Reproductive Health Test

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Reproductive Health Test - 60

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Weekly Quiz Competition

Question 1
1 / -0

All of the following statements are true regarding azoospermia except

A
Pretesticular etiologies of azoospermia are usually endocrine in nature.

B
Testicular cause of azoospermia is also known as primary testis failure.

C
Secondary testis failure is characterized by high serum gonadotrophin levels and small testis size.

D
Low volume azoospermia with normal testis size and palpable vas is a common presentation for testicular failure.

Solution

Azoospermia is the medical condition of a man whose semen contains no sperm. It is associated with infertility. In this condition, men with a low semen volume and normal-sized testes can be caused by ejaculatory dysfunction.
So low volume azoospermia with normal testis size and palpable vas is a common presentation for testicular failure is false. Thus, the correct answer is option D
Question 2
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A patient with history of tall stature during childhood and stop growing halfway and on examination found to have large phallus indicative of mild form of congenital adrenal hyperplasia (CAH). Correct statement regarding his fertility potential is

A
May recover spermatogenesis if he starts treatment with gonadotropins.

B
He is likely to cause a pregnancy with or without treatment with corticosteroids.

C
He needs an MRI of the head to accurately diagnose the pituitary lesion.

D
Exogenous testosterone should be given to the patient to support spermatogenesis.
Solution
Congenital adrenal hyperplasia (CAH) is a group of inherited genetic disorders that affects the adrenal glands. CAH affects the production of one or more of three steroid hormones: cortisol, which regulates the body's response to illness or stress; mineralocorticoids, such as aldosterone, regulate sodium and potassium levels; or androgens, such as testosterone, which are sex hormones.
In many cases, CAH results in a lack of cortisol and overproduction of androgen. Signs and symptoms of CAH in children and adults include- Rapid growth during childhood, but shorter than average final height. There may be some cases of infertility or complete fertility with or without treatment of corticosteroids (glucocorticoids, mineralocorticoids).
So, the answer is B.
Question 3
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Which one of the following causes population explosion?

A
Decrease in death rate, maternal mortality rate and infant mortality rate

B
Decrease in death rate and increase in maternal mortality rate

C
Decrease in infant mortality rate and increase in death rate

D
Decrease in infant mortality rate and decrease in the number of people in reproductive age

Solution

Population growth is the increase in the number of individuals in a population. Population explosion is the rapid increase in the number of people. This situation is the result of decrease in the death rate. There is decrease in the mortalilty rate due to advancement in the medicines and treatment facilities. There is increase in the birth rate of children. The maternal mortality rate is the rate of death of the females while giving birth to the baby. This leads to increase in the number of population leading to explosion.
Thus, the correct answer is option A.
Question 4
1 / -0

All of the following warrant an endocrine evaluation in a male infertility patient except

A
Oligospermia with counts less than 10 mil/ml

B
Erectile dysfunction

C
Decreased libido

D
Premature ejaculation

Solution

Endocrine evaluation in male infertility patient means analysis of serum FSH, LH and testosterone. Oligospermia, erectile dysfunction and decreased libido are symptoms of endocrinopathy. Semen samples with sperm count less than 20 mil/ml are considered as oligospermic. Endocrinopathies can potentially affect erectile function and hypogonadism. Men with erectile dysfunction will suffer decreased libido. Whereas premature ejaculation is not a result of endocrinopathy.
Thus, the correct answer is option D.
Question 5
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MTP can be controlled by

A
Effective counselling on the need to avoid unprotected coitus

B
Use of amniocentesis for sex determination should be restricted

C
Delaying ovulation

D
Both A and B

Solution

MTP refers to Medical termination of pregnancy. This is the process which is used to terminate the pregnancy. There are several factors which are responsible for death of foetus due to MTP. MTP can be controlled by counselling the people and create awareness about the problems due to unprotected coitus. The process of amniocentesis is performed for the detection of any chromosomal abnormality in the foetus. This process helps in the treatment of the foetus by using gene therapy. This process is used by many people to determine the sex of the child. The child is aborted when the foetus is a girl child.
Thus, the correct answer is option D.
Question 6
1 / -0

Which of the following medicines is used for abortion?

A
Mifepristone

B
Misoprostal

C
Chloramphenicol

D
Both A and B

Solution

MTPs are performed just by using a proper dosage of medications or drugs. The two medication used during this are mifepristone & misoprostol. These medications are given after a fix interval of time.
So the correct option is 'Both A & B'.
Question 7
1 / -0

Which of the following is an indicator for medical termination of pregnancy?

A
Failure of contraception

B
Possible hazard to the health of growing foetus

C
Possible hazard to the health to the mother

D
All of the above
Solution
The medical termination act of 1971 gives allows abortions only under the following conditions
A risk to the life of the pregnant woman
A risk of grave injury to her mental or physical health
If the pregnancy is caused by rape
If the unborn suffer from chromosomal or genetic abnormalities
Failure of the contraceptive used by the couple
Since all the options a, b, c meet the requirements of the rule.
So the correct option is 'All of the above'.

Question 8

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Match the contraceptive methods given under Column - I with their examples given under Column - II. Select the correct choice from those given below :

	Column - I (Contraceptive Method)		Column - II (Examples)
A.	Chemical	p.	Tubectomy and Vasectomy
B.	IUDs	q.	Copper T and Loop
C.	Barriers	r.	Condom and Cervical cap
D.	Sterilization	s.	Spermicidal Jelly and foam
		t.	Coitus interruptus and calendar method

A = s, B = q, C = r, D = p

A = s, B = t, C = q, D = r

A = p, B = r, C = q, D = t

A = s, B = q, C = t, D = p

Solution

There are various different methods that can be used in birth control.
Spermicidal Jelly and foam are the chemical forms of birth control. These contain chemical components that are able to destroy or kill the sperms.

IUDs are Intrauterine devices that are placed in the uterine cavity.

This contains the copper-T and loop. This prevents fertilization or implantation.

Condom and cervical cap are mechanical barriers. This prevents the entry of the sperm in the vaginal canal.
Tubectomy and vasectomy are surgical methods. These methods are permanent forms of birth control.
These lead to sterilization. This method prevents fertilization of the egg and sperm.

Thus, the correct answer is option A.

Question 9
1 / -0

Infertility in human males is sometimes due to the failure of the spermatids to develop into mature sperm. This failure to mature is due to

A
Blocked seminiferous tubules

B
Lowered testosterone levels

C
Inflammation of the epididymis

D
All of these

Solution

The seminiferous tubules function to produce sperm , maintain sperm and store them . Testosterone stimulates the sperm production . The epididymis is a tube at the back of the testicle that stores & carries sperm . Therefore , any kind of damage to any of these 3 can affect the sperm product , hence the fertility of man .
So the correct option is 'All of these' .
Question 10
1 / -0

Initial hormone evaluation in an infertile man with severe oligospermia includes

A
Testosterone and FSH

B
FSH and LH

C
FSH, LH and prolactin

D
FSH and inhibin B

Solution

Oligospermia is one of the causes of infertility in men. In oligospermia, very less number of sperms are produced which leads to the deficiency of sperms in the semen and as a result, the egg is not fertilized. Initial hormone evaluation in oligospermia includes FSH and testosterone. As both FSH and testosterone enhance spermatogenesis.
Thus, the correct answer is option A.

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Reproductive Health Test - 60

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Reproductive Health Test - 60

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SHARING IS CARING

Question 1

Pretesticular etiologies of azoospermia are usually endocrine in nature.

Testicular cause of azoospermia is also known as primary testis failure.

Secondary testis failure is characterized by high serum gonadotrophin levels and small testis size.

Low volume azoospermia with normal testis size and palpable vas is a common presentation for testicular failure.

Solution

Question 2

May recover spermatogenesis if he starts treatment with gonadotropins.

He is likely to cause a pregnancy with or without treatment with corticosteroids.

He needs an MRI of the head to accurately diagnose the pituitary lesion.

Exogenous testosterone should be given to the patient to support spermatogenesis.

Solution

Question 3

Decrease in death rate, maternal mortality rate and infant mortality rate

Decrease in death rate and increase in maternal mortality rate

Decrease in infant mortality rate and increase in death rate

Decrease in infant mortality rate and decrease in the number of people in reproductive age

Solution

Question 4

Oligospermia with counts less than 10 mil/ml

Erectile dysfunction

Decreased libido

Premature ejaculation

Solution

Question 5

Effective counselling on the need to avoid unprotected coitus

Use of amniocentesis for sex determination should be restricted

Delaying ovulation

Both A and B

Solution

Question 6

Mifepristone

Misoprostal

Chloramphenicol

Both A and B

Solution

Question 7

Failure of contraception

Possible hazard to the health of growing foetus

Possible hazard to the health to the mother

All of the above

Solution

Question 8

A = s, B = q, C = r, D = p

A = s, B = t, C = q, D = r

A = p, B = r, C = q, D = t

A = s, B = q, C = t, D = p

Solution

Question 9

Blocked seminiferous tubules

Lowered testosterone levels

Inflammation of the epididymis

All of these

Solution

Question 10

Testosterone and FSH

FSH and LH

FSH, LH and prolactin

FSH and inhibin B

Solution

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