Ectopic Pregnancy

Question 1

 One in which implantation occurs outside the uterine cavity

Answer 1

ECTOPIC PREGNANCY

Question 2

Possible sites for ectopic pregnancy

Answer 2

1. Fallopian tube
2. Ovarian
3. Cervical
4. Abdominal
5. Intramural
6. Isthmic
7. Cornual
8. Infundibular

Question 3

• When pregnancy occur in both womb & tube at the same time

Answer 3

HETEROTROPIC PREGNANCY

Question 3

Most important cause of EP

Answer 3

PELVIC INFLAMMATORY DISEASE (PID)

Question 4

o Tubal epithelium invades Myo salpinx, forming a diverticulum

Answer 4

Salpingitis Isthmic Nodosa of the tube (SIN)

Question 5

partial stenosis of the tube

Answer 5

TUBECTOMY

Question 6

removal of one or both fallopian tubes.

Answer 6

SALPINGECTOMY

Question 6

kinking at the isthmic portion of the tube

Answer 6

VENTROSUSPENSION

Question 6

Abnormal proliferation and then degeneration of the trophoblastic villi

Answer 6

GESTATIONAL TROPHOBLASTIC DISEASE
(HYDATIDIFORM MOLE)

Question 7

prevents intrauterine pregnancy more effectively than tubal pregnancy

Answer 7

INTRA UTERINE CONTRACEPTIVE DEVICE (IUCD)

Question 7

Management for H-mole

Answer 7

METHOTREXATE
DACTINOMYCIN
SUCTION CURRETAGE

Question 7

• Abnormal trophoblast cells must be identified because they are associated with __________ (rapidly metastasizing malignancy)

Answer 7

CHORIOCARCINOMA

Question 8

Pregnancy in which Fetus grows in pelvic cavity

Answer 8

ABDOMINAL PREGNANCY

Question 9

Prophylactic treatment that attacks rapidly growing cells

Answer 9

METHOTREXATE

Question 10

This medicine is ordered once metastasis occurs

Answer 10

DACTINOMYCIN

Question 11

fistulous opening in the medial end of tube

Answer 11

LAPAROSCOPIC CAUTERIZATION

Question 12

Zygote grows large enough to rupture slender fallopian tube or the trophoblasts cells break through the narrow base

Answer 12

RUPTURED EP

Question 13

In a ruptured Ep, a woman experiences?

Answer 13

SHARP, STABBING PAIN IN ONE OF THE LOWER ABDOMINAL QUADRANTS FOLLOWED BY SCANT VAGINAL SPOTTING

Question 14

If a ruptured EP occurs and the patient goes to shock, what should be done?

Answer 14

RESUSCITATION

Question 14

If tubal rupture occurs, this is ordered by the doctor

Answer 14

IMMEDIATE SALPINGECTOMY

Question 14

superficial bruising in the subcutaneous fat around umbilicus

Answer 14

CULLEN’S SIGN

Question 14

If cornual rupture occurs, this is ordered by the doctor

Answer 14

HYSTERECTOMY

Question 15

This is a prophylactic tx for H-mole that attacks rapidly growing cells like the abnormally growing trophoblastic cells

Answer 15

METHOTREXATE

Question 15

In the cases of H-mole, this is ordered once metastasis occurs

Answer 15

DACTINOMYCIN

Question 15

- Ideal management of H-mole to evacuate the mole inside uterus and avoid further complications

Answer 15

SUCTION CURRETAGE

Question 15

Very rarely after an ectopic pregnancy ruptures—so rarely that the instances are difficult to document—the products of conception are expelled into the pelvic cavity with a minimum of bleeding

Answer 15

ABDOMINAL PREGNANCY