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Treatment of the Infertile Couple

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Which of the following is the most widely used pharmacologically active substance in the world?

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a. Caffeine

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b. Nicotine

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c. Marijuana

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d. Ethyl alcohol

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All EXCEPT which of the following are true regarding smoking and fertility?

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a. Male smokers may have reduced sperm motility.

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b. Smoking increases the risk of miscarriage in assisted conception cycles.

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c. Smoking in pregnant women is associated with an increased risk of trisomy 21.

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d. The effects of smoking on fecundity can be overcome by fertility treatments such as in vitro fertilization (IVF).

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This smoking cessation agent is considered what pregnancy category by the U.S. Food and Drug Administration?

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a. A

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b. B

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c. C

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d. D

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A 28-year-old obese female who is seeking pregnancy is recently diagnosed with polycystic ovarian syndrome (PCOS). Which of the following should be recommended as first-line management for her anovulation?

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a. Gonadotropins

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b. Clomiphene citrate

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c. Weight loss and exercise

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d. Insulin-sensitizing agents

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In women with hyperprolactinemia caused by a pituitary microprolactinoma, which of the following is true?

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a. Surgical therapy is preferred over medical therapy.

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b. During pregnancy, cabergoline is preferred over bromocriptine.

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c. Clomiphene citrate may be ineffective for ovulation induction.

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d. Dopamine-agonist therapy should be increased once pregnancy is achieved.

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Compared with clomiphene citrate therapy, gonadotropin therapy has which of the following characteristics?

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a. Higher ovulation rate

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b. Lower multiple pregnancy ...

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