021915 first trimester

Question 1

peak levels of hCG occur when in pregnancy? at what level?

Answer 1

10 weeks gestation at about 100,000 mIU/mL

Question 2

hCG binds to the same receptor as

Answer 2

LH

Question 3

at the time of the missed menses in the case of a pregnancy, what is the hCG level?

Answer 3

100mIU/mL, so can be detected on urine preg test

Question 4

quantitative serum hCG doubles every how many hours in normal pregnancy?

Answer 4

48 hours (minimum rise is 53% in 48 hrs)

Question 5

with transvaginal US, at what level hCG should you be able to see the pregnancy?

Answer 5

1500-2000 mIU/mL (DISCRIMINATORY ZONE OF HCG)

Question 6

higher hCG in 2nd trimester may be associated w

Answer 6

spontaneous miscarriage, growth restriction, preeclampsia, preterm delivery

Question 7

by when should you see heart motion?

Answer 7

6 wks

Question 8

when should you see normal gestational sac?

Answer 8

by 5 wks

Question 9

spontaenous abortion/miscarriage/pregnancy loss

Answer 9

fetal loss before 20 wks from last menstrual period or delivery of fetus under 500 g

Question 10

types of abortion/miscarriage

Answer 10

threatened
inevitable (nonviable pregnancy)
incomplete (nonviable preg)
complete
missed-embryonic demise, anembryonic demise

Question 11

in a normal uterine pregnancy, can have pain if

Answer 11

corpus luteum cyst-unilateral

ligament stretch-bilateral

Question 12

in ectopic pregnancy, what can you observe for hCG?

Answer 12

it rises by less than 66% every 48 hours

Question 13

heterotopic pregnancy

Answer 13

co-existing intrauterine and extrauterine pregnancy (hCG will rise normally)

Question 14

grape like chorionic villi

Answer 14

complete molar pregnancy (classic snowstorm appearance)

Question 15

methotrexate useed for

Answer 15

ectopic pregnancy
hydatiform molar preg
choriocarcinoma

Question 16

hCG that fails to increase by minimum of 53% over 48 hrs

Answer 16

failing intrauterine pregnancy

ectopic pregnancy