This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Gynaecology & Obstetrics
What is the Ilekt step in management of a 32 years old woman with a 5 years history of primary infeil-ity with bilateral tubal block seen at cornu on hys-terosalpingogram? 
Select and explain. 
A. In vitro feilization, B. Laparoscopy and hysteroscopy, C. Intracytoplasmic sperm injection, D. Tuboplasty
B: Laparoscopy and hysteroscopy
Answer: B: Laparoscopy and hysteroscopy 
Explanation: Answer- B. Laparoscopy and hysteroscopyBilateral tubal block at cornu should be confirmed using Laparoscopy and hysteroscopy (Chromopeubation test), which is the gold standard. Trestment of choice will be tuboplosty, but other causes like spasm shoukl be ruled out ss hysterosalpingogram is not a very reliable test.