Ectopic

Question 1

When does rupture of tubal pregnancy in the isthmus usually occur?

Answer 1

6-8 weeks

Question 2

When does rupture of interstitial ectopic pregnancy usually occur?

Answer 2

16 weeks

Question 3

When does ampullary ectopic pregnancy rupture usually occur?

Answer 3

8-12 weeks

Question 4

Most identified risk factor for ectopic pregnancy

Answer 4

Previous PID

Question 5

Triad of ectopic pregnancy

Answer 5

Abdominal pain
Amenorrhea
Vaginal bleeding

Question 6

Expected HCG levels for ectopic pregnancy

Answer 6

> 1,500

Question 7

Expected serum progesterone levels in ectopic pregnancy

Answer 7

< 5 ng/ml –> intrauterine with dead fetus or ectopic

Question 8

Gold standard for diagnosis of ectopic pregnancy

Answer 8

Laparoscopy

Question 9

Indications for medical management of ectopic pregnancy

Answer 9

Pregnancy < 6 weeks AOG
Mass < 3.5 cm
Absence of FHT
HCG: < 15,000
No evidence of repture

Question 10

Bleeding a consequence of velamentous insertion of umbilical cord

Answer 10

Vasa previa

Question 11

Types of abruptio placenta

Answer 11

Concealed
Marginal
Overt

Question 12

Bleeding into the decidua basalis with separation of blood between the mother and baby

Answer 12

Abruptio placenta

Question 13

Findings in ultrasound in abruptio placenta

Answer 13

Retroplacental blood clots

Question 14

Anesthesia of choice for vaginal delivery of abruptio placenta

Answer 14

Pudendal block

Question 15

Anesthesia of choice for CS of abruptio placenta

Answer 15

GA

Question 16

Couvelaire uterus

Answer 16

Aka uterine apoplexy

Question 17

Full thickness laceration of uterine myometrium

Answer 17

Uterine rupture

Question 18

Management of uterine rupture

Answer 18

Immediate emergency CS

Question 19

PROM

Answer 19

> 37 weeks AOG

ROM 1 hour prior to onset or labor

Question 20

Prolonged PROM

Answer 20

> 18 hours prior to onset of labor

Question 21

PPROM

Answer 21

<37 weeks AOG

ROM at least 1 hour prior to onset of labor

Question 22

Management of PPRPOM patient

Answer 22

If < 34 weeks: give steroids for baby’s lung maturity

If > 34 weeks: deliver

Question 23

MCC of pregnancy-related death during the first trimester

Answer 23

Ectopic pregnancy