Repro Week 1 formative Flashcards
When can treatment NOT be refused on grounds of conscientious objection
If the treatment is life-saving in an emergency
In a non-emergency scenario, if a doctor has a conscientious objection to a procedure, what must he/she do next
Advise the patient that they have a conscientious objection to providing their treatment and arrange for them to see another doctor
What level of consent is needed for a vaginal examination
Verbal consent is sufficient in a conscious patient
What proportion of couples suffer from infertility?
1 in 6
What important structures are closely associated with the ischial spines
Internal Pudendal nerve and artery
Which surgery is associated with the sacrospinous ligament
Prolapse surgery for vaginal vault dissent
Generally, ovulation occurs how many days before the next menses
14 days
What is the anterior boundary of the pelvic inlet
Pubis Symphysis
What are the lateral boundaries of the pelvic inlet
Iliopectineal lines
What is the posterior boundary of the pelvic inlet
Sacral promontory
What is the anterior boundary of the pelvic outlet
Pubic Arch
What are the lateral boundaries of the pelvic outlet
Ischial tuberosities
What is the posterior boundary of the pelvic outlet
Coccyx
A woman presenting with multiple small painful ulcers on her genitalia and a flu-like illness. She is unable to urinate due to discomfort.
Cause
Herpes Simplex
A non-sexually active woman presented with a frothy brownish vaginal discharge, which has an offensive smell
Cause
Bacterial Vaginosis
A woman presents with vulval irritation and a white discharge.
Cause
Candida Albicans
Embryo transfer is best successful at what stage of development
Blastocyst
LH surge occurs at what duration prior to Ovulation?
24-36 hours prior
What changes occur in the endometrium due to progesterone
Uterus enters secretory phase
Spiral arteries grow longer and endometrium remains thickened ready for implantation
Best infertility treatment for a couple, in whom the man had a vasectomy 3 years ago
Surgical sperm retrieval and ICSI
Best infertility treatment for a couple with a 2-year history of anovulatory infertility due to polycystic ovarian syndrome (PCOS)
Clomifene citrate
triggers the brain’s pituitary gland to secrete an increased amount of follicle stimulating hormone (FSH) and LH (luteinizing hormone). This action stimulates the growth of the ovarian follicle and thus initiates ovulation
How much should HCG rise by to indicate a viable uterine pregnancy
50% in 48 hours
What is oligoasthenospermia
Low count and low motility
What is teratoasthenospermia
Low motility and abnormal forms
Where does spermatogenesis occur in a testicle?
Seminiferous tubules
Which cells secrete testosterone in a male
Leydig cells
