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1. A 20-year-old woman presents to the early pregnancy assessment unit with abdominal pain. An
ultrasound scan reveals left tubal ectopic pregnancy of 3.5 × 3 cm. She undergoes laparoscopy and the
findings are as follows: Left tubal unruptured ectopic pregnancy of 3 cm with normal right fallopian
tube. Minimal endometriosis in the pouch of Douglas with extensive bowel adhesions on the right
side due to previous appendisectomy. Uterus is bulky but normal. How should she be managed?CorrectIncorrect
- A 29-year-old, who is at 6 weeks’ gestation, is diagnosed to have a right tubal ectopic pregnancy by transvaginal pelvic ultrasound. Which one of the following factors would enable systematic methotrexate to be offered as a medical treatment option for the ectopic pregnancy?
3.A 29-year-old, who is at 6 weeks’ gestation, presents with slight vaginal spotting. Transvaginal pelvic ultrasound shows no evidence of any intrauterine or extrauterine pregnancy. A serum βhCG is measured at initial presentation and repeated 48 h later. Which one of the following βhCG results is suspicious for a clinically significant ectopic pregnancy?CorrectIncorrect
4.EP9 A 25-year-old woman presents to the A+E department with left iliac fossa pain, vaginal bleeding and a positive pregnancy test. Which symptoms may be associated with an ectopic pregnancy?CorrectIncorrect
- A 34-year-old nullipara is undergoing treatment for primary infertility. She has irregular periods with a cycle length varying from 45 to 60 days. Her last menstrual period was about 7 weeks back. She was posted for diagnostic hysterolaparoscopy, and during laparoscopy you fi nd an unexpected ectopic pregnancy in the left fallopian tube. She is hemodynamically stable and the right fallopian tube appears healthy. You have taken consent only for diagnostic hysterolaparoscopy. What is the most appropriate course of action?
- A 22-year-old woman with a past history of Chlamydia attends the emergency department complaining of severe abdominal pain. She has mild vaginal bleeding. Her pulse rate is 120 beats per minute, with a blood pressure of 60/40mmHg and she has a distended tender abdomen. What is the most likely diagnosis?
- During a pelvic examination on a patient that is approximately 8 weeks’ gestation by dates and pelvic examination, one adnexa is found to be slightly enlarged. This is most commonly due to which of the following?
- A 25-year-old G3P2 in her sixth week of pregnancy, by last menstrual period (LMP) calculation, has an endovaginal ultrasound examination because of vaginal bleeding. The ultrasound confirms an intrauterine pregnancy with fetal cardiac activity present and fetal pole length consistent with 6 weeks’ gestation. Scan of the adnexae reveals a 5-cmsimple cyst on the left ovary. Which of the following statements is true?
9.A 23-year-old woman (gravida 1, para 0), approximately 6 weeks pregnant, comes to your clinic for treatment. A home pregnancy test was positive 1 ½ weeks ago. She has developed bleeding over the past 2 days. What is the most likely cause of the bleeding?CorrectIncorrect
- Which of the following patients would be at greatest risk for ectopic pregnancy?
- A 28-year-old G3P0AB2 has a quantitative hCG of 2,850. She has spotting and abdominal pain. An ultrasound shows fluid in the cal de sac and no intrauterine pregnancy. What is the most likely site of an ectopic pregnancy?