ALSO - Advanced Life Support In Obstetrics Exam Questions
With Correct Answers.
Diagnosis of Labor - accurate answers-- Missed menses
- PE
- Qual or Quant hCG
- U/S
Causes of Early Pregnancy Bleeding - accurate answers-Miscarriages (occurs
in 15% of clinically recognized pregnancies
Ectopic Pregnancy
Gestational Trophoblastic Disease
Cervical bleeding from causes unrelated to pregnancy
Otherwise Uncomplicated Pregnancies
Implantation Site & Decidual Thickening (MA) - accurate answers-3-4 weeks
menstrual age
First Color Flow on Doppler (MA) - accurate answers-4 weeks menstrual age
Gestational Sac Visible (MA & hCG level) - accurate answers-4-5 weeks
menstrual age, 1500-2000 mIU/mL hCG (discriminatory zone)
Yolk Sac (MA) - accurate answers-5-6 weeks menstrual age
Embryo and Cardiac Activity (MA) - accurate answers-5-6 weeks menstrual
age
Minimal hCG rise in viable IU pregnancy (% in hrs) - accurate answers-Normal
IU pregnancy: 53% rise in 48 hrs
hCG in Spontaneous Abortions - accurate answers-falls over 48 hr period
hCG in Ectopic Pregnancy - accurate answers-hCG does not rise at a doubling
rate as in normal pregnancy, but does not fall either. Carefully monitor, assess,
and intervene.
Crown-Rump Length - accurate answers-Mesnstral Age * (weeks) = CRL (cm)
+ 6.5
, [*Accurate between 8-13 weeks]
Incomplete Abortion - accurate answers-incomplete expulsion of the products
of conception
Complete abortion - accurate answers-all products of conception are expelled
Septic abortion - accurate answers-A life-threatening emergency in which the
uterus
becomes infected following any type of abortion.
Missed abortion - accurate answers-An abortion in which the products of
conception are no longer viable but are retained in the uterus.
Threatened abortion - accurate answers-Uterine bleeding at 18 weeks'
gestation; no products expelled; cervical os closed.
Subchorionic Hemorrhage - accurate answers-a bleed between the
endometrium and the gestational sac at the edge of the placenta
Ectopic Pregnancy - accurate answers-pregnancy outside the uterus, usually
fallopian tube
Occurs in 1% of pregnancy, but 2nd most common cause of maternal
mortality.
U/S Finding of Early Pregnancy Failure (3 diagnostic criteria) - accurate
answers-Mean sac diameter >25 w/o embryo
Embryo >=7 without heartbeat
Absent embryo w/ heartbeat 11 days after yolk sac seen
Management of Miscarriage - accurate answers-Majority does not require
intervention, unless a risk of infection of bleeding.
- Surgical: D&C or MVA
- Medical: misoprostol (off-label)
- Expectant
~Incomplete AB: expectant & medical are highly successful
~Missed AB: Medical & surgical are more effective
~Expectant management have more outpt visits than those treated with
misoprostol
With Correct Answers.
Diagnosis of Labor - accurate answers-- Missed menses
- PE
- Qual or Quant hCG
- U/S
Causes of Early Pregnancy Bleeding - accurate answers-Miscarriages (occurs
in 15% of clinically recognized pregnancies
Ectopic Pregnancy
Gestational Trophoblastic Disease
Cervical bleeding from causes unrelated to pregnancy
Otherwise Uncomplicated Pregnancies
Implantation Site & Decidual Thickening (MA) - accurate answers-3-4 weeks
menstrual age
First Color Flow on Doppler (MA) - accurate answers-4 weeks menstrual age
Gestational Sac Visible (MA & hCG level) - accurate answers-4-5 weeks
menstrual age, 1500-2000 mIU/mL hCG (discriminatory zone)
Yolk Sac (MA) - accurate answers-5-6 weeks menstrual age
Embryo and Cardiac Activity (MA) - accurate answers-5-6 weeks menstrual
age
Minimal hCG rise in viable IU pregnancy (% in hrs) - accurate answers-Normal
IU pregnancy: 53% rise in 48 hrs
hCG in Spontaneous Abortions - accurate answers-falls over 48 hr period
hCG in Ectopic Pregnancy - accurate answers-hCG does not rise at a doubling
rate as in normal pregnancy, but does not fall either. Carefully monitor, assess,
and intervene.
Crown-Rump Length - accurate answers-Mesnstral Age * (weeks) = CRL (cm)
+ 6.5
, [*Accurate between 8-13 weeks]
Incomplete Abortion - accurate answers-incomplete expulsion of the products
of conception
Complete abortion - accurate answers-all products of conception are expelled
Septic abortion - accurate answers-A life-threatening emergency in which the
uterus
becomes infected following any type of abortion.
Missed abortion - accurate answers-An abortion in which the products of
conception are no longer viable but are retained in the uterus.
Threatened abortion - accurate answers-Uterine bleeding at 18 weeks'
gestation; no products expelled; cervical os closed.
Subchorionic Hemorrhage - accurate answers-a bleed between the
endometrium and the gestational sac at the edge of the placenta
Ectopic Pregnancy - accurate answers-pregnancy outside the uterus, usually
fallopian tube
Occurs in 1% of pregnancy, but 2nd most common cause of maternal
mortality.
U/S Finding of Early Pregnancy Failure (3 diagnostic criteria) - accurate
answers-Mean sac diameter >25 w/o embryo
Embryo >=7 without heartbeat
Absent embryo w/ heartbeat 11 days after yolk sac seen
Management of Miscarriage - accurate answers-Majority does not require
intervention, unless a risk of infection of bleeding.
- Surgical: D&C or MVA
- Medical: misoprostol (off-label)
- Expectant
~Incomplete AB: expectant & medical are highly successful
~Missed AB: Medical & surgical are more effective
~Expectant management have more outpt visits than those treated with
misoprostol
