B8-076 Reproductive Health

Question 1

OTC urine pregnancy tests detect an hCG over […]

Answer 1

25

(she said: so moments pregnant, will be positive)

Question 2

unintended pregnancy occurs more often in in women of […] SES status

Answer 2

low

Question 3

most common reason for presenting for abortion after 16 weeks

Answer 3

woman did not realize she was pregnant

Question 4

surgical method of induced abortion in 2nd trimester

Answer 4

D&E

(most common method in 2nd trimester)

Question 5

surgical method of abortion in 1st trimester

Answer 5

MUA/D&C

Question 6

medication method of abortion in 1st trimester

Answer 6

misoprostol + mifepristone

Question 7

medication method of abortion in 2nd trimester

Answer 7

labor induction

(less common than D&E, usually women with babies with genetic anomalies)

Question 8

[mifepristone vs. misoprostol]
progesterone receptor antagonist

Answer 8

mifepristone

Question 9

[mifepristone vs. misoprostol]
necrotizes decidua, softens cervix, increases uterine sensitivity to prostaglandins

Answer 9

mifepristone

Question 10

[mifepristone vs. misoprostol]
prostaglandin E1 analog

Answer 10

misoprostrol (cytotec)

Question 11

[mifepristone vs. misoprostol]
stimulates uterine contractions

Answer 11

misoprostrol (cytotec)

Question 12

misoprostol is taken […] after mifepristone

Answer 12

24 hrs

Question 13

contraindications to medication abortion [3]

Answer 13

ectopic pregnancy
coagulation disorders
porphyria

Question 14

serum hCG levels should decrease by at least […]% 6-10 days after taking mife/miso

Answer 14

60

Question 15

ultrasound with no […] 4-10 days after mife/miso can confirm completion of medication abortion

Answer 15

gestational sac

(thickened endometrium is ok as long as there is no gestational sac)

Question 16

[…] given before uterine aspiration decreases the risk of post procedure infection

Answer 16

antibiotics

Question 17

Rhogam should be given to Rh- patients after […] weeks gestational age

Answer 17

12

(so not really needed for first trimester abortion)

Question 18

[…] million patients per year experience complications from unsafe abortion

Answer 18

7

Question 19

nearly all of abortion related deaths/injuries occur in what regions?

Answer 19

developing world

Question 20

about half of all EPL is due to

Answer 20

chromosomal abnormalities

Question 21

most common trisomy causing ELP
always lethal

Answer 21

trisomy 16

Question 22

anembryonic gestation or embryonic demise is known as […] abortion

Answer 22

missed abortion

Question 23

IUP on ultrasound
cervix closed
no tissue passed

Answer 23

threatened abortion

Question 24

IUP on ultrasound
cervix open
no tissue passed

Answer 24

inevitable

Question 25

+/- IUP on ultrasound cervix open tissue passed

Answer 25

incomplete

Question 26

no IUP on ultrasound cervix open tissue passed

Answer 26

complete

Question 27

gestational sac with mean sac diameter greater than 25 mm, without evidence of fetal pole

Answer 27

anembryonic gestation

Question 28

CRL > 7mm with no cardiac activity on US CRL=crown rump length

Answer 28

embryonic demise

Question 29

using mifepristone before misoprostrol greatly decreases the risk of needing [...] to complete the abortion (over using misoprostrol alone)

Answer 29

aspiration

Question 30

best tools for evaluation of ectopic pregnancy

Answer 30

bHCG US

Question 31

most common location of ectopic pregnancy

Answer 31

ampulla of uterine tube

Question 32

greatest risk factors for ectopic pregnancy

Answer 32

previous tubal surgery previous ectopic pregnancy

Question 33

medication treatment for ectopic pregnancy

Answer 33

methotrexate followed by serial hCGs (must have normal bone/liver/renal functioning)

Question 34

vaginal bleeding in early pregnancy is [...] until proven otherwise

Answer 34

ectopic

Question 35

normal implantation occurs [...] days after fertilization

Answer 35

5-7

Question 36

invasion of the trophoblastic tissue into the decidua results in the production of [...]

Answer 36

hCG

Question 37

risk factors for ectopic pregnancy [3]

Answer 37

hx of PID previous tubal surgery previous ectopic

Question 38

women who are Rh negative should receive Rhogam to prevent

Answer 38

alloimmunization