Where is it?
How do you know?
What's that?
When do I come back?
Is this true Doc?
100
Name the histologic finding diagnostic for ectopic pregnancy
What is chorionic vill?
100
Previous tubal damage
Prior pelvic or fallopian tube surgery
History of multiple embryo transfer
History of ascending pelvic infection
What are risk factors for ectopic pregnancy occurrence?
100
Name this structure
Reference: https://www.myfertilityguide.biz/ectopic-pregnancies/introduction-cby.html
What is a pseudogestational sac?
100
Folate antagonist used for treatment of ectopic pregnancies
What is methotrexate?
100
True or False
Sexual intercourse should be avoided during surveillance of an ectopic pregnancy
True
200
The most common site of ectopic implantation
What is the fallopian tube?
200
New hCG cut off level for diagnosis
What is 3500 mIU/ml?
200
Name this sign
Reference: https://www.myfertilityguide.biz/ectopic-pregnancies/introduction-cby.html
What is the bagel sign? (mass with a hyperechoic ring around the gestational sac)
200
Name 3 absolute contraindications of methotrexate use
What is
-intrauterine pregnancy
-evidence of immunodeficiency
-active peptic ulcer or respiratory disease
-clinically significant renal or liver dysfunction
-moderate to severe anemia, leukopenia or thrombocytopenia
-breastfeeding
-ruptured ectopic pregnancy
-unable to follow up
200
True or False?
Risk factors for ectopic pregnancy include:
OCP use
Emergency contraception failure
History of Cesarean Section
History of Pregnancy Loss
False
300
Reproductive age women presents with vaginal spotting, intermittent abdominal pain and positive home pregnancy test.
After obtaining a history & performing a physical exam, name the next step in management
What is transvaginal ultrasound?
300
The hCG level above which you should visualize normal intrauterine pregnancy structures
What is the discriminatory zone?
300
Name this picture
What is an early intrauterine pregnancy?
300
Most common side effects of methotrexate use
What is nausea, vomiting, and stomatitis?
300
True or False?
Asthma is a contraindication to methotrexate use
False
400
Ectopic pregnancies can occur in the ovary, fallopian tube, cervix, abdomen, cesarean section scar and where else?
What is the cornual region of the uterus?
400
Gestational age when an intrauterine gestational sac with yolk sac should be seen
What is 5-6 weeks?
400
Name this picture
Reference: Mutiso SK, Mukaindo AM. Heterotopic pregnancy and subsequent pregnancy outcome: A case report. Int J Case Rep Images 2016;7(8):508–513.
What is heterotopic pregnancy?
400
What percent decrease is required for decision making while on methotrexate?
What is 15%?
400
True or False
There are 4 protocols for Methotrexate therapy
False.
Only 3
500
What is the occurrence rate of a cesarean scar ectopic?
What is 1-3%?
500
Plateaued serum hCG level
What is 100,000 mIu/mL?
500
Name this finding
What is hemoperitoneum?
500
Formation of which amnio acids are inhibited by methotrexate use?
What are serine and methionine?
500
True or False
IUD use is associated with an increased risk of ectopic pregnancy
True