Revision with a Master Quiz of 13 questions based on NEET PG Sample Questions on Aspermia from Previous Year NEET PG Online Exams.

1. Bilateral cryptorchidism usually results in oligospermia and infertility. Orchiopexy for
cryptorchidism is done at the age of:
A: 1 to 2 years
B:
5 to 6
years
C: Puberty
D: Neonatal period
Correct Ans:A
Explanation
Cryptorchidism is defined as testes that have not fully descended into the scrotum and,
unlike retractile testes cannot be manipulated into the scrotum with gentle pressure.
Surgical repair (orchiopexy) is done at 6-12 months of age and has a success rate (99%).
Ref: Blueprints Pediatrics By Bradley S. Marino, Katie Katie Snead Fine, 2009, Page 221.
Sample Previous Year Question on Aspermia based on previous Year Questions
of NEET PG, USMLE,PLAB,FMGE (MCI Screening). Please visit
www.medicoapps.org for more such Quizzes
Semen analysis of a young man who presented with primary infertility revealed low volume,
fructose negative ejaculate with azoospermia. Which of the following is the most useful
imaging modality to evaluate the cause of his infertility?
A: Spermatic venography
B: Retrograde urethrography
C: Transrectal ultrasonography
D: Colour duplex ultrasonography of the scrotum
Correct Ans:C
Explanation
Clinical diagnosis of ejaculatory duct obstruction is based on a triad of small ejaculate
volume, azoospermia and absence of seminal fructose. This condition is distinguished from
congenital bilateral absence of the vas deferens by the presence of a palpable vas deferens
on examination. Transrectal ultrasound and seminal vesicle aspiration are investigations
which help in confirmation of the diagnosis. Transrectal ultrasound helps in the evaluation
of seminal vesicles, ejaculatory ducts and prostate gland abnormalities.

2. Ref: Manual of Assisted Reproductive Technologies and Clinical Embryology By Pankaj Talwar, Page
825; Male Infertility: Problems and Solutions By Edmund S. Sabanegh, Pages 27-29; Male
Reproductive Dysfunction By S. C. Basu, 2nd Edition, Page 310.
Sample Previous Year Question on Aspermia based on previous Year Questions
of NEET PG, USMLE,PLAB,FMGE (MCI Screening). Please visit
www.medicoapps.org for more such Quizzes
A patients semen sample reveals : 15 million sperms, 60 % normal morphology, 60%
motile; sperm volume is 2 ml; no agglutination is seen; diagnosis is:
A: Azoospermia
B:
Aspermi
a
C: Oligospermia
D: Normospermia
Correct Ans:C
Explanation
Oligospermia is defined as a sperm count below 20 million/mL.
Ref: Shaw’s Textbook of Gynaecology, 11th Edition, Page 210 ; Textbook of Obstetrics and
Gynaecology By D.C.Dutta, 4th Edition, Pages 217-18, 225
Sample Previous Year Question on Aspermia based on previous Year Questions
of NEET PG, USMLE,PLAB,FMGE (MCI Screening). Please visit
www.medicoapps.org for more such Quizzes
Which of the following is true about obstructive azoospermia:
A: ↑FSH and ↑LH
B: Normal FSH and Normal LH
C: ↑ LH, Normal FSH
D:
↑FSH, Normal
LH
Correct Ans:B
Explanation

3. Obstructive Azoospermia is associated with normal levels of FSH and LH.
Ref: Shaw’s Textbook of Gynaecology, 13th Edition, Page 203; A-Z Encyclopedia on Male
and Female Infertility By Jaypee Brothers, Medical Publishers, Gunasheela, Page 10; Office
Andrology By Phillip E. Patton, Page 205
Sample Previous Year Question on Aspermia based on previous Year Questions
of NEET PG, USMLE,PLAB,FMGE (MCI Screening). Please visit
www.medicoapps.org for more such Quizzes
A 28 year old female is posted for in-vitro fertilisation. It is indicated in:
A: Anovulatory cycles
B:
Tubal
block
C: Azoospermia
D: Uterine anomalies
Correct Ans:B
Explanation
The basic concept of IVF–embryo transfer (IVF-ET) initially was to bypass the potential
mechanical obstacles of the female reproductive tract. It was first developed for patients
with severe tubal disease, for patients with bilateral salpingectomy, or for women whose
tubes are so badly damaged that they cannot function.
Also know:
Indications for assisted reproductive technologies (ART) include the following:
 Male factor infertility
 Tubal disease (tubal and pelvic adhesions)
 Absent or damaged fallopian tubes
 Endometriosis
 Preimplantation genetic diagnosis (PGD)
 Need for third-party reproduction/donor eggs or
gestational surrogate
 Unexplained infertility
 Age-related infertility
 Decreased ovarian reserve
 Recurrent intrauterine insemination failure

4. Ref: Michalakis K.G., DeCherney A.H., Penzias A.S. (2013).
Chapter 57. Assisted Reproductive Technologies: In Vitro
Fertilization & Related Techniques. In A.H. DeCherney, L.
Nathan, N. Laufer, A.S. Roman (Eds),CURRENT Diagnosis &
Treatment: Obstetrics & Gynecology, 11e.
Sample Previous Year Question on Aspermia based on previous Year Questions
of NEET PG, USMLE,PLAB,FMGE (MCI Screening). Please visit
www.medicoapps.org for more such Quizzes
Aspermia is the term used to describe:
A: Absence of semen
B: Absence of sperm in ejaculate
C: Absence of sperm motility
D: Occurrence of abnormal sperm
Correct Ans:A
Explanation
Aspermia is the term used to indicate absence of ejaculate. Ref: The Infertility
Manual By Rao, 2004, Page 148; Textbook of Gynecology By D C Dutta, 6th
Edition, Page 218
Sample Previous Year Question on Aspermia based on previous Year Questions
of NEET PG, USMLE,PLAB,FMGE (MCI Screening). Please visit
www.medicoapps.org for more such Quizzes
A 25 year old infertile male underwent semen analysis. Results show : sperm count -
15 million/ml; pH - 7.5; volume - 2 ml; no agglutination is seen. Morphology shows
60% normal and 60% motile sperms. Most likely diagnosis is:
A: Normospermia
B:
Oligospermi
a
C: Azoospermia
D: Aspermia
Correct Ans:B
Explanation
Oligospermia is defined as a sperm count below 20 million/mL. Ref: Textbook of
Gynecology By D C Dutta, 4th Edition, Pages 217, 218, 225 ; Current Obs and
Gynae Diagnosis and Treatment 9th Edition, Page 982

5. Sample Previous Year Question on Aspermia based on previous Year Questions
of NEET PG, USMLE,PLAB,FMGE (MCI Screening). Please visit
www.medicoapps.org for more such Quizzes
Which of the following is true about obstructive azoospermia:
A: ?FSH and ?LH
B: Normal FSH and Normal LH
C: ? LH, Normal FSH
D:
?FSH, Normal
LH
Correct Ans:B
Explanation
Obstructive Azoospermia is associated with normal levels of FSH and LH. Ref:
Shaw’s Textbook of Gynaecology, 13th Edition, Page 203; A-Z Encyclopedia on
Male and Female Infertility By Jaypee Brothers, Medical Publishers,
Gunasheela, Page 10; Office Andrology By Phillip E. Patton, Page 205
Sample Previous Year Question on Aspermia based on previous Year Questions
of NEET PG, USMLE,PLAB,FMGE (MCI Screening). Please visit
www.medicoapps.org for more such Quizzes
Which of the following is true about obstructive azoospermia?
A: ? FSH and ?LH
B: Normal FSH and Normal LH
C: ? LH, Normal FSH
D: ? FSH, Normal LH
Correct Ans:B
Explanation
Obstructive azospermia is associated with a normal FSH and LH values. Ref:
Clinical Obstetrics and Gynaecology by Brian A. Magowan, Philip Owen, James
Drife, Pages 74-75 ; Male Infertility: Problems and Solutions By Edmund S.
Sabanegh, Pages 27-28
Sample Previous Year Question on Aspermia based on previous Year Questions
of NEET PG, USMLE,PLAB,FMGE (MCI Screening). Please visit
www.medicoapps.org for more such Quizzes
A couple presents to a clinic for the work-up of infertility after 5 years of unprotected
intercourse. The wife denies any medical problems and notes regular menstrual
cycles. The husband states that he has had chronic sinusitis and lower respiratory tract

6. infections. Physical examination of the woman is unremarkable. Examination of the
man is remarkable for dextrocardia. Further work-up of the husband will most likely
reveal?
A: Azoospermia
B: Germinal cell aplasia
C: Immotile sperm
D: Isolated gonadotropin deficiency
Correct Ans:C
Explanation
The husband is suffering from Kartagener's syndrome, an autosomal recessive
disorder characterized by infertility, situs inversus, chronic sinusitis, and
bronchiectasis. The underlying cause of these varied manifestations are defects in
the dynein arms, spokes of microtubule doublets of cilia in the airways and the
reproductive tract. Since sperm motility is dependent on the functioning of cilia,
infertility frequently accompanies this disorder. Situs inversus occurs because
ciliary function is necessary for cell migration during embryonic development.
Azoospermia is not a feature of Kartagener's syndrome, as sperm production or
survival is not affected in this disorder. Germinal cell aplasia, also known as
Sertoli only syndrome, is characterized by oligospermia or azoospermia. Isolated
gonadotropin deficiency is characterized by delayed or incomplete pubertal
maturation.
Sample Previous Year Question on Aspermia based on previous Year Questions
of NEET PG, USMLE,PLAB,FMGE (MCI Screening). Please visit
www.medicoapps.org for more such Quizzes
Aspermia is a term used to describe:
A: Absence of sperm in ejaculate
B:
Absence of sperm
motility
C: Absence of semen
D: Absence of sperms with normal form
Correct Ans:C
Explanation
Explanation: Oligospermia/oligozoospermia Decreased sperm number
Asthenospermia/asthezoospermia Decreased sperm motility Teratozoospermia
Increased abnormal forms of sperm Azoospermia No sperm in semen Aspermia
No ejaculate/ semen Necrozoospermia All sperms nonviable/ non motile Ref:
INFERTILITY Dutta Gyn. 5th edition, page-242.

7. Sample Previous Year Question on Aspermia based on previous Year Questions
of NEET PG, USMLE,PLAB,FMGE (MCI Screening). Please visit
www.medicoapps.org for more such Quizzes
Which of the following statement is true about clomiphene citrate, EXCEPT:
A: Enclomiphene has antiestrogenic effect
B: Successful pregnancy in 15-20% of those who ovulate
C: Risk of multiple pregnancy is 6-10%
D: It can also be used for oligozoospermia
Correct Ans:B
Explanation
Although clomiphene is effective in inducing ovulation in perhaps 75% of
women, successful pregnancy ensues in only 40-50% of those who ovulate. This
has been attributed to clomiphene's inhibition of estrogen action on the
endometrium, resulting in an environment that is not optimal for fertilization
and/or implantation.
Ref: Schimmer B.P., Parker K.L. (2011). Chapter 66. Contraception and
Pharmacotherapy of Obstetrical and Gynecological Disorders. In L.L. Brunton,
B.A. Chabner, B.C. Knollmann (Eds), Goodman & Gilman's The
Pharmacological Basis of Therapeutics, 12e.
Sample Previous Year Question on Aspermia based on previous Year Questions
of NEET PG, USMLE,PLAB,FMGE (MCI Screening). Please visit
www.medicoapps.org for more such Quizzes
A couple presents to a clinic for work-up of infertility after 5 years of unprotected
intercourse. The wife denies any medical problems and notes regular menstrual cycles. The
husband states that he has had chronic sinusitis and lower respiratory tract infections.
Physical examination of the woman is unremarkable. Examination of the man is remarkable
for dextrocardia. Further work-up of the husband will most likely reveal?
A: Azoospermia
B: Germinal cell aplasia
C: Immotile sperm
D: Isolated gonadotropin deficiency
Correct Ans:C

8. Explanation
The husband is suffering from Kartagener's syndrome, an autosomal recessive disorder
characterized by infertility, situs inversus, chronic sinusitis, and bronchiectasis. The
underlying cause of these varied manifestations are defects in the dynein arms, spokes of
microtubule doublets of cilia in the airways and the reproductive tract. Since sperm motility
is dependent on the functioning of cilia, infertility frequently accompanies this disorder.
Situs inversus occurs because ciliary function is necessary for cell migration during
embryonic development.
Azoospermia is not a feature of Kartagener's syndrome, as sperm production or survival is
not affected in this disorder.
Germinal cell aplasia, also known as Sertoli only syndrome, is characterized by
oligospermia or azoospermia.
Isolated gonadotropin deficiency is characterized by delayed or incomplete pubertal
maturation.
Ref: Federico M.J., Stillwell P., Deterding R.R., Baker C.D., Balasubramaniam V., Zemanick
E.T., Sagel S.D., Halbower A., Burg C.J., Kerby G.S. (2012). Chapter 19. Respiratory Tract &
Mediastinum. In W.W. Hay, Jr., M.J. Levin, R.R. Deterding, J.J. Ross, J.M. Sondheimer
(Eds), CURRENT Diagnosis & Treatment: Pediatrics, 21e.
Sample Previous Year Question on Aspermia based on previous Year Questions
of NEET PG, USMLE,PLAB,FMGE (MCI Screening). Please visit
www.medicoapps.org for more such Quizzes