Infertility: OHSS: 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: OHSS

Sample item

A woman 5 days after hCG trigger for IVF has abdominal distension, ascites, haemoconcentration and oliguria. What is the diagnosis?

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

The answer and the reasoning

B. Ovarian hyperstimulation syndrome

OHSS arises from VEGF-mediated increased capillary permeability after hCG exposure, leading to third-spacing. Management includes fluids, albumin, thromboprophylaxis and paracentesis in severe cases. Prevention uses a GnRH agonist trigger and a freeze-all strategy.

Option by option

  • A. Ectopic pregnancy

    Ectopic pregnancy presents with pain and bleeding.

  • B. Ovarian hyperstimulation syndrome (correct)

    Correct. This picture follows hCG-triggered ovarian stimulation.

  • C. Appendicitis

    Appendicitis does not cause haemoconcentration and ascites.

  • D. Ovarian torsion

    Torsion presents with acute pain.

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 B, Ovarian hyperstimulation syndrome. OHSS arises from VEGF-mediated increased capillary permeability after hCG exposure, leading to third-spacing.

Why is "Ectopic pregnancy" not the answer?

Ectopic pregnancy presents with pain and bleeding.

Why is "Appendicitis" not the answer?

Appendicitis does not cause haemoconcentration and ascites.

Why is "Ovarian torsion" not the answer?

Torsion presents with acute pain.

What concept does this question test?

It tests Infertility: OHSS in OBG. Management includes fluids, albumin, thromboprophylaxis and paracentesis in severe cases. Prevention uses a GnRH agonist trigger and a freeze-all strategy.

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: OHSS?

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.