Sample interview questions: Describe your approach to managing patients with ovarian hyperstimulation syndrome (OHSS).
Sample answer:
Approach to Managing Ovarian Hyperstimulation Syndrome (OHSS)
-
Prevention:
- Careful patient selection (avoiding women with PCOS or known OHSS risk)
- Gonadotropin dosing optimization (using individualized protocols and monitoring)
- Triggering ovulation with hCG when follicles reach maturity
- Progesterone supplementation to luteinize follicles and reduce estrogen levels
-
Early Detection and Intervention:
- Monitoring patients closely for weight gain, abdominal pain, and oliguria
- Ultrasonography to assess ovarian size and fluid collection
- Laboratory tests (electrolytes, hematocrit, liver enzymes) to identify any electrolyte imbalances or liver dysfunction
-
Management:
Mild OHSS:
* Observation and conservative management
* Restrict fluid intake to 1-1.5 liters per day
* Avoid strenuous exercise and heavy lifting
* Monitor electrolytes and liver function
Moderate OHSS:
* Hospitalizat... Read full answer
Source: https://hireabo.com/job/2_1_21/Obstetrician/Gynecologist