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OBG · Gynecologic emergencies: ovarian hyperstimulation
Sample itemAfter fertility treatment, a patient develops abdominal distension, ascites, hemoconcentration, enlarged ovaries, and dyspnea. What syndrome is likely?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Ovarian hyperstimulation syndrome
Ovarian hyperstimulation syndrome is increased vascular permeability after ovulation induction, causing third spacing, hemoconcentration, enlarged ovaries, and thrombotic risk. Severity guides outpatient versus hospital management.
Option by option
A. Acute appendicitis
Appendicitis causes focal inflammatory abdominal pain, not enlarged stimulated ovaries.
B. Ovarian hyperstimulation syndrome (correct)
Correct. Third spacing after fertility stimulation is characteristic OHSS.
C. Primary ovarian insufficiency
Ovarian insufficiency causes low estrogen and amenorrhea.
D. Endometrial polyp
Polyps cause abnormal uterine bleeding.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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