Day 4 – EMQ

A. AMH
B. Bromocriptine
C. Clomiphene
D. Endometrial ablation
E. FSH stimulation
F. Laparoscopic ovarian suspension
G. Laparoscopic tubal reconstructive surgery
H. LHRH agonist
I. Oocyte cryopreservation
J. Ovarian endometrioma excision
K. Ovarian endometrioma fenestration
L. Reassurance
M. Removal of polyp at hysteroscopy
N. Unilateral salpingectomy

1. A 35-yr old woman with primary infertility for 30 months has right-sided hydrosalpinx. She is now on the waiting list for IVF.

2. A 30-yr old woman with primary infertility of four years duration, diagnosed with bilateral ovarian endometrioma, each approximately 6cm in diameter.

3. A 38-yr old woman with primary infertility of 36 months duration, waiting for IVF, had an USG showing multiple endometrial polyps.

4. A 25-yr old multiparous woman who has undergone pelvic radiation.

5. A 22-yr old nulliparous woman with a BMI 16, diagnosed with hypogonadotrophic hypogonadism-related amenorrhoea, seeking infertility treatment.

6. A 30-yr old woman with confirmed ovulatory cycles with raised prolactin of 760 (normal <360 mIU/L). She does not complain of headaches or nipple discharge.

7. A 42-yr old woman with primary infertility of 8 yrs duration had a failed stimulated IVF cycle. What investigation prior to her next IVF cycle should be performed?

A. Bladder damage
B. Chronic constipation
C. Dehydration
D. Diabetic ketoacidosis
E. Fluid overload
F. Intra-peritoneal haemorrhage
G. Ovarian pregnancy
H. Pelvic haematoma
I. Post-operative pelvic sepsis
J. Post-operative pneumonia
K. Pulmonary embolism
L. Torsion of the ovarian cyst
M. Tubal ectopic pregnancy
N. Ureteric injury
O. Uterine perforation and fluid overload
P. Vesico-vaginal fistula

8. A 40-yr old woman has a difficult abdominal hysterectomy and bilateral salpingo- oophorectomy for severe endometriosis. She was administered with estradiol implant following hysterectomy. She comes for review appointment 4 weeks later and tells you that she is wearing pads and feels ‘as if she has lost control of her bladder’.

9.  A 45-yr old woman with a BMI of 40 had a laparoscopic-assisted hysterectomy for multiple uterine fibroids. She had a spinal block along with a general anaesthetic. 12 hours later, her pelvic drain remains clear, her pulse is 110 bpm, pO2 92, and she is feeling very

uncomfortable, with a distended and tender abdomen.

10. A 35-yr old woman had an abdominal hysterectomy and bilateral salpingo-oophorectomy for severe pelvic inflammatory disease and menorrhagia. 24 hours later, she complains of severe left flank pain, which is not response to analgesics. Her urine output is satisfactory bit pink in colour and BP is stable. The fluid in her drain is pink sero-sanguinous, approximately 500ml in total.