Subfertility Extra Questions
Quiz Summary
0 of 64 Questions completed
Questions:
Information
You have already completed the quiz before. Hence you can not start it again.
Quiz is loading…
You must sign in or sign up to start the quiz.
You must first complete the following:
Results
Results
0 of 64 Questions answered correctly
Your time:
Time has elapsed
You have reached 0 of 0 point(s), (0)
Earned Point(s): 0 of 0, (0)
0 Essay(s) Pending (Possible Point(s): 0)
Categories
- Not categorized 0%
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
- 26
- 27
- 28
- 29
- 30
- 31
- 32
- 33
- 34
- 35
- 36
- 37
- 38
- 39
- 40
- 41
- 42
- 43
- 44
- 45
- 46
- 47
- 48
- 49
- 50
- 51
- 52
- 53
- 54
- 55
- 56
- 57
- 58
- 59
- 60
- 61
- 62
- 63
- 64
- Current
- Review
- Answered
- Correct
- Incorrect
-
Question 1 of 64
1. Question
1. All of the following are causes of premature ovarian failure except:
CorrectIncorrect -
Question 2 of 64
2. Question
2. Among the following, select the strongest prognostic factor associated with recur- rent miscarriages:
CorrectIncorrect -
Question 3 of 64
3. Question
3. All of the following may adversely affect male fertility except:
CorrectIncorrect -
Question 4 of 64
4. Question
4. Post testicular causes account for the following percentage of male infertility:
CorrectIncorrect -
Question 5 of 64
5. Question
5. Choose the first option of management for mild male factor infertility:
CorrectIncorrect -
Question 6 of 64
6. Question
6. Average pregnancy rated with ICSI (intracytoplasmic sperm injection)
CorrectIncorrect -
Question 7 of 64
7. Question
7. The growth factor implicated in mediating the effects of ovarian hyperstimulation is:
CorrectIncorrect -
Question 8 of 64
8. Question
8. Which one of the following statements is correct regarding recurrent miscarriage?
CorrectIncorrect -
Question 9 of 64
9. Question
9. Which ONE of the following is correct in relation to the prevalence of the main causes of infertility in the UK?
CorrectIncorrect -
Question 10 of 64
10. Question
10. Which ONE of the following clinical scenarios is considered diagnostic of polycys- tic ovarian syndrome?
CorrectIncorrect -
Question 11 of 64
11. Question
11. A 34 year-old woman, who has been trying to conceive for 3 years, is referred to the infertility clinic for further management. Which ONE of the following is an appropriate discussion issue during her clinic counselling?
CorrectIncorrect -
Question 12 of 64
12. Question
12. A 40 year-old woman, who has been trying to conceive for 3 years, is offered IVF (in vitro fertilisation) as a treatment option by her fertility specialist. Which ONE of the following is an appropriate discussion issue during her clinic counselling?
CorrectIncorrect -
Question 13 of 64
13. Question
13. Which ONE of the following clinical scenarios is considered diagnostic of polycystic ovarian syndrome?
CorrectIncorrect -
Question 14 of 64
14. Question
14. Which ONE of the following is likely to predict a favourable ovarian response to gonadotrophin stimulation in IVF (in vitro fertilisation)?
CorrectIncorrect -
Question 15 of 64
15. Question
15. A 30 year-old woman has been trying to conceive for 3 years. She has infrequent menstrual cycles. Ultrasound confirms a normal uterus and polycystic ovaries. X-ray hysterosalpingogram has confirmed bilateral patent fallopian tubes. Her part-2 ner’s semen analysis is reported as within normal limits. Her BMI is 25 kg/m . She has normal prolactin, FSH, oestradiol and testosterone. Of the options listed, which one of the following therapies is considered the most appropriate initial therapy?
CorrectIncorrect -
Question 16 of 64
16. Question
16. The WHO classification of ovulation disorders describes three classes. Which one of the following
CorrectIncorrect -
Question 17 of 64
17. Question
17. The WHO classification of ovulation disorders describes three classes. Which one of the following is characteristically associated with high FSH and low oestrogen (WHO Class III)?
CorrectIncorrect -
Question 18 of 64
18. Question
18. In cases of infertility:
CorrectIncorrect -
Question 19 of 64
19. Question
19. The mother of a 10-year-old girl with beta-thalassemia major seeks consultation in order to enquire about how the fertility prospects of her daughter may be affected due to her medical condition. Which of the following statements would be incorrect to tell her?
CorrectIncorrect -
Question 20 of 64
20. Question
20. A 40-year-old man undergoes a semen analysis test. Which one of the following components listed in his test result is considered to be ABNORMAL according to WHO 2010 semen analysis criteria?
CorrectIncorrect -
Question 21 of 64
21. Question
21. The single largest cause of acquired tubal pathology is:
CorrectIncorrect -
Question 22 of 64
22. Question
22. Ms XY is 38 years old and suffers from primary infertility and endometriosis. Her recent TV scan suggests the presence of a 2.5 cm endometrioma. Her pain is well controlled using simple analgesics. She is due to undergo IVF. Which treatment is best suited to deal with her endometrioma?
CorrectIncorrect -
Question 23 of 64
23. Question
23. Ms XY (30 years) and her male partner (26 years) have been trying to conceive naturally for the last 3 years. They have had infertility investigations over the last year. These include a normal semen analysis, normal USS pelvis, normal HSG, normal TSH, prolactin, D3 FSH, LH and normal AMH. Her day 21 progesterone suggest ovulation. Ms XY is rubella immune and has negative swabs for an STI. Her recent cervical smear is normal. Which of the following treatment options are best suited to her?
CorrectIncorrect -
Question 24 of 64
24. Question
24. Which of the following statements correctly describes salpingitis isthmica nodosa?
CorrectIncorrect -
Question 25 of 64
25. Question
25. Women with OHSS are specially prone to:
CorrectIncorrect -
Question 26 of 64
26. Question
26. Measures to predict ovarian response to gonadotrophin stimulation in IVF are all except:
CorrectIncorrect -
Question 27 of 64
27. Question
27. Fertiloscopy is an outpatient technique that includes (THL=transvaginal hydrolaparoscopy):
CorrectIncorrect -
Question 28 of 64
28. Question
28. Risk of transmission of HIV from HIV-positive male to female partner is negligible when all the following criteria are met except:
CorrectIncorrect -
Question 29 of 64
29. Question
29. Hypogonadotropic hypogonadism as a cause for male subfertility is seen in:
CorrectIncorrect -
Question 30 of 64
30. Question
30. Which of the following statements regarding androgen metabolism in women is not true?
CorrectIncorrect -
Question 31 of 64
31. Question
31. In counselling women planning for fertility treatment about the risk of malignancy associated with use of fertility drugs, which of the following statements is true?
CorrectIncorrect -
Question 32 of 64
32. Question
32. Surgical reversal of tubal sterilisation:
CorrectIncorrect -
Question 33 of 64
33. Question
33. The primary metabolic problem in congenital adrenal hyperplasia is a deficiency in production of:
CorrectIncorrect -
Question 34 of 64
34. Question
34. Ms XY is 7 weeks pregnant. She has been diagnosed with her 3 consecutive first- trimester miscarriages before this pregnancy. She is 28 years old and with the same partner. She is presently on folic acid supplementation. Her miscarriages remain unexplained. Which of the following treatment options are best suited to her?
CorrectIncorrect -
Question 35 of 64
35. Question
35. The direct biochemical evidence of hyperandrogenism is obtained by measurement of serum:
CorrectIncorrect -
Question 36 of 64
36. Question
36. A 28-year-old amenorrhoeic woman who wishes to become pregnant attends the fertility clinic complaining of galactorrhoea and mild visual disturbance. Her serum prolactin level was found to be elevated. An MRI scan of the head is performed, which showed the presence of a macroprolactinoma, but without supracellar extension. What is the most appropriate first line management?
CorrectIncorrect -
Question 37 of 64
37. Question
37. In the female, which cell type secretes Anti-Mullerian hormone?
CorrectIncorrect -
Question 38 of 64
38. Question
38. A woman with tubal disease is advised to have IVF treatment to maximise her chances of pregnancy. On reading the information leaflet, she is very concerned about the risks of ovarian hyper stimulation syndrome. What is the chance of developing severe ovarian hyper stimulation syndrome (OHSS) and requiring hospitalisation in women under- going controlled ovarian hyper stimulation?
CorrectIncorrect -
Question 39 of 64
39. Question
39. What is the predominant cause of an ovulatory infertility?
CorrectIncorrect -
Question 40 of 64
40. Question
40. What is the first-line pharmacological treatment for an ovulatory polycystic ovary syndrome?
CorrectIncorrect -
Question 41 of 64
41. Question
41. A 32-year-old woman presents to the gynaecology clinic with galactorrhoea and secondary amenorrhoea. A serum prolactin level is measured and found to be elevated. What is the main mechanism by which hyperprolactinemia causes secondary amenorrhoea?
CorrectIncorrect -
Question 42 of 64
42. Question
42. Following an IVF treatment cycle where 15 oocytes were collected, a patient presents to the clinic with abdominal pain, nausea and vomiting. An ultrasound scan is performed, which shows the ovaries to be enlarged with a mean diameter of 10 cm. There is a small amount of ascites., What is the diagnosis?
CorrectIncorrect -
Question 43 of 64
43. Question
43. What type of electrolyte disturbance is often seen in association with severe cases of OHSS?
CorrectIncorrect -
Question 44 of 64
44. Question
44. A woman with a severe cases of OHSS initially presented with tense ascites, oliguria and a haematocrit of 46%. She was treated with appropriate fluid replacement and the haematocrit is now in the normal range. However, she remains markedly oliguric. What is the appropriate management?
CorrectIncorrect -
Question 45 of 64
45. Question
45. What is the recommended test for the biochemical detection of hyperandrogenism?
CorrectIncorrect -
Question 46 of 64
46. Question
46. What is the mechanism of action of Metformin?
CorrectIncorrect -
Question 47 of 64
47. Question
47. What is the estimated prevalence of endometriosis in infertile women?
CorrectIncorrect -
Question 48 of 64
48. Question
48. During fertility investigations, a woman is found to be susceptible to Rubella and is offered vaccination. How long should she use contraception before trying to conceive again?
CorrectIncorrect -
Question 49 of 64
49. Question
49. Following fertility investigations, a man is found to have idiopathic oligozoospermia. He enquires if there is any treatment he can take to improve his sperm count. What would you recommend?
CorrectIncorrect -
Question 50 of 64
50. Question
50. Following a full set of investigations in the fertility clinic, a couple are diagnosed as having unexplained infertility since all the tests have been reported as normal. The couple have been trying to conceive for 3 years. What treatment would be recommended?
CorrectIncorrect -
Question 51 of 64
51. Question
51. Prior to a frozen embryo transfer, a woman takes a course ofoestra-diol valerate to induce endometrial proliferation. She attends for an ultrasound scan after 10 days to measure the endometrial thickness. What endometrial thickness should have been achieved in order for the embryo transfer to proceed?
CorrectIncorrect -
Question 52 of 64
52. Question
52. Which form of contraception is most strongly associated with a delay in return of fertility?
CorrectIncorrect -
Question 53 of 64
53. Question
53. Fertility declines with age. What percentage of women aged 35 will take longer than a year to conceive with regular intercourse?
CorrectIncorrect -
Question 54 of 64
54. Question
54. According to the current WHO criteria, what is the reference limit for the total number of spermatozoa in an ejaculate?
CorrectIncorrect -
Question 55 of 64
55. Question
55. Comparing letrozole with clomifene citrate in patients with polycystic ovarian syndrome, clomifene citrate is associated with: Options
CorrectIncorrect -
Question 56 of 64
56. Question
56. A 29-year-old with primary subfertility and a BMI of 30 kg/m2 is known to have polycystic ovarian syndrome based on anovulation, transvaginal ultrasound appearances of the ovaries and a raised testosterone. She has remained an ovulatory despite increasing doses of clomifene citrate over six cycles. What is the most appropriate next step in her management?
CorrectIncorrect -
Question 57 of 64
57. Question
57. A 25-year-old athlete with a BMI of 18 presents to the fertility clinic are trying for a pregnancy for 2 years. She has oligomenorrhoea and her partner’s semen analysis is within the normal range. Her gonadotropin pro le shows a low FSH and LH. The oestrogen levels are also low, although the androgen pro le is normal. What is the best strategy for her ovarian stimulation?
CorrectIncorrect -
Question 58 of 64
58. Question
58. A 36 year-old para 1 is undergoing an IVF cycle. She has egg retrieval and two fresh embryos are transferred. Her initial beta human chorionic gonadotropin is 1600 mIU/ml, and she begins to develop abdominal pain, nausea and vomiting. An ultrasound reveals two gestational sacs and free abdominal uid. She is not short of breath, her pulse oximetry is 98% on room air and electrolytes and haematocrit and liver function tests are within normal limits. What grade of ovarian hyper stimulation syndrome should she be categorized as having?
CorrectIncorrect -
Question 59 of 64
59. Question
59. A 35-year-old para 0 is in the midst of an IVF cycle. She has undergone egg retrieval following human chorionic gonadotropin administration, and you have just implanted two fresh embryos. What is the chance that she will develop OHSS?
CorrectIncorrect -
Question 60 of 64
60. Question
60. A patient with subfertility is found to have tubal obstruction following an HSG. There are no known additional pelvic comorbidities (such as PID, previous ectopic pregnancy or endometriosis). What is the chance that laparoscopy will con occlusion?
CorrectIncorrect -
Question 61 of 64
61. Question
61. A 37-year-old para 0, who has undergone controlled ovarian stimulation for IVF treatment 3 weeks previously, presents with abdominal pain, bloating, nausea and vomiting. She is known to have PCOS and had not ovulated previously with clomifene citrate treatment. She went on to receive antagonist recombinant FSH protocol and was later given human chorionic gonadotropin to trigger ovulation. Ultrasound has shown evidence of ascites with an ovarian size of 14 cm. Her haematocrit was 46%. T e patient was admitted to hospital for inpatient treatment. What is the recommended regime of thromboprophylaxis?
CorrectIncorrect -
Question 62 of 64
62. Question
62. A 39-year-old male presents to a fertility clinic following a repeat semen analysis for oligoas the no teratozoospermia. The semen analysis results show semen volume (1.0 ml), sperm concentration (2 × 106/ml), total motility (10%), normal forms (1%) and vitality (10%). What is the appropriate next step in management?
CorrectIncorrect -
Question 63 of 64
63. Question
63. A male patient presents with history of anosmia, azoospermia, bilateral small testes and gynaecomastia. What is the best treatment modality?
CorrectIncorrect -
Question 64 of 64
64. Question
64. Are an IVF cycle and a subsequently positive pregnancy test, a patient develops abdominal pain, nausea, vomiting and mild shortness of breath. Further evaluation reveals normal lung sounds, palpable ascites and a pulse oximetry of 97% on room air. A chest x-ray is normal, the haematocrit is 40% and an ultrasound shows ovaries of 9 cm with evident ascites. Which of the following is most consistent with severe OHSS?
CorrectIncorrect