new_n_lost
Politically InCorrect
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A couple presents to a clinic for workup 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 workup of the husband will most likely reveal
(A) azoospermia
(B) germinal cell aplasia
(C) immotile sperm
(D) isolated gonadotropin deficiency
(E) varicocele
Plz Explain Ur Answers n Give ur Diagnosis
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| unique1
InGodITrust
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C
Respiratory tract infections, Sinusitis and Infertility all indicate Immotile Cilia Syndrome.
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| Ancylostoma
Forum Guru
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agreed
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| jean robert
Forum Guru
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My answer is C.
This patientn has Kartagener Syndrome.Symptoms result from defective cilia motility.
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| new_n_lost
Politically InCorrect
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 You Guys Nailed it
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| keepgoing
Forum Guru
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YES C 
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| aim99
Forum Newbie
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definitely C - kartagener's syndrome.
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| paganini
Forum Senior
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No dynein arm, sperm's tail is a flagella, so no motility. Defected dynein arms also affect cilia which are present in respiratory airways and this is the cause of sinusitis since the patient cannot clear secretions and therefore is predisposed to infections. Cilia is also necessary during embrionic development and that's the cause of dextrocardia, no rotation...
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| new_n_lost
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FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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