UT OB- ET 16 Spontaneous Abortion

2.

What is the treatment for a hydatidiform molar pregnancy?
- Misoprostol induction
- Expectant management
- D & E
- Oxytocin induction
Correct Answer

A. D & E

Explanation

The treatment for a hydatidiform molar pregnancy is D & E, which stands for dilation and evacuation. This procedure involves dilating the cervix and removing the molar tissue from the uterus using suction and surgical instruments. D & E is the preferred treatment for hydatidiform molar pregnancies as it ensures complete removal of the abnormal tissue and reduces the risk of complications such as persistent trophoblastic disease or choriocarcinoma. Misoprostol induction, expectant management, and oxytocin induction are not recommended for the treatment of hydatidiform molar pregnancies.

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3.

All of the following are malignant EXCEPT:
- Persistent gestational trophoblastic neoplasia
- Choriocarcinoma
- Hydatidiform mole
- Placental site trophoblastic tumor
Correct Answer

A. Hydatidiform mole

Explanation

Hydatidiform mole is a benign condition characterized by abnormal growth of trophoblastic cells in the placenta. It is not considered malignant because it does not invade the surrounding tissues or metastasize to other parts of the body. On the other hand, persistent gestational trophoblastic neoplasia, choriocarcinoma, and placental site trophoblastic tumor are all malignant conditions that can invade local tissues and spread to distant sites.

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4.

Which of the following arecontraindicated in the treatment of a molar pregnancy?
- Misoprostol induction
- D & E
- Oxytocin induction
- Blood transfusion
- A & C
Correct Answer

A. A & C

Explanation

Misoprostol induction and oxytocin induction are contraindicated in the treatment of a molar pregnancy. Misoprostol is a medication used to induce labor, but it can cause excessive bleeding in cases of molar pregnancy. Oxytocin, another medication used to induce labor, can also increase the risk of hemorrhage in molar pregnancies. Therefore, both A (Misoprostol induction) and C (oxytocin induction) are contraindicated in the treatment of a molar pregnancy. Blood transfusion, on the other hand, may be necessary in cases of severe bleeding and is not contraindicated. D & E, which stands for dilation and evacuation, is a surgical procedure that may be performed to remove the molar pregnancy.

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5.

What is the most common karyotype of a complete mole?
- 69, XXX
- 46, XY
- 69, XXY
- 46, XX
- 69, XYY
Correct Answer

A. 46, XX

Explanation

The most common karyotype of a complete mole is 46, XX. This means that the individual has 46 total chromosomes, with two sex chromosomes being X and the rest being autosomes. This karyotype is typical for females. A complete mole is a type of gestational trophoblastic disease, where abnormal cells grow in the uterus after fertilization.

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Ut Ob- Et 16 Spontaneous Abortion

What are the two most important risk factors for the development of hydatidiform moles?

Quiz Preview

What is the treatment for a hydatidiform molar pregnancy?

All of the following are malignant EXCEPT:

Which of the following arecontraindicated in the treatment of a molar pregnancy?

What is the most common karyotype of a complete mole?