Infertility and contraception: laparoscopic ovarian drilling: practice question

A OBG question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

Try it

OBG · Infertility and contraception: laparoscopic ovarian drilling

Sample item

A woman with PCOS fails to conceive on clomiphene and letrozole, and wants to avoid the multiple-pregnancy risk of injectable gonadotropins. Which procedure can restore ovulation?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

D. Laparoscopic ovarian drilling

Laparoscopic ovarian drilling makes several small thermal punctures in the ovarian stroma, lowering androgen and LH output so that ovulation can resume. It avoids ovarian hyperstimulation and high multiple pregnancy rates.

Option by option

  • A. Cervical cerclage

    Cerclage treats cervical insufficiency in pregnancy.

  • B. Hysteroscopic adhesiolysis

    Adhesiolysis treats intrauterine adhesions and not anovulation.

  • C. Laparoscopic salpingostomy

    Salpingostomy treats distal tubal obstruction.

  • D. Laparoscopic ovarian drilling (correct)

    Correct. Thermal puncture of ovarian stroma reduces androgens and restores ovulation.

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.

More OBG questions

Questions about this OBG question

What is the answer to this OBG question?

The best answer is D, Laparoscopic ovarian drilling. Laparoscopic ovarian drilling makes several small thermal punctures in the ovarian stroma, lowering androgen and LH output so that ovulation can resume.

Why is "Cervical cerclage" not the answer?

Cerclage treats cervical insufficiency in pregnancy.

Why is "Hysteroscopic adhesiolysis" not the answer?

Adhesiolysis treats intrauterine adhesions and not anovulation.

Why is "Laparoscopic salpingostomy" not the answer?

Salpingostomy treats distal tubal obstruction.

What concept does this question test?

It tests Infertility and contraception: laparoscopic ovarian drilling in OBG. It avoids ovarian hyperstimulation and high multiple pregnancy rates.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Infertility and contraception: laparoscopic ovarian drilling?

Learn management algorithms as steps: PPH, eclampsia, ectopic pregnancy. Then use the flashcards and the other OBG questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.