Fertility and sterility® continuing medical education questions

FERTILITY AND STERILITY ® CONTINUING MEDICAL EDUCATION QUESTIONS To obtain the 15 Category I CME credits, the entire examination of lessons from Volume 84 of Fertility and Sterility® must be taken. The answer sheet will be available in the December 2005 issue and will be graded. A 70% passing score must be achieved and documentation will be mailed with the corrected examination to the participant. October 2005 Fernández et al. 84:833– 42 (Lesson 10)

Muthusami and Chinnaswamy. 84:919 –24 (Lesson 12)

Objective: To improve the sperm chromatin dispersion test for the accurate determination of sperm DNA fragmentation

Objective: To evaluate the effects of chronic alcoholism on male fertility hormones and quality of semen

1. Which of the following statements correctly describes the improved sperm chromatin dispersion assay? a) there is complete digestion of chromatin b) there is lower density of material facilitating stain uptake c) acrosomal caps remain intact d) sperm tails remain intact e) assessment is simplified using fluorescence microscopy

1. In this study, 7% of the control group reported erectile dysfunction. What was the rate of erectile dysfunction in alcoholic men? a) 11% b) 31% c) 51% d) 71% e) 91%

2. Which of the following sperm chromatin dispersion patterns described the spermatozoa from a man with varicocele? a) large-sized halos b) medium-sized halos c) small-sized halos d) no halos e) no halos and degraded

2. Alcohol exerts its reproductive effect at the level of the testis and does not act centrally. Which of the following hormones, which are found in normal serum levels in control and alcoholic men, supports this mechanism of alcohol action? a) FSH b) LH c) prolactin d) testosterone e) estradiol

Rodriguez et al. 84:843–5 (Lesson 11)

Axmon and Hagmar. 84:966 –74 (Lesson 13)

Objective: To demonstrate the influence of telomeric attrition on sperm DNA fragmentation

Objective: To investigate whether the outcome of a pregnancy is related to the time required to achieve that pregnancy

1. What type of DNA fragmentation is associated with excessive telomere shortening? a) defective cytogenesis b) unrepaired DNA breaks c) apoptosis d) oxidative stress e) reductive stress 2. Which of the following male disorders is associated with testicular morphology that resembles that found in third generation C57BL6 Terc⫺/⫺mice? a) Klinefelter’s syndrome b) Sertoli-cell-only syndrome c) spermatogenic arrest d) varicocele-like dysmorphology e) Leydig cell hyperplasia

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1. Which patient group had the lowest fecundity ratio and the longest median time to pregnancy? a) one live birth b) multiple birth c) early miscarriage d) late miscarriage e) extrauterine pregnancy 2. Which patient group had the highest fecundity ratio and the shortest median time to pregnancy? a) one live birth b) multiple birth c) early miscarriage d) late miscarriage e) extrauterine pregnancy

Fertility and Sterility姞 Vol. 84, No. 4, October 2005 Copyright ©2005 American Society for Reproductive Medicine, Published by Elsevier Inc.