Module 2

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23 Terms

1
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2-8 weeks after missed menstrual period, 6-12 weeks AOG

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

2
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Sharp, stabbing lower quadrant pain and scant vaginal spotting

What are the two most common symptoms of ectopic pregnancy?

3
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Tachycardia, lightheadedness, and syncope

What are the symptoms of hypovolemic shock?

4
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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?

5
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Transvaginal sonogram

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

6
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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?

7
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Hysterosalpingogram

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

8
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Methotrexate and mifepristone

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

9
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Laparoscopy

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

10
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20-24 weeks

When is the age of viability?

11
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Before 16 weeks

When is a miscarriage considered early?

12
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False

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

13
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Isotretinoin and Accutame

What are the two acne medications that may cause abortion?

14
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Vaginal spotting, lower backache, and abdominal cramps

What are the common presenting symptoms of abortion?

15
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Threatened Miscarriage

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

16
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At the start of bleeding and after 48 hours

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

17
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Imminent miscarriage

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

18
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True

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

19
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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?

20
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Incomplete miscarriage

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

21
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Missed miscarriage

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

22
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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?

23
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Methylergonovine maleate (Methergine)

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