Ectopic Pregnancy

Question 1

what is the investigation of choice for ectopic pregnancy?

Answer 1

transvaginal ultrasound

Question 2

how should a ectopic pregnancy measuring <35mm be managed?

Answer 2

expectant or medically

Question 3

how should a ectopic pregnancy measuring >35mm be managed?

Answer 3

surgically

Question 4

how should a ruptured ectopic pregnancy be managed?

Answer 4

surgically

Question 5

how should a ectopic associated with significant pain be managed?

Answer 5

surgically

Question 6

how should an asymptomatic ecoptic pregnancy be managed?

Answer 6

expectantly

Question 7

at what level of hCG should an ectopic be managed surgically?

Answer 7

> 5000 IU/L

Question 8

how should an ectopic with a visible fetal heartbeat be managed?

Answer 8

surgically

Question 9

what is expectant management of ectopic pregnancy?

Answer 9

• monitoring over 48 hours
• b-hCG rises/symptomatic –> intervene

Question 10

what is the medical management of an ectopic pregnancy?

Answer 10

methotrexate

Question 11

what are the contraindications to medical management of ectopic pregnancy?

Answer 11

• visible foetal heartbeat
• ruptured ectopic
• feotus measuring >35mm

Question 12

what are the indications for an expectant management of ectopic pregnancy?

Answer 12

• foetus size <30mm
• asymptomatic
• declining serum b-hCG

Question 13

what is the surgical management of an ectopic pregnancy?

Answer 13

• salpingectomy
• salpinogtomy

Question 14

what is salpingectomy?

Answer 14

surgical removal of one or both fallopian tubes

Question 15

what is a salpingostomy?

Answer 15

creation of an opening into the fallopian tube, but the tube itself is not removed in this procedure

Question 16

what is the 1st line surgical management in ectopic pregnancy?

Answer 16

salpingectomy

Question 17

when is salpinogtomy considered in ectopic pregnancy management?

Answer 17

women with risk factors for infertility
e.g. contralateral tube damage