Author Question: A male patient has oligospermia due to elevated prolactin levels. He has discussed his problems with ... (Read 46 times)

ahriuashd · **on:** Jul 23, 2018

A male patient has oligospermia due to elevated prolactin levels. He has discussed his problems with infertility with his health care provider. Based on the cause of his infertility, the health care provider opts to place the patient on which medication?

a. Clomiphene (Clomid)
b. Menotropins (Pergonal)
c. Chorionic gonadotropin (Chorex)
d. Bromocriptine (Parlodel)

Question 2

The patient is scheduled to begin treatment with a tocolytic medication. She asks the health care provider to explain the benefit of taking the medication. The health care provider should respond that the medication is designed to:

a. Hasten immediate delivery of the fetus.
b. Delay onset of labor until 40 weeks' gestation.
c. Delay premature fetal delivery until corticosteroids are given to the mother.
d. Enable delivery of the fetus after fetal demise.

recede · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: D
Bromocriptine is indicated for use in patients with infertility associated with hyperprolactinemia and pituitary adenomas. Oligospermia, if caused by elevated prolactin levels, may also be treated with bromocriptine. Sperm count increases when elevated prolactin levels are corrected.

Answer to Question 2

ANS: C
Tocolytics are given between 24 and 32 weeks' gestation to stop uterine contractions for 24 to 48 hours. This allows enough time to give corticosteroids to the mother, which hasten fetal lung maturation and reduce the incidence of respiratory distress in the newborn.