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gyno states > Spontaneous and artificial abortions > Flashcards

Spontaneous and artificial abortions Flashcards

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1
Q

Meaning of subclinical abortion:
A) termination of pregnancy in 2-3 weeks after conception
B) termination of pregnancy until 16th week after last menstrual bleeding
C) termination of pregnancy until 24th week after last menstrual bleeding
D) termination of pregnancy until 28th week after last menstrual bleeding
E) termination of pregnancy with heavy bleeding

A

A) termination of pregnancy in 2-3 weeks after conception

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2
Q

Meaning of early abortion:
A) termination of pregnancy in 2-3 weeks after conception
B) termination of pregnancy until 12th week after last menstrual bleeding
C) termination of pregnancy until 24h week after last menstrual bleeding
D) termination of pregnancy until 28h week after last menstrual bleeding
E) termination of pregnancy with heavy bleeding

A

B) termination of pregnancy until 12th week after last menstrual bleeding

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3
Q

Meaning of late abortion:
A) termination of pregnancy in 2-3 weeks after conception
B) termination of pregnancy until 16th week after last menstrual bleeding
C) termination of pregnancy until 24h week after last menstrual bleeding
D) termination of pregnancy until 28h week after last menstrual bleeding
E) termination of pregnancy with heavy bleeding

A

C) termination of pregnancy until 24h week after last menstrual bleeding

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4
Q

We talk about spontaneous abortion, when:
A) the artificial abortion happens spontaneously
B) the abortion occurs spontaneously without any intervention
C) two pregnancies after each other end with miscarriage
D) the nonviable tissue is not expelled after the death of the fetus
E) the nonviable tissue absorbs spontaneously

A

B) the abortion occurs spontaneously without any intervention

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5
Q

We talk about arteficial abortion, when:
A) after the abortion occurs we evacuate the cavity of the uterus
B) the pregnancy ends because of a previous operation on the uterus
C) the pregnancy ends after assisted reproductive technique
D) we finish the incomplete miscarriage instrumentally
E) the pregnancy without any complaints ends by arteficial intervention

A

E) the pregnancy without any complaints ends by arteficial intervention

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6
Q

We talk about criminal abortion, when:
A) the pregnancy without any complaints is finished legally
B) serious complications occur during the procedure of the abortion
C) the pregnancy without any complaints is finished illegally
D) the finishing of the miscarriage happens in criminal situation
E) we finish a pregnancy which has conceived during crime

A

C) the pregnancy without any complaints is finished illegally

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7
Q

Meaning of missed abortion is:
A) the nonviable tissue is not expelled after the death of the fetus
B) the death embryo is expelled from the cavity of the uterus spontaneously
C) two or more pregnancies after each other end with miscarriage
D) there are retained products of conception after we finished the pregnancy instrumentally
E) serious complications occur during the finishing of the abortion

A

A) the nonviable tissue is not expelled after the death of the fetus

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8
Q

We talk about complete abortion, when:
A) during the artificial abortion we totally evacuate the cavity of the uterus
B) during the abortion the fetus is expelled from the uterus in full
C) during the early abortion all products of conception is expelled from the uterus
D) the death embryo is absorbed and there is no visible embryo in the gestational sac
E) after the spontaneous abortion we totally evacuate the cavity of the uterus

A

C) during the early abortion all products of conception is expelled from the uterus

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9
Q

In case of tubal abortion:
A) the pregnancy which is implanted in the cavity of the uterus leaves through the Fallopian tube
B) the pregnancy which is implanted in the Fallopian tube leaves through the cavity of the uterus
C) the pregnancy which is implanted in the Fallopian tube is absorbed spontaneously
D) during the abortion the pregnancy leaves through the cervical os, the other part of the bleeding leaves through the Fallopian tube
E) the ectopic pregnancy which is implanted in the Fallopian tube leaves into the abdominal cavity

A

E) the ectopic pregnancy which is implanted in the Fallopian tube leaves into the abdominal cavity

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10
Q

Spontaneous abortion can be caused by:
A) maternal reasons
B) paternal reasons
C) fetoplacental reasons
D) teratogenic reasons
E) all of them

A

E) all of them

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11
Q

How many per cent of desired pregnancy end with spontaneous abortion?
A) 5–9%
B) 10–13%
C) 15–20%
D) 19–25%
E) 25–30%

A

C) 15–20%

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12
Q

What is the most important difference between threatened abortion and inevitable abortion?
A) the quality of the bleeding
B) the quantity of the cramping low abdominal pain
C) opened or closed internal cervical status
D) the quality of expelled products of the conception through the opened cervical os

A

C) opened or closed internal cervical status

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13
Q

What is the most important difference between incomplete abortion and complete abortion?
A) the quality of the bleeding
B) the quantity of the cramping low abdominal pain
C) open or closed internal cervical status
D) the empty cavity of the uterus
E) the quality of expelled products of the conception

A

D) the empty cavity of the uterus

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14
Q

An early pregnant woman complaints of low abdominal cramp, bleeding and during vaginal examination the internal cervical os is closed. What type of spontaneous abortion do you think?
A) threatened abortion
B) inevitable abortion
C) incomplete abortion
D) complete abortion
E) criminal abortion

A

A) threatened abortion

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15
Q

An early pregnant woman complaints of low abdominal cramp, bleeding and during vaginal examination the internal cervical os is open and some products of conception is expelled. What type of spontaneous abortion do you think?
A) threatened abortion
B) inevitable abortion
C) incomplete abortion
D) complete abortion
E) criminal abortion

A

C) incomplete abortion

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16
Q

We can diagnose missed abortion certainly:
A) based on the palpation findings
B) based on the hormone tests
C) based on the ultrasound findings
D) based on the clinical symptoms
E) only if based on all of these findings

A

C) based on the ultrasound findings

17
Q

The essence of menstrual regulation:
A) After the last missed menses, we induce uterinary bleeding with medicines.
B) In six weeks after the first day of the last menstrual period we aspirate the pregnancy from the cavity of the uterus without cervical dilatation.
C) After medical dilatation of the cervix we aspirate the pregnancy from the cavity of the uterus.
D) After medical dilatation of the cervix we remove the pregnancy from the cavity of the uterus by curettage.
E) After mechanical dilatation of the cervix we remove the pregnancy from the cavity of the uterus.

A

B) In six weeks after the first day of the last menstrual period we aspirate the pregnancy from the cavity of the uterus without cervical dilatation.

18
Q

The essence of menstrual induction:
A) After the last missed menses, (amenorrhoea is not more than 48 days) we induce uterinary bleeding with medicines.
B) In six weeks after the first day of the last menstrual period we aspirate the pregnancy from the cavity of the uterus without cervical dilatation.
C) After medical dilatation of the cervix we aspirate the pregnancy from the cavity of the uterus.
D) After medical dilatation of the cervix we remove the pregnancy from the cavity of the uterus by curettage.
E) After mechanical dilatation of the cervix we remove the pregnancy from the cavity of the uterus.

A

A) After the last missed menses, (amenorrhoea is not more than 48 days) we induce uterinary bleeding with medicines.

19
Q

When the genetic and/or teratogenic harm risk is more than 10% (genetic and teratology indication), until which week can we perform the abortion?
A) until 8th week of pregnancy
B) until 12th week of pregnancy
C) until 18th week of pregnancy
D) until 20th week of pregnancy
E) whenever during pregnancy

A

B) until 12th week of pregnancy

20
Q

When the risk is 50-100 %, that the fetus has a serious disease/abnormality and we have a minimal chance to treat it (fetal indication), until which week can we perform the abortion?
A) until 8th week of pregnancy
B) until 12th week of pregnancy
C) until 18th week of pregnancy
D) until 20th, exceptionally 24th week of pregnancy
E) whenever during pregnancy

A

D) until 20th, exceptionally 24th week of pregnancy

21
Q

A 36-year-old woman after 8 weeks without any menstrual bleeding visited her ob/gyn doctor to terminate her pregnancy, but during the gynecological examination there was not any probable pregnancy, only fibroid in the uterus. Five weeks later the ultrasound examination showed a 13th week of pregnancy. Is the termination of pregnancy allowed?

A) the termination of pregnancy is not allowed because it is more than 12 weeks of pregnancy
B) the termination of pregnancy is allowed because the woman is more than 35 years old
C) the termination of pregnancy is allowed because of the uterine fibroid
D) the termination of pregnancy is allowed because the woman visited the ob/gyn doctor earlier, but the doctor did not identify the pregnancy, so that the pregnancy is more than 13 weeks is outside her control
E) the pregnancy is more than 12 weeks, so there is no reason to terminate it

A

D) the termination of pregnancy is allowed because the woman visited the ob/gyn doctor earlier, but the doctor did not identify the pregnancy, so that the pregnancy is more than 13 weeks is outside her control

22
Q

Meaning of blighted ovum (cystic ovum):

A) there is cystic degeneration in the trophoblast
B) there are lutein cysts in the ovaries
C) there are echo-free, cystic areas subchorially
D) the cavity of the uterus is filled of echo-free cysts
E) the embryo dies early, most of it is absorbed and the gestational sac developes empty for a while

A

E) the embryo dies early, most of it is absorbed and the gestational sac developes empty for a while

23
Q

Symptoms of threatened abortion:
1) low abdominal cramp
2) vaginal bleeding
3) closed cervical os
4) open cervical os
5) products of conception are expelled

A) 1, 2 and 3 are correct
B) 2 and 4 are correct
C) 3 and 5 are correct
D) all of them are correct
E) none of them are correct

A

A) 1, 2 and 3 are correct

24
Q

We talk about febrile abortion, when:
1) a previous febrile state leads to the abortion later
2) during the abortion a febrile complication is presenting
3) some weeks after finishing the abortion a febrile state occurs
4) during the abortion febrile state and pelvic inflammation are presenting
5) during the abortion the infection through the blood vessels affects the whole body

A) 1, 2 and 3 are correct
B) 2, 4 and 5 are correct
C) 1, 2 and 4 are correct
D) all of them are correct
E) none of them are correct

A

B) 2, 4 and 5 are correct

25
Q

Methods for abortion before 12th pregnant week:
1) menstrual regulation
2) menstrual induction
3) cervical dilatation and curettage (D+C)
4) cervical dilatation and vacuum aspiration (D+VA)
5) cervical dilatation and pain augmentation
6) hysterotomia (sectio parva) and hysterotomia vaginalis

A) 1, 2 and 3 are correct
B) 2 and 4 are correct
C) 1, 2, 3 and 4 are correct
D) all of them are correct
E) none of them are correct

A

C) 1, 2, 3 and 4 are correct

26
Q

Methods for abortion after 12th pregnant week:
1) menstrual regulation
2) menstrual induction
3) cervical dilatation and curettage (D+C)
4) cervical dilatation and vacuum aspiration (D+VA)
5) cervical dilatation and pain augmentation
6) hysterotomia (sectio parva) and hysterotomia vaginalis

A) 1, 2 and 3 are correct
B) 5 and 6 are correct
C) 2 and 4 are correct
D) all of them are correct
E) none of them are correct

A

B) 5 and 6 are correct

27
Q

Early complications of artificial abortion can be:
1) inflammation
2) uterinary wall perforation and injury of the surrounding organs
3) injury of the endometrial basal layer
4) retained parts of the conception, bleeding
5) anesthesiological complications

A) answers 1, 2 and 3 are correct
B) answers 2 and 4 are correct
C) answers 1, 2 and 4 are correct
D) all of the answers are correct
E) none of the answers are correct

A

D) all of the answers are correct

28
Q

Late complications of arteficial abortion can be:
1) Asherman-syndrome
2) infertility
3) changing of regular menstrual cycle
4) psychical abnormalities
5) cervical incompetence

A) 1, 2 and 3 are correct
B) 2 and 4 are correct
C) 1, 2 and 4 are correct
D) all of them are correct
E) none of them are correct

A

D) all of them are correct

29
Q

Usually the mechanism of the abortion consists of one phase until the 16th week , so in case of complete abortion the instrumental completion is not absolutely indicated.
A) both are correct and there is a causal relationship between them
B) both are correct but there is no causal relationship between them
C) the first sentence in itself is correct and the second one is not correct
D) the first sentence is not correct and the second one in itself is correct
E) both are incorrect

A

B) both are correct but there is no causal relationship between them

30
Q

The mechanism of the abortion consists of 2 phases until 16th week, therefore in this case the instrumental completion of the abortion is indicated.
A) both are correct and there is a causal relationship between them
B) both are correct but there is no causal relationship between them
C) the first sentence in itself is correct and the second one is not correct
D) the first sentence is not correct and the second one in itself is correct
E) both are incorrect

A

A) both are correct and there is a causal relationship between them

gyno states (9 decks)

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