1st Trimester Patho Flashcards by Rexlin Sebastin

A patient comes in that says she is 10 weeks pregnant. While scanning her you notice a large gestational sac with some debris, but nothing else in it. You measure the gestational sac and it is 15 mm in size. You note both ovaries and adnexas and they appear to be normal. What are we probably visualizing.

Ectopic pregnancy
Complete Abortion
Blighted Ovum
Partial Abortion

Blighted Ovum

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A patient comes to you and states that she is 8 weeks pregnant based off her LMP. While scanning you notice that she has a small gestational sac with a yolk sac inside of it. Based off of just this information which of the following has probably occurred?

Missed abortion
Partial abortion
Ectopic Pregnancy
Incorrect gestational age

Incorrect gestational age

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A patient comes to you from the ER with right sided pain. She is having some vaginal bleeding and took a home pregnancy test that was positive. While scanning you see a small anechoic area in the uterus but there does not appear to be anything in it. While scanning the adnexas you notice a large complex mass in the right adnexa that is separate from the uterus but very close to it. From this information only…what would be a likely suspicion?

Complete Abortion
Partial Abortion
Blighted Ovum
Ectopic Pregnancy

Ectopic Pregnancy

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A patient comes to you from the Doctor’s office. She went to the doctor because she had about 4 days of heavy bleeding and she was 8 weeks pregnant. You scan her transvaginally and the endometrium is very smooth and thin. There is no free fluid noted either within the endometrium. What has probably occurred?

Complete Abortion
Partial Abortion
Blighted Ovum
Missed Abortion

Complete Abortion

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The presence of material in the uterus but the embryo doesn’t have a heart beat and mother is having bleeding/cramping will indicate which of the following:

ectopic pregnancy
Complete abortion
missed abortion
incomplete abortion

missed abortion

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When evaluating an ectopic pregnancy the flow around the pregnancy should show which of the following?

Increased Vascularity
Decreased Vascularity

Increased Vascularity

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Which of the following could cause a lower than expected beta hCg?

incorrect dates
ectopic pregnancy
twin pregnancy
molar pregnancy

1 & 2
2 & 3
2 & 4
No answer text provided.

1 & 2

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Which of the following yolk sac appearances absolutely means fetal demise has occurred?

Echogenic
Calcified
Enlarged
Odd-shaped

Calcified

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If the intrauterine sac is empty but the patient has a + pregnancy test (hCG) it could mean all of the following possibilities except:

Normal early intrauterine pregnancy <5 weeks

Pseudogestational sac in patient with ectopic pregnancy

Abnormal intrauterine pregnancy

Complete Abortion

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A calcified yolk sac means which of the following:

successful preganancy

poor prognosis for pregnancy

failed pregnancy

incidental finding in pregnancy

failed pregnancy

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A pseudogestional sac will show which of the following characteristics?

Double decidual sign

Ring of fire

Single decidual sign

Contain a pseudo yolk sac

Single decidual sign

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An ectopic pregnancy that is within the cornua of the uterus is termed:

Peritoneal

Interstitial

Cervical

Ampullary

Interstitial

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Your patient comes in with a + pregnancy test, she says she is supposed to be 8 weeks pregnant. You start to scan and notice there is a very large gestational sac, but nothing within it. You go ahead and finish the scan and see no other abnormality. What has occurred?

Blighted Ovum

Complete Abortion

Partial Abortion

Inevitable Abortion

Blighted Ovum

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This is also known as a blighted ovum.

Incomplete abortion

Ectopic Pregnancy

Anembryonic Pregnancy

Vanishing Pregnancy

Anembryonic Pregnancy

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When implantation occurs in the cesarean section scar of a patient it is called:

Cervical Scar implantation

interstitial pregancy

ampullary pregancy

Cervical Scar implantation

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The idea that pregnancies sometimes fail due to the Corpus Luteal Cyst not being sustained is termed:

Corpus Luteum Failure
Luteal Phase Defect

Progesterone deficiency

Luteal Phase Defect

Corpus Luteam Defect

Luteal Phase Defect

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Chorioadenoma destruens is also known as:

Invasive Molar Pregancy

Partial Mole

Complete Mole

Choriocaricoma

Invasive Molar Pregancy

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Which of the following would not be a clinical finding of a spontaneous abortion?

Brownish spotting

high Beta hCG

Decrease in symptoms of pregnancy

UT smaller than expected

high Beta hCG

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The classic clinical triad for ectopic pregnancy is all of the following except:

Pain

Adnexal mass

Vaginal Bleeding

Negative pregnancy test

Which of the following is the most common form of PTN?

Choricarcinoma

Placental Site Trophoblastic Tumor (PSTT)
Invasive Mole

Complete Mole

Invasive Mole

Your patient presents with heavy bleeding with pregnancy. She says she has passed a lot of tissue and she is worried that she has miscarried. When you scan you see a thin endometrium and no other signs of pregnancy. What has occurred?

Inevitable Abortion

Complete Abortion

Partial Abortion

Ectopic Pregnancy

Complete Abortion

D & C is the abbreviation for:

Dilation and Currattege

Dilation and Cutting

Dissepation and Currattege

Disection and Currattege

Dilation and Currattege

An ectopic pregnancy located in the Peritoneal cavity is called:

Abdominal Ectopic

Pericardial Ectopic

Periosteum Ectopic

Heterotopic Ectopic

Abdominal Ectopic

Your patient presents with increased right sided pain and spotting. She has a + pregnancy test. You start to scan and notice a small amount of fluid within the uterus and an adnexal mass. You place Doppler on the adnexal mass and notice that it is very very vascular. What is going on?

Ectopic Pregnancy

GTD

PTN

Incomplete Abortion

Ectopic Pregnancy

Which of the following is NOT a gestational sac feature that can indicate poor prognosis? Non-uniform shape thin trophoblastic reaction Sac is in the mid uterus Sac is in the fundus of the uterus

Sac is in the fundus of the uterus

When fetal parts start to develop, but fail to develop appropriately and then there is proliferation abnormally of the trophoblastic tissue, this is termed? Gestational trophoblastic disease Ectopic pregnancy Missed abortion Gastroschisis

Gestational trophoblastic disease

GTD can cause which of the following complications? Pre-eclampsia No answer text provided. Hyperemesis Hyperthyroidism No answer text provided.

No answer text provided.

Which of the following will rapidly metastasize to the lung, liver, brain, GI tract, skin? Invasive Mole Choriocarinoma

Choriocarinoma

Which of the following hCG levels would most likely be consistent with GTD? 10,000 IU/mL 250,000 IU/mL 5,000 IU/mL 80,000 IU/mL

250,000 IU/mL

Cervical dilatation, gestational sac low in the uterus, anechoic crescent surrounding the gestational sac, and/or downward movement of the gestational sac in the uterus during the scan represents which abortion? Inevitable Spontaneous Missed Threatened

Inevitable

Which of the following RI measurements in the intraovarian arteries would make one believe that spontaneous abortion could occur? .45 .33 .77

.77

The "snowstorm appearance" describes the appearance of which condition which of the following? GTD - complete molar Abortion - incomplete Multiple polyps retained products of conception

GTD - complete molar

You are scanning a patient who says that she is pregnant and lab has + hCG for her. When you start scanning you notice that she has a sac with an embryo but there are no fetal heart tones. What has occurred? Complete Abortion Missed Abortion Blighted Ovum Ectopic Pregnancy

Missed Abortion

Which of the following is NOT a treatment for a failed pregnancy? D & C orally taken mifepristone and misoprostol vaginally given misoprostol rectally given misoprostol

rectally given misoprostol

A patient presents with brownish bleeding, but her cervix is closed. This represents which of the following abortions? Complete Incomplete Inevitable Threatened

Threatened

What color Doppler sign is demonstrated with ectopic pregnancy? Ring of Fire Double bubble sign Seagull sign Hula Hoop of color

Ring of Fire

The most fatal form of PTN is: Placental Site Trophoblastic Tumor Choriocarcinoma Invasive Mole Partial Mole

Placental Site Trophoblastic Tumor

The Malignant forms of gestational trophoblastic disease are which of the following? 1. Partial Mole 2. Choriocarcinoma 3. Complete Mole 2 & 3 2 only 3 only

2 only

Your patient comes in post partum with a fever and leukocytosis. You scan and see an inhomogenous endometrium. This most likely is: placental site tumor GTD Retained products of conception Septic Abortion

Retained products of conception

Which of the following is a feature of the placental site trophoblastic tumor that makes it different from the other forms of PTN? it is cancerous it presents with a low hCG it presents with a low hCG it presents with the highest hCG it has no symptoms

it presents with a low hCG

Severe degrees of GTD are known as: Unknown Gestational Trophoblastic Disease Malignant Type GTD Persistent Trophoblastic Neoplasia (PTN) Intrusive Molar Pregnancies (IMP)

Persistent Trophoblastic Neoplasia (PTN)

Which of the following is the rarest? Choriocarcioma Placental Site Trophoblastic Tumor (PSTT) Invasive Mole Placental Site Trophoblastic Tumor (PSTT) Complete Mole

Placental Site Trophoblastic Tumor (PSTT)

When should the nuchal translucency be measured? 12 weeks 15-17 weeks 11-14 weeks 20 weeks

11-14 weeks

Your patient comes to the ER with a high fever and leukocytosis. You scan and find an enlarged uterus with contents that appear to have a heterogenous appearance with dirty shadowing. Which of the following are you dealing with? Missed Abortion Spontaneous Abortion GTD Septic Abortion

Septic Abortion

The most common abnormal occurrence of bleeding in the first trimester is from: Complete abortions Ectopic pregnancy Subchorionic hemorrhage Inevitable abortions

Subchorionic hemorrhage