Ectopic Pregnancy

Question 0

RF
HR
MR
LR

Answer 0

Tubal sterilization IUD
Previous PID
Surgery, smoking, douching

Question 1

Common fate of ectopic pregnancies

Answer 1

Spontaneous reabsorption

HCG<1000

Question 2

Ectopic triad

Answer 2

Abdominal pain
Amenorrhea
Vaginal bleeding
6-8 weeks

Question 3

Signs of ectopic rupture

Answer 3

Hypotension
Tachycardia
Peritoneal signs

Question 4

Gold standard for dx of ectopic pregnancy

Answer 4

Laparoscopy

Question 5

Most commonly used dx test

Answer 5

> 1500 miU/mL HCG with an empty uterus on utz

Question 6

Serum progesterone
Normal pregnancy
Ectopic or abortion

Answer 6

> 25 ng/L

5

Question 7

Confirm dx in emergent situations

Hemoperitoneum

Answer 7

Culdocentesis

Question 8

Ectopic triad

HCG<1500

Answer 8

POSSIBLE ECTOPIC PREGNANCY
Repeat HCG after 2-3 d
Double every 58 hrs or 33% increase

Question 9

Ectopic pregnancy

HCG>1500

Answer 9

UNRUPTURED ECTOPIC PREGNANCY
Methotrexate if
<3.5 cm tubal mass
No FH motion

Laparoscopy
Ampullary: salphingostomy
Isthmic: resection

Question 10

Ectopic triad
Hemodynamically unstable
Culdocentensis positive

Answer 10

EL
Salphingectomy for no more pregnancy
Resection and anastomosis for desirous of pregnancy

Question 11

Salpingostomy
Salpingotomy
Salpingectomy

Answer 11

<2 cm distal third of FT
Delayed absorbable suture
Cornual resection

Question 12

Persistent ectopic pregnancy

Answer 12

Pregnancies 3000

Medial to salphingostomy site