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Reproductive Medicine · USMLE Step 1 · Healthcare and Nursing

USMLE Reproductive: Infertility and Assisted Reproduction

Male and female infertility causes and assisted reproductive technology concepts (IVF, IUI, ovulation induction) tested on USMLE Step 1.

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35 basic cards for USMLE Step 1 Reproductive Medicine. Set 5 of 8 in USMLE Reproductive. It opens with "What is the most common identifiable cause of male infertility?" and "How does a varicocele impair fertility?". Study it alongside the other USMLE Step 1 sets below.

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What is the most common identifiable cause of male infertility?
Show answerVaricocele
How does a varicocele impair fertility?
Show answerIt raises scrotal/testicular temperature, impairing spermatogenesis
Karyotype of Klinefelter syndrome?
Show answer47,XXY
What gonadotropin pattern is seen in Klinefelter syndrome?
Show answerHypergonadotropic hypogonadism (low testosterone, high LH and FSH)
Congenital bilateral absence of the vas deferens (CBAVD) is associated with mutations in which gene?
Show answerCFTR
What two conditions does cryptorchidism increase the risk of?
Show answerInfertility and testicular cancer
Kallmann syndrome is caused by a deficiency of which hormone?
Show answerGnRH
What non-reproductive symptom classically accompanies Kallmann syndrome?
Show answerAnosmia (inability to smell)
What gonadotropin pattern is seen in Kallmann syndrome?
Show answerHypogonadotropic hypogonadism (low GnRH, LH, FSH, and testosterone)
What is the WHO reference lower limit for normal semen volume?
Show answer1.5 mL
What is the WHO reference lower limit for normal sperm concentration?
Show answer15 million sperm per mL
What is the WHO reference lower limit for normal sperm motility?
Show answer40 percent
Azoospermia is defined as the complete absence of ____ in the ejaculate.
Show answersperm
Which lab test helps distinguish obstructive from nonobstructive azoospermia?
Show answerSerum FSH (normal in obstructive, elevated in nonobstructive/testicular failure)
What are the Rotterdam criteria used to diagnose?
Show answerPolycystic ovary syndrome (PCOS), requiring 2 of 3: oligo/anovulation, hyperandrogenism, polycystic ovaries on ultrasound

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