Abnormal Early Pregnancy / Failed Pregnancy - Ob/GYN Class

28 Questions | Total Attempts: 159

SettingsSettingsSettings
GYN Quizzes & Trivia

Questions and Answers
  • 1. 
    Implantation of the fertilized ovum that occurs anywhere other than the endometrial lining is referred to as ______________  ______________.
  • 2. 
    Choose all the appropriate causes for ectopic pregnancy.
    • A. 

      Previous tube surgery

    • B. 

      Diabetes Mellitus

    • C. 

      PID

    • D. 

      Endometriosis

    • E. 

      Obesity

    • F. 

      IUD usage

    • G. 

      Developmental abnormality of tube

  • 3. 
    List the classic triad of presenting symptoms of ectopic pregnancy.***(In alphabetical order)
  • 4. 
    In a normal pregnancy __________ levels double every ____(#) days.
  • 5. 
    With an ectopic pregnancy, HcG levels will platau, then increase rapidly, and decrease rapidly.
    • A. 

      True

    • B. 

      False

  • 6. 
    The "most" frequent site for implantation of an ectopic pregnancy is in the _____________ portion of the tube.
  • 7. 
    The "second" most common site for ectopic implantation takes place in the _____________ region of the fallopian tube.
  • 8. 
    Which region of the fallopian tube is "very rare" for ectopic implantation?
  • 9. 
    Name four "rare" sites for ectopic implantation.***(In alphabetical order)
  • 10. 
    An echogenic ring-like structure associated with ectopic pregnancy and displays color flow around it is referred to as the "__________  __________  __________".
  • 11. 
    A patient that presents with an ectopic pregnancy may have a collection of fluid in the ___________ (anterior or posterior?) cul-de-sac.  If it ruptures there would also be fluid in ___________  ___________.
  • 12. 
    When ectopic pregnancy may be suspected and the patient is presenting with a small collection of fluid within the endometrium, it is referred to as a ______________ sac.
  • 13. 
    Diagnosis:Ectopic pregnancy should be considered if there is no evidence of normal _________ in the presence of _________ level of 800-1000 mlU/ml (2nd IS) or 1000-2000 mlU/ml (IRP).
  • 14. 
    A type of failed pregnancy in which the fetus fails to develop is referred to as a ____________  ____________, aka ____________ pregnancy.
  • 15. 
    In the case of a blighted ovum, there will be no identifiable embryo or yolk sac.
    • A. 

      True

    • B. 

      False

  • 16. 
    The gestational sac in a blighted ovum may appear too _________ (large, small or both?) for the gestational age and unusual in __________.
  • 17. 
    If no yolk sac is visualized with a MSD of 10mm (TV), pregnancy should be scanned again in ____(#) to ____(#) days to rule out blighted ovum.
  • 18. 
    Lab Values:With a blighted ovum, serum ____________ levels may fall or be subnormal. HcG levels may rise ____________ (quickly or slowly?) --not at the proper rate--then begin to ____________.
  • 19. 
    There are several different forms of abortion.  An elective termination is referred to as a ___________ abortion.
  • 20. 
    If a pregnant patient presents with bloody vaginal discharge, bleeding, and cramping at <20 weeks gestation, what type of abortion would be presumed?
  • 21. 
    A(n) ___________ abortion (aka ___________ abortion) is signaled by the ruture of membrances in the presence of cervical dilation.
  • 22. 
    Oligohydramnios and cervical funneling may be seen sonographically with ___________ abortion.
  • 23. 
    Retention of parts of conception is referred to as a(n) ____________ abortion.
  • 24. 
    In a spontaneous loss of pregnancy where all the products of conception evacuate, it is referred to as a(n) ____________ abortion of ____________ abortion.
  • 25. 
    If a patient has a spontaneous abortion, there will be a __________ (rapid or slow?) decline in HcG levels, vaginal bleeding with the presence of tissue/clots, cramping, and the disappearance of pregnancy symptoms.