B8.062 LG Missed Female Period

Question 1

similarities between ectopic pregnancy and miscarriage presentations

Answer 1

amenorrhea
bleeding
abdominal pain

Question 2

method for diagnosis of ectopic pregnancy and miscarriage

Answer 2

pelvic exam
B-hcg
TVUS

Question 3

locations of ectopic pregnancy vs miscarriage

Answer 3

ectopic - extrauterine

miscarriage - intrauterine

Question 4

cause of ectopic pregnancy vs miscarriage

Answer 4

ectopic- FRT abnormalities

miscarriage - embryo abnormalities

Question 5

parts of the pelvic exam in diagnosis of ectopic/miscarriage

Answer 5

cervical motion tenderness > indicative of PID or ectopic
open vs closed cervix allows distinction among stages of miscarriage (missed, inevitable, incomplete, completed, threatened)

Question 6

Asherman’s syndrome

Answer 6

intrauterine adhesions/synechiae
presence of adhesions and fibrosis within the uterine cavity due to scarring
post op complication of uterine evacuations for menorrhagia, pregnancy termination, or postpartum hemorrhage
*occurs most frequently after D&C

Question 7

treatment options for Asherman’s

Answer 7

remove adhesions
foley catheter insertion
administer estrogen

Question 8

why can estrogen be used to treat Ashermans

Answer 8

speeds up endometrial regeneration

Question 9

effects of TRH analogs on menstruation

Answer 9

increased TRH > increased prolactin > decreased GNRH