First trimester abnormals

Question 1

Clinical signs of ectopic pregnancy

Answer 1

bleeding, pelvic pain, palpable mass

Question 2

T or F – BHCG in an ectopic pregnancy rise slower than with an IUP

Answer 2

true

Question 3

Most common site for ectopic formation

Answer 3

Ampulla

Question 4

T or F - may see a pseudoGS with an ectopic

Answer 4

T

Question 5

Heterotopic pregnancy

Answer 5

IUP and ectopic occuring simultaneously

Question 6

Gestational trophoblastic disease is a spectrum term including

Answer 6

Persistent trophoblastic neoplasia = invasive mole, choriocarcinoma, placental site trophoblastic tumor
and
hydatidform molar pregnancy

Question 7

T or F – previous molar pregnancy increases risk for recurrence

Answer 7

T

Question 8

bhcg in a hydatidform molar pregnancy

Answer 8

> 100,000
normally decline after 100 days LMP

Question 9

Complete molar pregnancy appearance on US

Answer 9

enlarged UT
central heterogeneous mass within endo canal
no fetus (unless coexisting twin)
ovaries enlarged

Question 10

Partial molar pregnancy US appearance

Answer 10

triploidy fetus with multiple anomalies
large placenta with ++ cystic spaces

Question 11

Invasive mole ultrasound appearance

Answer 11

invasive mole into myometrium

Question 12

Invasive mole is AKA

Answer 12

chorioadenoma destruens

Question 13

BHCG with invasive mole

Answer 13

persistent elevation >1-3 months after evacuation

Question 14

Choriocarcinoma

Answer 14

malignant and invasive mole
can met

Question 15

T or F – choriocarcinoma can be seen with a normal gestation

Answer 15

T

Question 16

Placental site trophoblastic tumor

Answer 16

presents 1-14 years post normal, molar or terminated pregnancy

non villous trophoblasts invade myo and produce human placental lactogen and bhcg (bhcg often low/absent)