1st Trimester Patho Flashcards
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
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
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
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
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
When evaluating an ectopic pregnancy the flow around the pregnancy should show which of the following?
Increased Vascularity
Decreased Vascularity
Increased Vascularity
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
Which of the following yolk sac appearances absolutely means fetal demise has occurred?
Echogenic
Calcified
Enlarged
Odd-shaped
Calcified
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
Complete Abortion
A calcified yolk sac means which of the following:
successful preganancy
poor prognosis for pregnancy
failed pregnancy
incidental finding in pregnancy
failed pregnancy
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
An ectopic pregnancy that is within the cornua of the uterus is termed:
Peritoneal
Interstitial
Cervical
Ampullary
Interstitial
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
This is also known as a blighted ovum.
Incomplete abortion
Ectopic Pregnancy
Anembryonic Pregnancy
Vanishing Pregnancy
Anembryonic Pregnancy
When implantation occurs in the cesarean section scar of a patient it is called:
Cervical Scar implantation
interstitial pregancy
ampullary pregancy
Cervical Scar implantation
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
Chorioadenoma destruens is also known as:
Invasive Molar Pregancy
Partial Mole
Complete Mole
Choriocaricoma
Invasive Molar Pregancy
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
The classic clinical triad for ectopic pregnancy is all of the following except:
Pain
Adnexal mass
Vaginal Bleeding
Negative pregnancy test
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?
- Partial Mole
- Choriocarcinoma
- 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
