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- A 31-year-old nulliparous woman has heavy bleeding at 8 weeks’ gestation. An early pregnancy scan is suggestive of a molar pregnancy, and no fetus is observed. What is the typical genotype of a complete molar pregnancy?
- A 35-year-old woman presents to the early pregnancy unit with moderate vaginal bleeding. An ultrasound is performed, which reports a complete molar pregnancy. What would be the genetic complement and parental origin of the complete molar pregnancy?
- You have to counsel a 28-year-old woman for an appropriate method of contraception. She had a complete molar pregnancy which was evacuated last week. What is the correct advise you can give her:
- A 25-year-old woman presents to the A + E department with abdominal pain and a positive pregnancy test (8/40). USS is performed to rule out a miscarriage. USS shows an intrauterine gestational sac with the ratio of transverse to anteroposterior dimension, greater than 1.5 with cystic spaces in the placenta. What is the likely ultrasonographic diagnosis?
- A 25-year-old woman diagnosed with a complete mole (16/40) is scheduled to undergo surgical evacuation in theatre. Which is the only acceptable management plan in her case?
- A 14-year-old girl presents in the gynaecology OPD with a history of irregular bleeding per vaginam for the last 4–5 months. She has been rather stressed out with her school and theatre group activities which is adversely affecting her routine life and cannot recollect her dates or menstrual pattern well. She was on the pill for the past year. Of late she has loss of appetite with nausea and vomiting and fullness of the lower abdomen. She has lost weight in the last 3 months due to poor food intake. On examination vesicles are seen in the vagina close to the external cervical os. What is the most likely clinical diagnosis?
- Ms XY has an ERPC/SMM 1 week ago for a missed miscarriage following an unplanned pregnancy at 10/40 weeks. The histology results suggest a molar pregnancy. Ms XY is keen on contraception to avoid a further unplanned pregnancy. Her beta hCG levels are 960 mIU/l today. Which of the following contraceptives are best suited to her?
8. Which clinical scenario is most associated with metastatic gestational trophoblastic disease?CorrectIncorrect
9. A 23-year-old patient, amenorrheic for 16 weeks, had vaginal spotting. She was found to have a
uterus enlarged to 20 weeks’ size and no FHTs audible with the Doppler or fetoscope. Human
chorionic gonadotropin (hCG) serumlevels were approximately 150 IU/mL. Which of the following
tests is most appropriate at this time?CorrectIncorrect
10. Which of the following accurately reflects current knowledge regarding gestational trophoblastic