Ectopic Pregnancy Flashcards

1
Q

 One in which implantation occurs outside the uterine cavity

A

ECTOPIC PREGNANCY

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2
Q

Possible sites for ectopic pregnancy

A
  1. Fallopian tube
  2. Ovarian
  3. Cervical
  4. Abdominal
  5. Intramural
  6. Isthmic
  7. Cornual
  8. Infundibular
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3
Q
  • When pregnancy occur in both womb & tube at the same time
A

HETEROTROPIC PREGNANCY

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3
Q

Most important cause of EP

A

PELVIC INFLAMMATORY DISEASE (PID)

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4
Q

o Tubal epithelium invades Myo salpinx, forming a diverticulum

A

Salpingitis Isthmic Nodosa of the tube (SIN)

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5
Q

partial stenosis of the tube

A

TUBECTOMY

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6
Q

removal of one or both fallopian tubes.

A

SALPINGECTOMY

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6
Q

kinking at the isthmic portion of the tube

A

VENTROSUSPENSION

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6
Q

Abnormal proliferation and then degeneration of the trophoblastic villi

A

GESTATIONAL TROPHOBLASTIC DISEASE
(HYDATIDIFORM MOLE)

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7
Q

prevents intrauterine pregnancy more effectively than tubal pregnancy

A

INTRA UTERINE CONTRACEPTIVE DEVICE (IUCD)

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7
Q

Management for H-mole

A

METHOTREXATE
DACTINOMYCIN
SUCTION CURRETAGE

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7
Q
  • Abnormal trophoblast cells must be identified because they are associated with __________ (rapidly metastasizing malignancy)
A

CHORIOCARCINOMA

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8
Q

Pregnancy in which Fetus grows in pelvic cavity

A

ABDOMINAL PREGNANCY

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9
Q

Prophylactic treatment that attacks rapidly growing cells

A

METHOTREXATE

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10
Q

This medicine is ordered once metastasis occurs

A

DACTINOMYCIN

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11
Q

fistulous opening in the medial end of tube

A

LAPAROSCOPIC CAUTERIZATION

12
Q

Zygote grows large enough to rupture slender fallopian tube or the trophoblasts cells break through the narrow base

A

RUPTURED EP

13
Q

In a ruptured Ep, a woman experiences?

A

SHARP, STABBING PAIN IN ONE OF THE LOWER ABDOMINAL QUADRANTS FOLLOWED BY SCANT VAGINAL SPOTTING

14
Q

If a ruptured EP occurs and the patient goes to shock, what should be done?

A

RESUSCITATION

14
Q

If tubal rupture occurs, this is ordered by the doctor

A

IMMEDIATE SALPINGECTOMY

14
Q

superficial bruising in the subcutaneous fat around umbilicus

A

CULLEN’S SIGN

14
Q

If cornual rupture occurs, this is ordered by the doctor

A

HYSTERECTOMY

15
Q

This is a prophylactic tx for H-mole that attacks rapidly growing cells like the abnormally growing trophoblastic cells

A

METHOTREXATE

15
Q

In the cases of H-mole, this is ordered once metastasis occurs

A

DACTINOMYCIN

15
Q
  • Ideal management of H-mole to evacuate the mole inside uterus and avoid further complications
A

SUCTION CURRETAGE

15
Q

Very rarely after an ectopic pregnancy ruptures—so rarely
that the instances are difficult to document—the products of
conception are expelled into the pelvic cavity with a minimum of bleeding

A

ABDOMINAL PREGNANCY