Uterine Ligaments Anatomy

What is the primary goal of manually elevating the endopelvic fascia during the Burch procedure?

To place a surgical drain
To give a generalized suture in the bleeding area
To visualize the bleeding source (correct)
To call for a vascular surgeon

What is the main limitation of attempting to suture the bleeding area without identifying the specific bleeding source?

It may not control the bleeding effectively (correct)
It may cause further bleeding
It may require a vascular surgeon
It may not be possible in the Retzius space

What is the primary function of peg cells in the fallopian tubes?

To produce hormones regulating menstruation
To aid in the movement of the ovum
To nourish and support the ciliated cells (correct)
To provide structural support to the tubes

What is the primary benefit of placing a surgical drain in the surgical site during the Burch procedure?

It helps to evacuate blood and fluid, preventing hematoma formation (D) Signup and view all the answers

Why may calling a vascular surgeon be considered during the Burch procedure?

If the bleeding is suspected to be from a vascular source (C) Signup and view all the answers

Where are peg cells primarily found in the fallopian tubes?

In the mucous membrane layer (C) Signup and view all the answers

What is the primary response of the endometrium to estrogen in the follicular phase?

Proliferative changes (B) Signup and view all the answers

Which part of the endometrium is responsible for regeneration after each menses?

Decidua basalis (A) Signup and view all the answers

What triggers the secretory changes in the endometrium?

Progesterone (A) Signup and view all the answers

What phase of follicular development is dependent on FSH?

Early follicular phase (C) Signup and view all the answers

What phase of follicular development is independent of gonadotropins?

Primordial to antral follicle (A) Signup and view all the answers

Which hormone is involved in the late follicular phase?

Both LH and FSH (A) Signup and view all the answers

What is the effect of Letrozole on the hypothalamus?

It causes less negative feedback to the hypothalamus (D) Signup and view all the answers

What is a advantage of Letrozole over Clomiphene?

Better endometrial health (C) Signup and view all the answers

What is the success rate of Clomiphene Citrate in inducing ovulation?

80% (C) Signup and view all the answers

What is the effect of Letrozole on follicular development?

It increases follicular development (C) Signup and view all the answers

What is the success rate of Clomiphene Citrate in achieving pregnancy?

40% (C) Signup and view all the answers

What is an alternative treatment to Letrozole?

All of the above (D) Signup and view all the answers

What is the advantage of Letrozole over Clomiphene?

Higher birth rate and fewer multiples (B) Signup and view all the answers

Why has Letrozole replaced Clomiphene citrate as the drug of choice?

Letrozole is more effective for ovulation induction (B) Signup and view all the answers

What is a disadvantage of Clomiphene citrate?

It is anti-estrogenic on the endometrium (A) Signup and view all the answers

What is not a first-line treatment for ovulation induction in PCOD patients?

GnRH agonist (A) Signup and view all the answers

What is a use for Combined oral Pills in PCOD patients?

For pretreatment before ovulation induction in resistant cases (B) Signup and view all the answers

What is a treatment for endometriosis?

OCP and GnRH analogues (A) Signup and view all the answers

Which ligament provides major structural support to the uterus in maintaining the anteverted position?

Round ligament (D) Signup and view all the answers

Which ligament connects the ovary to the lateral pelvic wall?

Infundibulopelvic ligament (B) Signup and view all the answers

What is the name of the ligament that connects the cervix to the lateral pelvic wall?

Cardinal ligament (C) Signup and view all the answers