Hydatidiform mole - action

Question 1

What is a hydatidiform mole?

Answer 1

A type of gestational trophoblastic disease characterized by abnormal trophoblastic tissue growth in the uterus after fertilization

Also known as a molar pregnancy

Question 2

What are the two types of hydatidiform moles?

Answer 2

• Complete mole
• Partial mole

Question 3

What is the primary diagnostic tool for a hydatidiform mole?

Answer 3

Ultrasound

Question 4

What pattern is revealed in a complete mole during an ultrasound?

Answer 4

‘Snowstorm’ pattern

Question 5

What is the significance of elevated beta-hCG levels?

Answer 5

Indicative of gestational trophoblastic disease (GTD)

Question 6

What type of examination confirms the diagnosis after evacuation of a hydatidiform mole?

Answer 6

Histopathological examination

Question 7

What is the preferred method for evacuating molar tissue from the uterus?

Answer 7

Suction Dilation and Curettage (D&C)

Question 8

What preparations are necessary before the evacuation procedure?

Answer 8

• Blood type and cross-matching
• Establish intravenous access

Question 9

What type of anesthesia is typically used for the evacuation of a hydatidiform mole?

Answer 9

Local or general anesthesia

Question 10

What is essential for postoperative care after the evacuation?

Answer 10

Monitoring vital signs and managing recovery

Question 11

What should be administered if the patient is Rh-negative?

Answer 11

Rh immunoglobulin

Question 12

How often should hCG levels be monitored post-evacuation?

Answer 12

• Weekly until normalization
• Monthly for an additional 6 to 12 months

Question 13

What is the recommended period to avoid pregnancy after a hydatidiform mole?

Answer 13

6 to 12 months

Question 14

What type of contraceptives can be used post-evacuation?

Answer 14

• Non-hormonal
• Hormonal (based on preference and medical suitability)

Question 15

Why is emotional support important after a hydatidiform mole diagnosis?

Answer 15

To address psychological impact and provide counseling referrals as needed

Question 16

What is persistent gestational trophoblastic neoplasia (GTN)?

Answer 16

A condition where hCG levels plateau or rise, indicating the potential need for chemotherapy

Question 17

What should be monitored if there’s suspicion of malignant transformation in GTN?

Answer 17

Frequent sites of metastasis, such as the lungs

Question 18

What risk factors may lead to a hydatidiform mole?

Answer 18

• Advanced maternal age
• History of prior molar pregnancy

Question 19

What is the importance of early prenatal care for patients with risk factors for hydatidiform mole?

Answer 19

To receive early ultrasound evaluation in future pregnancies

Question 20

True or False: There is a proven method to prevent a hydatidiform mole.

Answer 20

False

Question 21

Fill in the blank: Managing a hydatidiform mole involves careful _______ of the abnormal tissue.

Answer 21

evacuation