Miscarriage

Question 0

MC etiology for first trimester abortion

Answer 0

12 weeks
Chromosomal abnormality
Autosomal trisomy
Monosomal X - 2nd

Question 1

Early pregnancy loss

Answer 1

Ectopic pregnancy
Abortion
GSTT

Question 2

MCC second trimester abortion

Answer 2

Maternal uterine abnormalities or cervical incompetence

Question 3

Type of spontaneous abortion
Open cervix
Absent cardiac activity and retrochoreal hemorrhage

Answer 3

Inevitable

D&C

Question 4

Type of spontaneous abortion
Open cervix
Retained products on utz

Answer 4

Incomplete

D&C

Question 5

Type of spontaneous abortion
Closed cervix
Incompatible uterine size
Empty cavity

Answer 5

Complete

Observe

Question 6

Type of spontaneous abortion
Closed cervix
Incompatible uterine size
Empty gestational sac in blighted ovum or fetus without cardiac activity

Answer 6

Missed

D&C

Question 7

Type of spontaneous abortion
Closed cervix
Compatible uterine size
Live fetus or retrochoreal hemorrhage

Answer 7

Bed rest

Question 8

<3 cm cervix

Widening of internal cervical canal

Answer 8

Incompetent cervix

Question 9

Recurrent pregnancy loss

Answer 9

Chromosomal abnormalities karyotyping
Uterine abnormality
APAS lupus anticoagulant and anti cardiolipin ab

Question 10

D&C

D&E and D&X

Answer 10

14-15 w

16 w

Question 11

Severe Septic abortion

Answer 11

Profuse foul discharge
Present L/R adnexal mass
T>40
>12 w
Confirmed history of instrumentation

Hypotension with tachycardia unless sec to blood loss
RR>24

Question 12

MC manifestation of post abortal infection

Answer 12

Endometritis

Question 13

Air pockets in muscular layer of uterus

Answer 13

Anaerobes

Question 14

DOC for Septic abortion

Answer 14

Pen G

Question 15

Tx for cervical incompetence

Answer 15

McDonald cerclage MC

Shirodkar for failed McDonald and structural abnormality