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Flashcards in Ectopic & GTD Deck (58)
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1

What's the risk of recurrence with ectopic pregnancy?

12-18%

2

What is the chance of an ectopic in the normal population?

1/8000

3

What is the chance of an ectopic in the fertiligy patient population?

1/1800

4

Where should you always look for an ectopic pregnancy?

morrison's pouch

5

What is the 'ring of fire' sign?

Color doppler signal surrounding the gestational sac

6

What is the most common site for an ectopic implantation?

ampulla of the ovaduct

7

Adnexal implantation includes the...

isthmus, ampulla, fimbria, and interstitial areas.

8

Which is the most life-threatening of all ectopic gestations?

interstitial ectopic

9

This exists when the conceptus implants on any site within the uterus that is outside the endometrial cavity.

'uterine' ectopic pregnancy

10

'Uterine' ectopic pregnancy is suggested by a gestational sac that high in the fundus and NOT surrounded by at least ___ of myometrium in all planes.

5 mm

11

Cervical ectopics carry high ___ rates and attempts to evacuate the conceptus can cause ___.

morbidity and mortality, massive hemorrhage

12

Why might a woman with an ectopic pregnancy have pain in her shoulder?

because of intraperitoneal hemorrhage

13

This is a concomitant intrauterine implantation AND an extrauterine implantation.

heterotopic gestation

14

About when does an isthmus ectopic rupture?

6-8 weeks

15

About when does an ampullary ectopic rupture?

8-12 weeks

16

About when does an interstitial ectopic rupture?

12-16 weeks

17

This folic acid antagonist has been shown to destroy proliferating trophoblast and may be effective in small unruptured ectopics.

Methotrexate (MTX)

18

This physical sign is usually associated with intraperitoneal bleeding from hemorrhagic pancreatitis, ruptured abd aorta or ruptured ectopic.

Grey-Turner sign

19

What constitutes a Grey-Turner sign?

ecchymosis on the side of the abdomen

20

This is when the conceptus trophoblast layers proliferates and not the embryoblast; no embryo develops.

gestational trophoblastic disease

21

This abnormal fertilization process is a complication of pregnancy that is increased in older and very young women.

molar gestation

22

Name two clinical indicators of molar gestation.

1. vaginal bleeding in the first or early second trimester
2. serum levels of beta-hCG are DRAMATICALLY elevated

23

T/F? Women with a molar pregnancy may experience hyperemesis, preeclampsia, and PIH.

true

24

T/F? Women with a molar pregnancy have AFP levels that are very high.

FALSE, very low

25

T/F? Women with a molar pregnancy have a fundal height that is higher than dates.

true

26

GTD affects how many pregnancies in the US?

1/1500 or 2000

27

What is the characteric sonographic appearance of GTD?

the 'snowstorm', an echogenic mass containing cystic spaces

28

This is the most common form of GTD.

Complete hydatidform mole

29

How often does a complete mole happen in the US?

1:1500

30

This is the most common form of GTD, occuring in 1/1500 and 5% risk of recurrence.

complete hydatidifom mole