DMS 400 CLASS 11 QUESTIONS WITH COMPLETE
SOLUTIONS
2 methods of retrieval of the mature ova Correct Answers 1.
laparascopy (traditional method)
2. US guided retrieval
- a 17 or 18 gage needle is used in this method via a
transabdominal, transvaginal, or transurethral approach
3 ways in which US is useful in the treatment of infertility
Correct Answers 1. may be able to diagnose pathology or
structural abnormalities that may prevent conception from
occurring
2. in patients undergoing ovulation induction, US may be used
to follow follicle development
3. US may also be used as a guide in the retrieval of mature ova,
and placement of the fertilized ova in the uterus in "in vitro"
fertilization
Causes of ectopic pregnancy Correct Answers Mechanical
Obstruction of the Fallopian Tubes due to :
-History of Ectopic Pregnancy
-PID with salpingitis
-Fallopian tube abnormality
-Tubal Ligation
-Uterine and adnexal masses
-IUD use (usually ovary)
-Transmigration
, Certain parameters, in addition to the US appearance of the
follicles, predicts follicular development. What are they?
Correct Answers - basal body temperature
- a change in the cervical mucous
- serum estrogen levels
Clinical signs and symptoms of ectopic pregnancies Correct
Answers - positive pregnancy test (if blood preg test is negative,
ectopic is not possible)
- vaginal bleeding or spotting
- amenorrhea
- pain in adnexa
- palpable mass
- pain in abdomen (pain may refer to shoulder)
Define ectopic pregnancy Correct Answers - implantation of
fertilized ovum outside the endometrial cavity
- life threatening- never send a patient home when ectopic
pregnancy can't be ruled out
Definition of infertility Correct Answers - failure to conceive
after at least one year of trying
- in older couples, that time period may be extended to up to 2
years
Describe the process of IVF-ET Correct Answers 1. Mature ova
are retrieved from the ovaries
2. Ova are placed in a lab culture with sperm for fertilization
3. Dish is placed in an incubator
4. Two days later, 3-5 embryos are transferred to the uterus
SOLUTIONS
2 methods of retrieval of the mature ova Correct Answers 1.
laparascopy (traditional method)
2. US guided retrieval
- a 17 or 18 gage needle is used in this method via a
transabdominal, transvaginal, or transurethral approach
3 ways in which US is useful in the treatment of infertility
Correct Answers 1. may be able to diagnose pathology or
structural abnormalities that may prevent conception from
occurring
2. in patients undergoing ovulation induction, US may be used
to follow follicle development
3. US may also be used as a guide in the retrieval of mature ova,
and placement of the fertilized ova in the uterus in "in vitro"
fertilization
Causes of ectopic pregnancy Correct Answers Mechanical
Obstruction of the Fallopian Tubes due to :
-History of Ectopic Pregnancy
-PID with salpingitis
-Fallopian tube abnormality
-Tubal Ligation
-Uterine and adnexal masses
-IUD use (usually ovary)
-Transmigration
, Certain parameters, in addition to the US appearance of the
follicles, predicts follicular development. What are they?
Correct Answers - basal body temperature
- a change in the cervical mucous
- serum estrogen levels
Clinical signs and symptoms of ectopic pregnancies Correct
Answers - positive pregnancy test (if blood preg test is negative,
ectopic is not possible)
- vaginal bleeding or spotting
- amenorrhea
- pain in adnexa
- palpable mass
- pain in abdomen (pain may refer to shoulder)
Define ectopic pregnancy Correct Answers - implantation of
fertilized ovum outside the endometrial cavity
- life threatening- never send a patient home when ectopic
pregnancy can't be ruled out
Definition of infertility Correct Answers - failure to conceive
after at least one year of trying
- in older couples, that time period may be extended to up to 2
years
Describe the process of IVF-ET Correct Answers 1. Mature ova
are retrieved from the ovaries
2. Ova are placed in a lab culture with sperm for fertilization
3. Dish is placed in an incubator
4. Two days later, 3-5 embryos are transferred to the uterus
