer 1

50%

Question 2

Pediatric history pertinent including ___ or ____

Answer 2

torsion

bilateral UDT (50-65% fertility despite pexy before 1 y.o.)

Question 3

Intercourse ____ around ovulation should be adequate for conception

Answer 3

q48hrs

Question 4

Abnormal semen parameters can be present for up to ____ s/p febrile illness

Answer 4

3 months

Question 5

Exogenous ___ impairs spermatogenesis

Answer 5

steroids and testosterone

Question 6

It can take up to ____ months to see normal sperm in patients on long term T

Answer 6

3-12 months

Question 7

Recreational drugs that impair sperm include ___, ___, and ____

Answer 7

smoking, MJ, and opioids

Question 8

Critical physical exam component is palpation of bilateral ____

Answer 8

vas deferens

Question 9

Unilateral absence of vas deferens should prompt ____

Answer 9

ipsilateral renal imaging

Question 10

Bilateral absences of vas deferens should prompt ____

Answer 10

CFTR genetic testing

Question 11

Bilateral absences of vas deferens should prompt ____

Answer 11

CFTR genetic testing

Question 12

Normal size of adult testes

___ cc volume
___ cm length

Answer 12

20cc volume
4cm length

size of testes is correlated with sperm production

Question 13

Variocele Grading

1 = Palpable with \_\_\_\_
2 = Palpable with \_\_\_\_
3 = Visible

Answer 13

1 = Valsalva
2 = Standing only 
3 = Visible

Question 14

At least ___ semen analyses should be collected

Answer 14

2

Question 15

Men should abstain from sex for between __ to ___ days before a semen analysis

Answer 15

2-7

Question 16

Low volume semen can be due to ____ collection

Answer 16

incorrect

Question 17

Low volume, acidic, azoospermia

Answer 17

Ejaculatory duct obstruction

Bilateral vas deferens absence

Question 18

Small testicular volume with azoospermia suggests a ____ cause

Answer 18

non-obstructive

Question 19

Low semen volume

Answer 19

1.5

Question 20

Low sperm concentration

Answer 20

10

Question 21

Low normal forms

Answer 21

4

Question 22

____ is useful test with low volume or absent ejaculate

Answer 22

post-ejaculate urinalysis

Question 23

Testosterone & FSH levels are indication when sperm concentrations are

Answer 23

<10 million

Question 24

Testosterone & FSH levels are indication when sperm concentrations are

Answer 24

<10 million

Question 25

Draw T & FSH before ___ AM

Answer 25

10

Question 26

When FSH > ___ , impaired spermatogenesis exists

Answer 26

>7

Question 27

Testosterone deficiency is defined by two AM levels,

Answer 27

<300

Question 28

Check ____ in patients with low T and concurrent obesity, elderly, HIV, or liver dz

Answer 28

sex hormone binding globulin

Question 29

All mean with severe oligospermia,

Answer 29

<5 million

Question 30

Most common genetic abnormality leading to infertility is ___

Answer 30

Klinefelter Syndrom (47 XXY)

Question 31

Microdeletions in ___, ____, and ____ result in complete abscence of spermatogenesis

Answer 31

AZFa, AZFb, AZFb/c

Question 32

Non-obstructive azoospermia have ___ semen volumes and ___ pH of ejaculate

Answer 32

normal & normal

Question 33

Transrectal u/s should only be used to diagnose ____

Answer 33

ejaculatory duct obstruction

Question 34

Azoospermia, palpable vas, normal testes size, and low semen volume

Answer 34

Ejaculatory duct obstruction