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Ovarian hyperstimulation syndrome — ABEM Board MCQ

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HardOB/GYN emergenciesOvarian hyperstimulation syndromeABEM Board

A 35-year-old woman undergoing fertility treatment arrives with abdominal distention and dyspnea. Triage acuity is ESI 2; BP 96/58 mm Hg, HR 122/min. She has enlarged tender ovaries on ultrasound, ascites, hemoconcentration, and mild hypoxia. Pregnancy test is positive. Which of the following is the most appropriate next step in management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: D — Admit for supportive care, fluid management, thrombosis risk assessment, and obstetric consultation

Moderate to severe ovarian hyperstimulation with hypoxia, ascites, and hemoconcentration requires inpatient supportive management.

Reference: ASRM ovarian hyperstimulation guidance