Abortion Flashcards
More than 80% of spontaneous abortions occur in what stage of pregnancy?
A. 1st trimester
B. 2nd trimester
C. 3rd trimester
D. Labor
A. 1st trimester
Which of the following layers is sloughed off during menstruation and grows anew during each cycle?
A. Stratum basalis
B. Stratum functionalis
C. Tunica mucosa
D. Tunica muscularis
B. Stratum functionalis
Which of the following aneuploidy is the most common cause of first trimester abortions?
A. Monosomy B. Autosomal trisomy C. Triploidy D. Tetraploidy E. Structural anomaly
B. Autosomal trisomy
All of the following are maternal outcomes in threatened abortion EXCEPT:
A. Placenta previa B. Abruptio placenta C. Caesarian delivery D. Perinatal death E. None of the options
D. Perinatal death
Ana, 25 y/o F, comes to visit your clinic. She complained of fever, severe pelvic pain, bleeding, and vaginal discharge. Which of the following is the most predictive risk factor for pregnancy loss?
A. Fever B. Severe pelvic pain C. Bleeding D. Vaginal discharge E. Any of the options
C. Bleeding
You found out that Ana is pregnant. However, due to excessive bleeding you suspected pregnancy loss. Which of the following levels of serum progesterone is considered with dying pregnancy?
A. <5 ng/mL
B. 5 - 10 ng/mL
C. 10 - 20 ng/mL
D. >20 ng/mL
A. <5 ng/mL
All of the following are diagnostic sonographic findings for early pregnancy loss EXCEPT:
A. CRL ≥7 mm and no heartbeat
B. MSD ≥25 mm and no embryo
C. Absence of embryo with heartbeat ≥2 weeks after a scan showed a gestational sac without a yolk sac
D. Absence of embryo with heartbeat ≥11 days after a scan showed a gestational sac with a yolk sac
E. None of the options
E. None of the options
Refers to dead products of conception that were retained for days, weeks, months in the uterus with a closed cervical os.
A. Threatened abortion
B. Complete abortion
C. Incomplete abortion
D. Missed abortion
D. Missed abortion
Which of the following is the most successful management for incomplete abortion?
A. Expectant management
B. Misoprostol
C. Mifepristone
D. Curettage
D. Curettage
Recurrent miscarriage is defined as ________
A. >3 consecutive pregnancy losses at 20 or less than 20 weeks
B. >3 consecutive pregnancy losses at more than 20 weeks
C. 3 or more consecutive pregnancy losses with fetal weight >500 g
D. Two of the options
E. None of the options
A. >3 consecutive pregnancy losses at 20 or less than 20 weeks
All of the following are TRUE about cervical insufficiency EXCEPT:
A. Also known as incompetent cervix B. Most common in 1st trimester C. Absence of uterine contractions D. Most common cause is cervical trauma such as cervical lacerations during childbirth E. None of the options
B. Most common in 1st trimester
Which of the following is the most common site of ectopic pregnancy?
A. Fimbriae
B. Infundibulum
C. Ampulla
D. Isthmus
C. Ampulla
All of the following are clinical manifestations of ectopic pregnancy EXCEPT:
A. Delayed menstruation B. Pain C. Vaginal bleeding D. Vaginal spotting E. None of the options
E. None of the options
Which of the following procedures involves the removal of the entire fallopian tube which is indicated for ruptured or unruptured tubes?
A. Salpingostomy
B. Salpingotomy
C. Salpingectomy
D. Laparoscopy
C. Salpingectomy
What aspect of the pelvic inlet is considered as the only dimension that can be measured via vaginal examination?
A. Obstetric conjugate
B. Diagonal conjugate
C. Transitional conjugate
D. Any of the options
B. Diagonal conjugate
