REI

Question 1

highest rate of multi gestation with what method

Answer 1

gonadotropins with intrauterine insemination

Question 2

management of hydrosalpinx

Answer 2

lap as the contained fluid in tube is embryotoxic and contributes to reduced endometrial receptivity

Question 3

Salpingitis isthmica nodosa

Answer 3

mucosal glands penetrate the myosalpinx with resultant hyperplasia and hypertrophy

Question 4

criteria for PCO

Answer 4

2 of 3 (1) oligo- or anovulation, (2) clinical or biochemical signs of hyperandrogenism or both, (3) polycystic-appearing ovaries on ultrasound.

Question 5

when is ovary considered PCO in USG

Answer 5

they contain 12 or more antral follicles in each ovary, or if the ovarian volume is > 10 cc (or > 10 cm^3

Question 6

By what mechanism of action do combined oral contraceptive pills improve clinical hirsutism in a patient with polycystic ovary syndrome?

Answer 6

Increase sex hormone-binding globulin levels, resulting in a decreased circulating free testosterone

Question 7

define infertility

Answer 7

inability to conceive after 12 months of unprotected intercourse in women less than the age of 35, or after 6 months in women 35 years of age and older defines infertility.

Question 8

what is the blood test to know ovulation

Answer 8

day 21 progesterone. if more than 5 then evaluate for uterine anomaly and tubal patency. if less than 5 check for anovulation