30 Questions
What is the primary goal of manually elevating the endopelvic fascia during the Burch procedure?
To visualize the bleeding source
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
What is the primary function of peg cells in the fallopian tubes?
To nourish and support the ciliated cells
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
Why may calling a vascular surgeon be considered during the Burch procedure?
If the bleeding is suspected to be from a vascular source
Where are peg cells primarily found in the fallopian tubes?
In the mucous membrane layer
What is the primary response of the endometrium to estrogen in the follicular phase?
Proliferative changes
Which part of the endometrium is responsible for regeneration after each menses?
Decidua basalis
What triggers the secretory changes in the endometrium?
Progesterone
What phase of follicular development is dependent on FSH?
Early follicular phase
What phase of follicular development is independent of gonadotropins?
Primordial to antral follicle
Which hormone is involved in the late follicular phase?
Both LH and FSH
What is the effect of Letrozole on the hypothalamus?
It causes less negative feedback to the hypothalamus
What is a advantage of Letrozole over Clomiphene?
Better endometrial health
What is the success rate of Clomiphene Citrate in inducing ovulation?
80%
What is the effect of Letrozole on follicular development?
It increases follicular development
What is the success rate of Clomiphene Citrate in achieving pregnancy?
40%
What is an alternative treatment to Letrozole?
All of the above
What is the advantage of Letrozole over Clomiphene?
Higher birth rate and fewer multiples
Why has Letrozole replaced Clomiphene citrate as the drug of choice?
Letrozole is more effective for ovulation induction
What is a disadvantage of Clomiphene citrate?
It is anti-estrogenic on the endometrium
What is not a first-line treatment for ovulation induction in PCOD patients?
GnRH agonist
What is a use for Combined oral Pills in PCOD patients?
For pretreatment before ovulation induction in resistant cases
What is a treatment for endometriosis?
OCP and GnRH analogues
Which ligament provides major structural support to the uterus in maintaining the anteverted position?
Round ligament
Which ligament connects the ovary to the lateral pelvic wall?
Infundibulopelvic ligament
What is the name of the ligament that connects the cervix to the lateral pelvic wall?
Cardinal ligament
Which ligament is a fold of peritoneum comprising the mesometrium, mesovarium, and mesosalpinx?
Broad ligament
What is the name of the ligament that connects the ovary to the uterine horn?
Ovarian ligament
Which ligament travels through the inguinal canal to reach the labia majora?
Round ligament
Learn about the structure and function of uterine ligaments, including the round ligament, infundibulopelvic ligament, and their clinical importance. Understand how they provide support to the uterus and their relationship with surrounding structures.
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