Ectopic Pregnancy

Question 1

5 anatomical risk factors of ectopic pregnancy

Answer 1

Endometriosis
Previous ectopic
Pelvic inflammatory disease
Previous surgery on fallopian tubes
Ruptured appendix

Question 2

5 non anatomical risk factors of ectopic pregnancy

Answer 2

Smoking
Advanced maternal age
Pelvic inflammatory disease
Intrauterine device
Invitro fertilization

Question 3

Common sites of ectopic pregnancy x5

Answer 3

Fallopian tubes
Cervical
Ovaries
Cornual/ interstitial
Abdominal cavity

Question 4

General signs of ectopic pregnancy x5

Answer 4

Lower abdominal pain and guarding
Cervical motion tenderness
Signs of pregnancy
Vaginal bleeding
Tenderness at site of ectopic pregnancy

Question 5

US findings consistent with ectopic pregnancy x5

Answer 5

Empty uterus
Extrauterine gestational sac
Extraovarian mass
Tubal ring /blob sign
Fluid in pouch of douglas

Question 6

Pharmacological intervention and indications (2)

Answer 6

Methotrexate
Uncomplicated ectopic pregnancy
Hemodynamically stable patients

Question 7

Indications of non urgent surgery x2 and type of surgery done

Answer 7

Contraindications of methotrexate
Unsuccessful medical intervention
Salpingostomy- tube sparing

Question 8

Indications of emergency surgery x2 and type of surgery done

Answer 8

Hemodynamically unstable patients
Signs of life threatening rupture
Salpingectomy- non tube sparing

Question 9

MOA of methotrexate

Answer 9

Folic acid antagonist which deprives cells pf folate > dissolution and absorption of baby