Day 5 – EMQ

A. Acute abdomen
B. Acute appendicitis
C. Acute pelvic inflammatory disease
D. Acute renal failure
E. Acute torsion of ovary
F. Bowel injury at egg collection
G. Critical OHSS
H. Intra-peritoneal bleeding
I. Mild OHSS
J. Moderate OHSS
K. Pulmonary embolism
L. Ruptured ectopic
M. Severe OHSS

1. A 28-yr old woman, with a BMI of 34, is a known case of polycystic ovarian syndrome. She is being treated with clomiphene citrate regimen of 50mg dose. She is complaining of a bloated abdomen and feels uncomfortable as a result.

2.A 34-yr old woman, with a BMI 32, underwent an embryo transfer 5 days ago. She has now been admitted to the acute medical ward with nausea, vomiting, and moderate abdominal pain.

3. A 24-yr old woman, with a BMI 24, has a high AMH and had embryo transfer 3 days ago. She has been admitted to the acute gynaecology ward with clinical ascites and reduced renal output.

4. A 35-yr old woman who had an embryo transfer 8 days ago is now complaining of bloated feeling and increase in weight of 2kg. She had a pelvic USS scan reporting an ovarian size >12 cm2.

5. A 22-yr old woman who is a known case of polycystic ovarian syndrome with a history of OHSS is in her first IVF cycle, recently undergoing her second treatment cycle. She is day 12 post-embryo transfer. She is complaining of nausea and sudden onset of right-sided abdominal pain following intercourse.

A. Benign intracranial hypertension
B. Cerebral venous thrombosis
C. Cluster-type headache
D. Epilepsy
E. Menstrual-related migraine
F. Migraine with aura
G. Migraine without aura
H. PE
I. Pseudo-seizure
J. SAH
K. Tension headache
L. Thrombocytopenic purpura

6. A 24-yr old primigravid woman who is 24 weeks pregnant complains of a pulsating, right- sided headache for 48hrs. This is associated with nausea and vomiting. She also complaints of seeing ‘flickering lights’.

7. A tension headache is usually bilateral, pressing (non-pulsatile), and lasts for 30 mins (continuous). It may be episodic (occurring fewer than 15 times per month) or chronic  (occurring more than 15 times per month, for at least 3 months).

8. A 20-yr old primigravid woman who is 18 weeks pregnant complains of sharp, left-sided headache, particularly around the eye. This is associated with a red eye and runny nose.

9. A 17-yr old woman has a history of heavy menstrual bleeding since menarche. She complains of a left-sided headache, particularly 2-3 days before her periods.

10. A 38-yr old multiparous woman at 36 weeks of pregnant presents with history of headaches, vomiting, and photophobia. Her examination had signs of raised ICP.