Ectopic Pregnancy

Question 1

Where do 98% of ectopic pregnancies happen?

Answer 1

They implant in the fallopian tube

Question 2

If a woman at fertile age presents with lower abdominal pain, vaginal bleeding, or both. What do we do?

Answer 2

A pregnancy test

Question 3

Management of emergency ruptured EP?

Answer 3

urgent laparoscopy or laparotomy

Question 4

Given that B-HCg doubles every 48 hours in normal pregnancy, what do investigation do we do for EP, and what are the findings

Answer 4

B-HCG levels and repeat after 48 hours, findings would show a plateau in levels

Question 5

First line medical management for EP

Answer 5

Methotrexate

Question 6

Surgical management of EP

Answer 6

Laparoscopy

Question 7

When do we offer surgical laparoscopy instead of methotrexate

Answer 7

hemodynamic instability, risk of rupture, or refuse methotrexate.

Question 8

Which women of Ep do we offer Anti-D to?

Answer 8

Rh-negative women

Question 9

Anti-D immunoglobulin is indicated for Rh-negative women when?

Answer 9

After surgical management

Question 10

We monitor B-hCG weekly until becoming negative after which surgical management?

Answer 10

Salpingotomy