Test on Embryo Transfer Techniques and Outcomes

Question 1: For normal ovulatory women undergoing embryo transfer, a freeze-all strategy consistently results in a higher live birth rate compared to a fresh transfer strategy.

A. Ano

B. Ne

Explanation: The study materials indicate that in a 2018 RCT of ovulatory women, the fresh transfer group had a live birth rate of 50.2% while the freeze-all (frozen) group had 48.7%, showing fresh transfer to be slightly higher, not freeze-all consistently higher. Another 2018 study for non-PCOS women showed 33.8% for frozen and 31.5% for fresh, which is slightly higher for frozen but not 'consistently' across all data for ovulatory women. The 'Conclude' section states that in normal ovulatory women, a freeze-all strategy has a 'Similar success rate' to fresh, not consistently higher.

Question 2: According to the study materials, which of the following are potential risks associated with the transfer of multiple embryos?

A. Gestational Diabetes

B. Preterm birth

C. Increased risk of Ovarian Hyperstimulation Syndrome (OHSS)

D. Pregnancy induced hypertension / Preeclampsia

Explanation: The study materials list the following risks under 'Transfer of Multiple Embryos': 'Twins, triplets, etc', 'Miscarriage', 'Preterm', 'Gestational Diabetes', and 'Pregnancy induced hypertension / Preeclampsia'. Increased risk of OHSS is not listed as a risk of multiple embryo transfer; rather, 'freeze all' strategies are discussed as a way to potentially avoid OHSS.

Question 3: Improper intramuscular administration of progesterone can lead to sciatic nerve injury.

A. Ano

B. Ne

Explanation: The study materials state that improper administration of intramuscular progesterone may lead to sciatic nerve injury, which can cause transient sensory disturbance to permanent paralysis and numbness.

Question 4: In a medicated cycle, a day 3 embryo is transferred after 5 days of progesterone administration.

A. Ano

B. Ne

Explanation: In a medicated cycle, a day 3 embryo is transferred after 3 days of progesterone administration.

Question 5: According to the study materials, what is the recommended action if a patient's progesterone level is identified as high on the trigger day for a fresh embryo transfer?

A. Proceed with the fresh embryo transfer as planned.

B. Initiate a medicated cycle for the subsequent transfer.

C. Freeze all embryos for a future frozen embryo transfer.

D. Administer additional progesterone support.

Explanation: The study materials state under 'Fresh Transfer' that if a high progesterone level is detected on the trigger day, the recommendation is to 'freeze all' embryos.