Correct Answer: Option-D
Question16:-STRAW stage-3a is characterized by
‘Acmenstrual cycles are relatively unchanged, the serum levels of FSH are low, AMH and inhibin B are low
B:-menstrual cycles become shorter, FSH increases, while AMH, AFC and inhibin B declines
periods of amenorthea lasting greater than or equal to 60 days, FSH level in menopausal range, vasomotor symptoms such as hot flushes
D-undetectable AMH, Inhibin and occasional antral follicle
Correct Answer: Option ®
Question17:-The FALSE statement regarding Menopausal Hormone Therapy (MHT/HRT) is
‘AsContinuous, combined estrogen-progestin regimens of HRT has more risk for endometrial cancer than long-term sequential regimens
B:-Ospemifene is given orally for the treatment of vulvar and vaginal atrophy

C:-Bazedoxifene combined with conjugated estrogens is effective for hot flushes and vaginal atrophy, prevents bone loss and does not stimulate the endometrium or cause breast
tendemess

D:-The use of tibolone in women with a history of breast cancer remains relatively contraindicated
Correct Answer:- ೦೧000
Question18:-All the statements about Emergency Contraception are TRUE EXCEPT
‘A-Copper IUD can be used anytime during the preovulatory phase of the menstrual cycle and upto 8 days after ovulation
B:-Uiipristal acetate is slightly more effective than the single 1.5-mg dose of levonorgestrel when used within 120 hours
1 prevents about 80-85% of expected pregnancies and has the same efficacy and side effects as levonorgestrel! method
D-Treatment with Levonorgestrel acts primarily by preventing or delaying ovulation and by preventing fertilization
Correct Answer:- ೦೧000
Question19:-The FALSE statement about etonogestrel Implant (Nexplanon) is
‘AcInhibits ovulation by preventing LH surge and failure rate is 0.01%
B:-Implants have an immediate contraceptive effect when inserted within the first 7 days of a menstrual cycle
C:Implants should not be inserted immediate postpartum
Det is absolutely contraindicated in women with active thromboembolic disease or known breast cancer
Correct Answer: Option-C
Question20:-All the statements about reproductive ageing are TRUE EXCEPT
‏عوقنم‎ related Oocyte aneuploidy results primarily from premature separation of sister chromatids during meiosis | or from whole chromosome nondisjunction during meiosis ۷
B:-Miscarriage riks and the prevalence of aneuploidy oocytes are relatively low and change litle until approximately age 35
‏تلع‎ birth rates in donor egg IVF cycles relate to the age of the donor, not the age of the recipient
D:-Aging itself is thought to be a significant factor influencing uterine endometrial response to steroids and receptivity
Correct Answer:- Option-D
Question21:-Identify the FALSE statement regarding Test for Ovarian Reserve
കന്തില്‍ number of antral follicles measuring 2-10 mm in both ovaries is proportional to the number of primordial follicles remairing
B:-Small antral follicles (2-6 mm) are likely the primary source of AMH because they contain larger numbers of granulosa cells and உ more developed microvasculature
CeRecent studies suggest AMH levels decrease with the use of oral contraceptives and GnRH agonists
D-A single elevated Day -3 FSH concentration (>10 IU/L) has high specificity for predicting poor response to stimulation or failure to achieve pregnancy
Correct Answer:- Option-D
Question22:-Find the FALSE statement
‘Ache prevalence of uterine anomalies in infertile women and fertile women with normal reproductive outcomes is similar, approximately 2-436
B:-Submucousmyomas reduce IVF success rates by approximately 70% and intramural myomas by approximately 20-40%
ಮ ಟಟ may improve reproductive performance in infertile women
Conception and term delivery rates after successful hysteroscopiclysis of intrauterine adhesions are > 80%
Correct Answer:-Question Cancelled
Question23:-The FALSE statement regarding Male infertility is
‘4 2-5% of men with severe oligospermia and 8% of men with azoospermia may have ۷ chromosome microdeletions
B:-Hyperprolactinemia and treatment with GnRH analogs or androgens can cause hypogonadotropic hypogonadism in males
C-Men with idiopathic infertility have significantly lesser CAG trinucleotide repeat lengths in androgen receptor gene
D:-Disorders of estrogen synthesis or action may be associated with infertility in men

Correct Answer: Option-C