Fertility General MCQs

Question 1

T/F. Rectal and HVS should be taken for a patient with a history of recurrent T1 miscarriages?

Answer 1

False

Question 2

T/F. TORCH screens should be taken for a patient with a history of recurrent T1 miscarriages?

Answer 2

False.

Not likely that TORCH would cause recurrent miscarriages.

Question 3

S/E of clomiphene?

Answer 3

-OHSS
-Hot flushes, headache, depression
-Insomnia, convulsions, dizziness
-Breast tenderness, intermenstrual bleeding, menorrhagia
-Nausea, vomiting, abdominal discomfort
-Hair loss

Question 4

28 y.o, BMI 33. Has a 2 yr h/o subfertility. No other factors affecting fertility. Next step?

Answer 4

Weight loss
Metformin - helps weight loss. Is more successful in ovulation induction in women with a raised BMI
Clomiphene citrate

Question 5

Under pathophysiology of antiphospholipid syndrome?

Answer 5

1. Inhibition of trophoblastic function
2. Activation of complement
3. pathway at maternal-fatal interface
   Thrombosis of uteroplacental vasculature