NBME Q..

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NBME Q..

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ManuNastai

11/12/06 - 07:37 AM

20. A 45-year-old man who has five children comes to the physician to discuss a vasectomy and asks about what to expect. Which of the following is most likely to occur during the first 4 weeks following the procedure?

A) Atrophy of the testes
B) Erectile disorder
C) Numbness of the posterior scrotum
D) Presence of viable sperm in ejaculate
E) Significantly decreased volume of ejaculate

drfax
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11/12/06 - 12:47 PM

E. ??

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NE
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11/12/06 - 01:29 PM

D- Vasectomy is not immediately effective because viable sperm remain for weeks in the urethra above the cut vasa. International guidelines recommend that couples use another method of contraception, such as condoms, for 12 weeks or 20 ejaculations, after which these residual sperm should be gone.

ManuNastai

11/13/06 - 12:32 AM

yes, D was the anwer to the Q

..come on!!! i think that is extremly stupid.. i think it doesn't matter that one or two sperm were stuck in ductus deferens and prostate.. come on! 4 weeks? 12 weeks?

some couples can't get it right with the whole load of sperm!! grin

and here comes the mighty 2 sperms stuck in traffic to take the eggs hand in union..

NE
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11/13/06 - 06:25 AM

IceAge
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11/13/06 - 03:48 PM

by the way,,

there enough sperms to get a woman pregnant in the 4 wks following vasectomy!! .... so I have heard wink

Allison
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11/13/06 - 09:10 PM

D) Presence of viable sperm in ejaculate smiling face

vallia
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11/15/06 - 04:04 AM

good to know

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Ig F
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11/25/06 - 11:52 AM

itz D..... infect ptz who hv gone thru vasectomy are advised to hv protected intercourse even after 3 to 4 mnthz after procedure....

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