PCC SOM Clinical Pathology: Reproductive Function and Pregnancy
80 Questions
0 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

Which of the following hormones is responsible for stimulating the synthesis and secretion of androgen-binding protein in Sertoli cells?

  • Follicle-stimulating hormone (FSH) (correct)
  • Gonadotropin-releasing hormone (GnRH)
  • Inhibin
  • Luteinizing hormone (LH)

What percentage of sex steroids are free and biologically active in the blood?

  • 20% to 30%
  • 1% to 2% (correct)
  • 80% to 90%
  • 50% to 60%

Which hormone surge is responsible for final oocyte maturation and ovulation in the female reproductive cycle?

  • Estradiol surge
  • Luteinizing hormone (LH) surge (correct)
  • Gonadotropin-releasing hormone (GnRH) surge
  • Follicle-stimulating hormone (FSH) surge

During pregnancy, which hormone is synthesized and secreted by the syncytiotrophoblast cells of the developing placenta?

<p>Human chorionic gonadotropin (hCG) (C)</p> Signup and view all the answers

Which hormone is responsible for stimulating milk ejection in the lactation process?

<p>Oxytocin (C)</p> Signup and view all the answers

What is the relationship between gonadal steroid levels and pituitary gonadotropin levels in primary disease states?

<p>Inversely related (D)</p> Signup and view all the answers

Why is semen analysis performed after 2 to 5 days of sexual abstinence?

<p>To improve the reliability of the test (D)</p> Signup and view all the answers

What is included in a semen analysis?

<p>Both microscopic and macroscopic components (D)</p> Signup and view all the answers

What is the purpose of semen analysis in therapeutic insemination?

<p>To select donors for therapeutic insemination (C)</p> Signup and view all the answers

What type of container is recommended for semen collection?

<p>Sterile plastic (polypropylene) container with a screw top (D)</p> Signup and view all the answers

What is the average number of defects per sperm that is a significant predictor of sperm function?

<p>Teratozoospermic Index (B)</p> Signup and view all the answers

What is the primary source of Neutral α-Glucosidase?

<p>Epididymis (C)</p> Signup and view all the answers

What is the primary hormone associated with Secondary Testicular Failure?

<p>FSH (A)</p> Signup and view all the answers

What is the primary indicator of ovulation in female evaluation?

<p>Menstrual Cycle Pattern (C)</p> Signup and view all the answers

What is the primary cause of Gynecomastia in males?

<p>Hormonal Imbalance (C)</p> Signup and view all the answers

What is the process by which the fetus is expelled from the maternal uterus to the external environment?

<p>Parturition (B)</p> Signup and view all the answers

What is the normal range for total motility in semen analysis?

<p>&gt;40% (C)</p> Signup and view all the answers

What is defined as the absence of menstrual flow by age 16 years, or by age 14 years if no breast development occurs?

<p>Amenorrhea (B)</p> Signup and view all the answers

What is marked by the production of surface-active phospholipid compounds called surfactant?

<p>Fetal lung maturation (B)</p> Signup and view all the answers

What is used to detect fetal blood in maternal circulation?

<p>Kleihauer-Betke testing (C)</p> Signup and view all the answers

What is the primary cause of absence of menstrual flow in patients who have not exhibited menses by age 16 years?

<p>Genetic and/or anatomic abnormality (D)</p> Signup and view all the answers

What is the normal increase in basal body temperature after ovulation?

<p>0.4° F to 0.8° F (B)</p> Signup and view all the answers

What is the importance of assessing secondary sexual characteristics in the evaluation of amenorrhea?

<p>To determine the presence of breast development (D)</p> Signup and view all the answers

What is the primary reason for measuring hCG in the evaluation of amenorrhea?

<p>To exclude pregnancy as a cause of secondary amenorrhea (C)</p> Signup and view all the answers

What is the level of FSH above which is associated with diminished ovarian reserve?

<p>10 mIU/ML (D)</p> Signup and view all the answers

What is the function of Anti-Mullerian Hormone (AMH) in the ovaries?

<p>To inhibit FSH-induced aromatase activity (C)</p> Signup and view all the answers

What is the likely cause of amenorrhea in patients who have a history of menstruation but have not experienced menses for more than 3 months?

<p>Endocrine abnormality (B)</p> Signup and view all the answers

What is the significance of a result of greater than 5 mIU/mL in measuring hCG?

<p>Typically indicative of pregnancy (D)</p> Signup and view all the answers

What is the result of elevated AMH levels in disease states?

<p>Polycystic ovary syndrome (PCOS) (D)</p> Signup and view all the answers

What is the function of Clomiphene Citrate in the Clomiphene Citrate Challenge Test?

<p>To stimulate the release of FSH and LH (B)</p> Signup and view all the answers

What is the primary indicator of hyperprolactinemia?

<p>Increased prolactin and normal TSH and FT4 (A)</p> Signup and view all the answers

What is the primary cause of secondary hypothyroidism?

<p>Pituitary gland dysfunction (C)</p> Signup and view all the answers

What is the purpose of the Progestin Withdrawal Test?

<p>To evaluate endogenous estrogen status (A)</p> Signup and view all the answers

What is indicated by high TSH and low FT4 levels?

<p>Primary hypothyroidism (D)</p> Signup and view all the answers

What is the primary cause of amenorrhea in patients with hyperthyroidism?

<p>Elevated FT4 levels (B)</p> Signup and view all the answers

What is the primary indicator of primary ovarian failure?

<p>Elevated FSH and LH levels (D)</p> Signup and view all the answers

What is the primary cause of secondary ovarian failure?

<p>Hypothalamic-pituitary origin (C)</p> Signup and view all the answers

What is the purpose of imaging techniques in the evaluation of hyperprolactinemia?

<p>To further evaluate prolactinoma (D)</p> Signup and view all the answers

What is the primary indicator of panhypopituitarism?

<p>Deficiency of all anterior pituitary hormones (A)</p> Signup and view all the answers

What is the primary cause of absence of withdrawal bleeding after the Progestin Withdrawal Test?

<p>Genital tract abnormalities (A)</p> Signup and view all the answers

What percentage of sperm in a semen specimen should exhibit normal morphology?

<p>More than 4% (A)</p> Signup and view all the answers

What is the significance of a low fructose level in semen analysis?

<p>It indicates an associated dysgenesis of the seminal vesicles (C)</p> Signup and view all the answers

What is the primary predictor of anovulation in female evaluation?

<p>Abnormal menstrual cycle pattern (B)</p> Signup and view all the answers

What is the primary source of Neutral α-Glucosidase in semen analysis?

<p>Epididymis (C)</p> Signup and view all the answers

What is the primary indicator of immunologic infertility in sperm analysis?

<p>Sperm antibody binding to head or tail antigens (B)</p> Signup and view all the answers

In the Clomiphene Citrate Challenge Test, FSH levels are determined on which day of the menstrual cycle?

<p>Day 3 (B)</p> Signup and view all the answers

What is the primary indication for assisted reproductive technology (ART) in infertile couples?

<p>All of the above (D)</p> Signup and view all the answers

What is the purpose of measuring estradiol levels in the Clomiphene Citrate Challenge Test?

<p>To assess ovarian reserve (A)</p> Signup and view all the answers

Who may undergo assisted reproductive technology (ART) to become pregnant?

<p>All of the above (D)</p> Signup and view all the answers

What is the most common form of assisted reproductive technology (ART)?

<p>In vitro fertilization (IVF) (B)</p> Signup and view all the answers

What is the primary purpose of clinical laboratory tests during a patient's first visit to an obstetrician?

<p>To identify disorders that can be treated or prevented (B)</p> Signup and view all the answers

What is the significance of elevated hCG in maternal serum and urine?

<p>It is a reliable indicator of pregnancy (B)</p> Signup and view all the answers

At what level can urine hCG levels be commonly detected by qualitative immunoassay test kits?

<p>20 mIU/mL (A)</p> Signup and view all the answers

What is the typical time frame for serum hCG levels to increase above the reference interval after ovulation?

<p>6 to 12 days (A)</p> Signup and view all the answers

What is the primary component of the current generation of quantitative hCG immunoassays?

<p>Monoclonal antibodies (C)</p> Signup and view all the answers

What is the relationship between gonadal steroid levels and pituitary gonadotropin levels in secondary disease states?

<p>Directly related, with both high or both low (A)</p> Signup and view all the answers

What is the primary goal of semen analysis in male evaluation?

<p>To monitor the success of surgical procedures (B)</p> Signup and view all the answers

What is included in the macroscopic component of semen analysis?

<p>Physical and chemical properties of semen (C)</p> Signup and view all the answers

Why is it recommended to collect semen samples after 2 to 5 days of sexual abstinence?

<p>To improve the reliability of the test (D)</p> Signup and view all the answers

What is the purpose of hormone analyses in male evaluation?

<p>To further evaluate abnormal semen analysis results (A)</p> Signup and view all the answers

What is the term for the process by which the fetus is expelled from the maternal uterus to the external environment?

<p>Parturition (B)</p> Signup and view all the answers

What is the normal range for total motility in semen analysis?

<p>Greater than 40% (C)</p> Signup and view all the answers

What is the term for the absence of menstrual flow by age 16 years, or by age 14 years if no breast development occurs?

<p>Amenorrhea (C)</p> Signup and view all the answers

What is the purpose of Kleihauer-Betke testing?

<p>To detect fetal blood in maternal circulation (A)</p> Signup and view all the answers

What is the term for the compounds produced by the fetal lungs during lung maturation?

<p>Surfactants (B)</p> Signup and view all the answers

What is the primary indicator of ovarian reserve?

<p>Anti-Mullerian Hormone (AMH) levels (D)</p> Signup and view all the answers

What is the purpose of the Clomiphene Citrate Challenge Test?

<p>To assess ovarian reserve (A)</p> Signup and view all the answers

What is the result of elevated AMH levels in disease states?

<p>Polycystic ovary syndrome (D)</p> Signup and view all the answers

What is the normal increase in basal body temperature after ovulation?

<p>0.4° F to 0.8° F (C)</p> Signup and view all the answers

What is the significance of elevated DHEAS levels?

<p>Adrenal tumor (D)</p> Signup and view all the answers

What is the purpose of performing a sperm count in a hemocytometer?

<p>To estimate sperm concentration and motility (B)</p> Signup and view all the answers

What is the normal range for total motility in semen analysis?

<p>40% or above (A)</p> Signup and view all the answers

What is the significance of agglutination in semen analysis?

<p>It suggests an immunologic cause of infertility (A)</p> Signup and view all the answers

What is the purpose of peroxidase staining in semen analysis?

<p>To identify polymorphonuclear leukocytes (B)</p> Signup and view all the answers

What is the significance of a low fructose level in semen analysis?

<p>It may indicate the absence of fluid from the seminal vesicle (D)</p> Signup and view all the answers

What is the purpose of semen analysis in male evaluation?

<p>To estimate sperm concentration and motility (D)</p> Signup and view all the answers

What is the grading system used to evaluate sperm motility?

<p>Grade 1-4, with Grade 4 being the highest motility (D)</p> Signup and view all the answers

What is the purpose of examining the pellet in semen analysis?

<p>To detect intact or damaged sperm fragments (C)</p> Signup and view all the answers

What is the significance of round cells in semen analysis?

<p>They are immature germ cells or polymorphonuclear leukocytes (C)</p> Signup and view all the answers

What is the purpose of performing a viability stain in semen analysis?

<p>To distinguish between live and dead sperm (D)</p> Signup and view all the answers

More Like This

Obstetrics Pg No 353 -362
50 questions
Women's Health and Diseases Nursing - Week 17
44 questions
Physiology Lecture 26
46 questions

Physiology Lecture 26

BriskGreatWallOfChina avatar
BriskGreatWallOfChina
Use Quizgecko on...
Browser
Browser