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MRCOG PART 2 SBAs and EMQs

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SBA Infertility

SBA Infertility Posted by Selayang T.

Dear Paul,

Kindly advise regarding the following question:

 

Option for question 14-14

A FSH level of 10.2 IU/L B Anti-mullerian hormone level of 2.8 pmol/L
C Total antral follicular count of 4 on day 3 of the cycle D Serum oestradiol of 300 pmol/L
E LH level of 2.8 IU/L    

Which one is indicative of high ovarian response to gonadotrophin stimulation?

Answer given is B (AMH level of 2.8 pmol/L)

 

However, explanation stated that :

  • The following can be used to predict the likely ovarian response to gonadotrophin stimulation in IVF:
  • Total antral follicle count measured by TV scan on day 3 of cycle ≤4 for a low responseand > 16 for a high response
  • Anti-Müllerian hormone of ≤5.4 pmol/l for a low response and  ≥25.0 pmol/l for a high response
  • FSH > 8.9 IU/l for a low response and< 4 IU/l for a high response

 

Going through the above answers, there is no best fitted answer for the question. Please advice.

Thanks.

Posted by PAUL A.

Thanks and sorry for delay. Think there is an error in this question. We will delete.

 

Paul