OB GOLD - Ectopic Pregnancy

Question 1

Most common site of ectopic pregnancy?

Answer 1

Ampulla

Question 2

Tubal rupture during ectopic pregnancy usually occur in the?

Answer 2

Isthmus

Question 3

Abdominal ectopic pregnancies can be carried until term, T or F?

Answer 3

True

Question 4

Triad of ectopic pregnancy?

Answer 4

Delayed menstruation, pain, vaginal spotting

Question 5

Level of HCG for normal pregnancy?

Answer 5

10-20 mIU/mL

Question 6

Level of HCG for ectopic pregnancy?

Answer 6

> 1,500 mIU/mL

Question 7

a progesterone level of 30ng/mL was read from an expecting mother, does this indicate ectopic pregnancy? Yes or No?

Answer 7

No, a progesterone level of >25 ng/mL is not ectopic pregnancy

10-25 in ectopic pregnancy

Question 8

Fluid in posterior fornix (cul de sac) does not clot, what does this indicate?

Answer 8

Ectopic pregnancy

Question 9

medical treatment for ectopic pregnancy?

Answer 9

Methotrexate

Folate acid antagonist

Question 10

Indicator of success of treatment in ectopic pregnancy?

Answer 10

B HCG

<1000 has 1.5% failure rate

Question 11

What size of ectopic pregnancy indicates a high success rate of treatment?

Answer 11

< 3.5cm

Question 12

IF B HCG is >1500, ectopic pregnancy is >3.5cm and is >6 weeks, what is the treatment?

Answer 12

Surgery

Question 13

What protein is increased in abdominal ectopic pregnancy?

Answer 13

maternal AFP