EBCOG Part 1 – 2 Months Subfertility – Day 1 EMQ

a. Anabolic steroid abuse                                                         
b. Congenital bilateral absence of vsa deferns                     
c. Idiopathic                                                                                 
d. Kallman syndrome    
e. Kartageners syndrome
f. Klinefelters syndrome
g. Maturation arrest
h. Noonan syndrome
i. Pituitary adenoma
j. Primary testicular failure
k. Retrograde ejaculation
l. seminoma
m. Sertoli cell- only syndrome
n. varicocoele
o. vasectomy
p. Y chromosome deletion

Q1. A man with azoospermia is found to have elevated FSH & testosterone normal. He is tall & has gynecomastia. Both testes are in the scrotum, but are small & soft.

Q2 .  man with 2 children from his previous relationship is found to have azoospermia. He denies any significant medical history. On exam-he is muscular & both testes are small & soft.368

Q3. A man with azoospermia has normal FSH & Testosterone levels. Secondary sexual characters are normal & both testes are of normal size. His karyotype is normal & a cystic fibrosis screen is negative. Testicular biopsy shows germ cells to be present.

a. Serum androstenedione                                         
b. anti-mullerian hormone                                         
c. Serum CA-125    
d. FSH on D12 of cycle
e. FSH on D21 of cycle
f. FSH on D2-6 of cycle
g. LH on D5 of cycle
h. LH on D14
i. LH on D21 of cycle
j. Se.progesterone on D21 of cycle
k. Se.progesterone on D14 of cycle
l. Se .progesterone on D28 of cycle
m. se.prolactin
n. Se.testosterone
o. thyroid function tests

Q1. A woman with a regular 35 day cycle attends the subfertility clinic. Investigations are started. Which test should be done to check for ovulation?

Q2.Which test is the best biochemical marker of polycystic ovaries?

Q3. A 28 year old woman with a BMI of 21 attends the fertility clinic with her husband. She has infrequent periods. She is treated with clomiphene to induce ovulation. The treatment fails. Which test will indicate if this woman is likely to have a good clinical & endocrine response to laparoscopic ovarian drilling?