Module 2

2-8 weeks after missed menstrual period, 6-12 weeks AOG

How many weeks AOG does rupture of the fallopian tube occur? (2 answers.)

Sharp, stabbing lower quadrant pain and scant vaginal spotting

What are the two most common symptoms of ectopic pregnancy?

Tachycardia, lightheadedness, and syncope

What are the symptoms of hypovolemic shock?

Ectopic pregnancy

Cullen’s sign, adnexal tenderness, palpable tender mass in Douglas cul-de-sac, and abdominal rigidity are symptoms that appear during a late consultation for what first trimester condition?

Transvaginal sonogram

What diagnostic test reveals the ruptured fallopian tube and the blood collecting in the peritoneum?

Culdocentesis

What diagnostic test involves the insertion of a needle into the posterior vaginal fornix and is only performed when the result from a trans vaginal sonogram is not definite?

Hysterosalpingogram

What is used to check if the fallopian tube is fully patent?

Methotrexate and mifepristone

What therapeutic management is appropriate for ectopic pregnancy that is detected early, without any rupture of fallopian tube?

Laparoscopy

What therapeutic management is most appropriate for a ruptured ectopic pregnancy?

20-24 weeks

When is the age of viability?

Before 16 weeks

When is a miscarriage considered early?

False

True or False: Late miscarriage tends to have heavier bleeding.

Isotretinoin and Accutame

What are the two acne medications that may cause abortion?

Vaginal spotting, lower backache, and abdominal cramps

What are the common presenting symptoms of abortion?

Threatened Miscarriage

What type of abortion starts with scant, bright red vaginal bleeding with no dilatation?

At the start of bleeding and after 48 hours

For those with threatened miscarriage, when should an HcG blood test be taken?

Imminent miscarriage

What type of abortion includes cervical dilatation, contractions, but no fetal heart sounds, and involves the loss of products of conception?

True

True or False: More than one saturated pad per hour is considered abnormally heavy bleeding.

Complete miscarriage

What type of abortion involves spontaneous expulsion of the entire product of conception and is considered self-limiting, with bleeding slowing down within 2 hours?

Incomplete miscarriage

What type of abortion includes fetal expulsion but retained membranes and placenta, leading to the danger of hemorrhage?

Missed miscarriage

What type of abortion starts with painless, brownish vaginal bleeding and involves fetal death in utero without expulsion?

Recurrent pregnancy loss

Also known as habitual abortion, this type of abortion involves three spontaneous miscarriages of the same gestational age and is caused by abnormal sperm/ova, poor thyroid function, chorioamnionitis, and deviations of the uterus, among others?

Methylergonovine maleate (Methergine)

What medication is given post D&C and for the prevention of hemorrhage?