Infertility

Question 1

Patient with low testosterone and low sperm count will show

Answer 1

Obstruction of spermatic duct

Question 2

⬆️ FSH in males with azoospermia shows

Answer 2

Testicular atrophy

Question 3

In obstructive azoospermia FH n LH are

Answer 3

Normal

Question 4

In azoospermia diagnostic test to distinguish between testicular failure and obstruction of vas deference is

Answer 4

Estimation of fsh levels

Question 5

HOST test to detect viability of sperms results in

Answer 5

Living sperms become swollen when immersed in hypo osmotic saline
(Hypo osmotic swelling test)

Question 6

Endtz test differentiates

Answer 6

Leuckocytes in semen from immature sperms

Question 7

Sims hunter test

Answer 7

To check anti sperm antibodies.
Aka postcoital test

Question 8

PcT done or ___ receptivity

Answer 8

Cervical

Question 9

In hypothyroidism cause of infertility

Answer 9

⬆️ prolactin

Question 10

In males with:
Severe hypospadias
Neurogenic impotence
Low ejaculate volume
Retrograde ejaculation
Which TT can be done for infertility

Answer 10

Intrauterine insemination (IUI)

Question 11

TOC; for males with
1) azoospermia or oligospermia
2) antisperm antibodies, low motility n abnormal morphology

Answer 11

ICSI, Intracytoplasmic sperm injection

Question 12

IUI is placement of ___ intimate uterine cavity

Answer 12

0.3 to 0.5ml washed or processed n concentrated sperms (devoid of semen) / semen

For best results specimen with 10 million total motile sperms

Question 13

M/C of female infertility

Answer 13

Ovarian causes i.e anovulation
M/c anovulatory factor is pcos

Question 14

Time of ovulation can be checked by
1) urine __
2) serum ___
3)___

Answer 14

1) LH
2) estrogen
3) BBT

Question 15

S. Progesterone levels estimation s/o ovulation

Answer 15

On day 8th n day 21: increase in value from <1ng/ml to >3ng/ml

Question 16

Ovulation occurs after
1) __ hours of S. LH surge
2) __ hours of urinary LH surge
3) __ hours of S estrogen peak

Answer 16

1) 34 to 36 hrs (in q also 24 to 36hrs)
2) 14 to 26 hrs
3)24 to 36 hrs

Question 17

Endometrial biopsy is done on ___ days of cycle

Answer 17

21st to 23rd day

(Histopathology is expected to be secretory type in ovulatory while proliferation type in anovulatory)

Question 18

Size of. Graffiti follice just prior to ovulation is

Answer 18

19 to 20mm

Serial TVS is done from day 10.ownwards to measure the size of G.f

Question 19

Standard definitive procedure
V/s 100% surest evidence of
Ovulation is

Answer 19

A) usg folliculometry
B) pregnancy

Question 20

To test the tubal patency

Answer 20

Xray of FT n ut.
(HSG is the IOC n first test)

Question 21

Best TT of tubal blockage

Answer 21

IVF

Question 22

Hsg is done during ____ days of cycle

Answer 22

Early follicular phase, between 5 to 10 day of cycle
I.e pre ovulatory phase

Question 23

Syndromes of 1°amenorrhea

Answer 23

Kallman, turners n rokitansky

Question 24

Gold standard for tubal patency

Answer 24

Laproscopy n chromopertubation.
As both assess tubal patency n visualized external of tube.
It is diagnostic n therapeutic

Question 25

In case of good ovarian reserve with failure of premature ovarian failure, go for

Answer 25

Ovarian induction

Question 26

Persistent anovulation untreated leads to

Answer 26

Hirsutism Endometrial CA Increased risk of CVS disease

Question 27

M/c indication of ivf is

Answer 27

oligospermia (In ivf no anesthesia required)