Lecture 2 Flashcards

1
Q

When is oocyte pick-up (OPU) typically scheduled after the trigger shot?

A

36 hours

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2
Q

Where must oocyte pick-up (OPU) be performed?

A

A licensed area

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3
Q

Name three healthcare professionals involved in the OPU procedure.

A

Any three of the following:
Clinician
Anesthetist
Anesthetic Nurse
Embryologist

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4
Q

List three essential considerations for an embryologist during an OPU procedure.

A
  • Replicating in-vivo conditions (temperature and pH)
  • Speed and accuracy in handling COCs
  • Witnessing for patient identification and labeling
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5
Q

What are COC’s

A

Cumulous oocyte complex

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6
Q

How quickly should sperm be removed from the ejaculate for preparation?

A

Within 1 hour

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7
Q

Name two methods used for sperm preparation.

A

Density gradient and centrifugation8

Swim-up

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8
Q

When should oocytes be inseminated after the trigger shot?

A

38-42 hours post-trigge

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9
Q

What is the typical sperm concentration used for conventional IVF insemination?

A

80,000 to 120,000 motile sperm

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10
Q

Describe the process of intracytoplasmic sperm injection (ICSI).

A

Oocytes are stripped of their cumulus complex, assessed for maturity, and a single sperm is injected into each mature (MII) oocyte.

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11
Q

What enzyme is used to assess oocyte maturity for ICSI?

A

Hyaluronidase

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12
Q

When is the fertilization check performed after insemination?

A

17 ±1 hours post-insemination

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13
Q

What is the outcome for the majority of embryos?

A

Discarded in biohazard waste

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14
Q

Why is it necessary to remove cumulus cells before fertilization check in conventional IVF?

A

Although sperm will have broken down most of the cumulus during insemination, narrow pipettes are still needed to remove remaining cumulus cells for oocyte assessment

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15
Q

Match the following IVF procedures with their typical timing:
1.Oocyte collection
2.Insemination (IVF or ICSI)
3.Fertilization check
a) +17 hpi (hours post-insemination)
b) +36 hpt (hours post-trigger)
c) +38-42 hpt (hours post-trigger)

A

1.b
2.c
3.a

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16
Q

How many hours post trigger does the insemination need to happen?