A couple both in their late thirties are undergoing evaluation of infertility. A semen specimen was collected at home and brought to the lab for routine testing. The following are the Semen analysis results: Physical exam: Color-gray; volume 4.5ml; liquefaction-50mins; viscousity- 0 Microscopic exam: motility-70%, concentration: 15M sperm/ml; morphology 70% normal; vitality-60%; leukocytes- 0.8 x (10 to the 6th) cell/ml 1. What are the abnormal results? 2. Do any of the results obtained suggest improper collection or lab error? 3. which of the following results suggest male infertility?

A couple both in their late thirties are undergoing evaluation of infertility. A semen specimen was collected at home and brought to the lab for routine testing. The following are the Semen analysis results: Physical exam: Color-gray; volume 4.5ml; liquefaction-50mins; viscousity- 0 Microscopic exam: motility-70%, concentration: 15M sperm/ml; morphology 70% normal; vitality-60%; leukocytes- 0.8 x (10 to the 6th) cell/ml 1. What are the abnormal results? 2. Do any of the results obtained suggest improper collection or lab error? 3. which of the following results suggest male infertility?

Comprehensive Medical Assisting: Administrative and Clinical Competencies (MindTap Course List)

6th Edition

ISBN:9781305964792

Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa

Publisher:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa

Chapter43: Specialty Laboratory Tests

Section: Chapter Questions

Problem 7CR

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appearance and liquefication - a normal sample has a gray-opalescent appearance, homogenous and liquefies within 60 min. at room temperature under the influence of prostatic enzymes. liquefaction that does not occur within the normal period may suggest functional disturbance of the prostate. Normal semen samples may contain jelly-like grains which do not liquefy. The sample may appear clear if the sperm concentration is too low. It may also appear brown when red blood cells are present in the ejaculate (haematospermia) Liquefaction time Clinical Implication Within 60 minutes Beyond 60 minutes
When investigating fertility concerns, a common course of action is to rule out sperm cell-related causes of infertility first since obtaining the relevant specimens is generally less invasive. Vitality is a commonly assessed parameter, particularly when motility is deemed poor since it allows physicians to differentiate between live non-motile sperm and dead sperm cells. The procedure for determining vitality is to place sperm in a hypotonic solution and observe the specimen under the microscope after a 5-minute incubation. This short incubation time allows for observable cellular changes without causing cell death. What type of microscope (light or electron) would you recommend using to observe sperm cells for this laboratory test and why?
When investigating fertility concerns, a common course of action is to rule out sperm cell-related causes of infertility first since obtaining the relevant specimens is generally less invasive. Sperm number and motility are typically the first parameters assessed in a semen sample. Vitality is another commonly assessed parameter, particularly when motility is deemed poor since it allows physicians to differentiate between live non-motile sperm and dead sperm cells. The procedure for determining vitality is to place sperm in a hypotonic solution and observe the specimen under the microscope after a 5-minute incubation. This short incubation time allows for observable cellular changes without causing cell death. What type of microscope would you recommend using to observe sperm cells for this laboratory test and why? Describe what you would expect to observe in the case of a live sperm cell and why? How can you distinguish it from a dead sperm cell in the same sample?
When investigating fertility concerns, a common course of action is to rule out sperm cell-related causes of infertility first since obtaining the relevant specimens is generally less invasive. Sperm number and motility are typically the first parameters assessed in a semen sample. Vitality is another commonly assessed parameter, particularly when motility is deemed poor since it allows physicians to differentiate between live non-motile sperm and dead sperm cells. The procedure for determining vitality is to place sperm in a hypotonic solution and observe the specimen under the microscope after a 5-minute incubation. This short incubation time allows for observable cellular changes without causing cell death. What type of microscope would you recommend using to observe sperm cells for this laboratory test and why?
Please Explain! A repeat semen analysis for fertility testing is reported as follows: VOLUME: 3.5 mL SPERM CONCENTRATION: 6 million/mL VISCOSITY: Normal SPERM MOTILITY: 30%—grade 1.0 PH: 7.5 MORPHOLOGY: <30% normal-forms—30 spermatids/100 sperm The results correspond with the first analysis. Which of the test results are abnormal? What is the sperm count on this specimen? What is the spermatid count? Based on the spermatid count, what additional test can be performed?
A 75 year old man comes to the physician because of a six-week history of poor urinary stream and inability to void completely. Physical examination shows a markedly enlarged prostate. The diagnosis of benign prostatic hyperplasia is made. Between which of the following regions of the urethra is obstruction of urine flow most likely located in this patient? The bladder neck and the membranous urethra The membranous urethra and the proximal bulb of the penis The peritoneal membrane and the levator ani The proximal bulb of the penis and the perineal membrane The trigone and the internal urethral orifice
The most common method of male sterilization is vasectomy, in which the ductus (vas) deferens is tied, cut, or both. What is the equivalent method of female sterilization?Why are the difficulty and risks of that procedure greater than for a vasectomy?
The CORRECT pathway of the spermatozoa from the testes to the outside of the male body is: 1. Epididymis 2. Penile urethra 3. Ductus deferens 4. Membranous urethra 5. Ejaculatory duct 6. Prostatic urethra Question 37 options: 1, 3, 6, 5, 4, 2 1, 3, 6, 5, 2, 4 1, 3, 5, 6, 4, 2 1, 3, 6, 4, 5, 2 1, 3, 5, 6, 2, 4
A 16-year-old male patient arrives in the emergency department after a soccer injury where he was hit in the right groin by a soccer ball at high speed. Later that afternoon, the patient noticed that the right side of his scrotum was swollen and painful; he is otherwise healthy. The physician notes that the right testicle is still palpable and seems to be surrounded by a clear fluid. What condition does the patient have? What is the clear fluid, and what is its source? Describe the surgical procedure that will be performed to correct the pathology. Will he experience any long-term effects of his injury?
When investigating fertility concerns, a common course of action is to rule out sperm cell-related causes of infertility first since obtaining the relevant specimens is generally less invasive. Vitality is another commonly assessed parameter, particularly when motility is deemed poor since it allows physicians to differentiate between live and dead sperm cells. Describe what you would expect to observe (after using the microscope) in the case of a live sperm cell and why? How can you distinguish it from a dead sperm cell in the same sample?
In Seminal Fluid Analysis, what are aspects of semen that are assessed microscopically?
appointment to a Obstetricians’s office was scheduled by a client because a home pregnancy test was performed and the results were positive. The nurse determines that the home pregnancy test identified the presence of which of the following in the urine? Follicle Stimulating Hormone Human Chorionic Gonadotropin (HCG) Estrogen Progesterone