Ectopic Pregnancy

Question 1

Risk factors of ectopic pregnancy

Answer 1

. Previous ectopic pregnancy
• Previous pelvidtubal surgery
• Pelvic inflammatory disease

Question 2

Clinical features of ectopic pregnancy

Answer 2

Abdominal pain, amenorrhea, vaginal bleeding
• Hypovolemic shock in ruptured ectopic pregnancy
• Cervical motion, adnexal &/or abdominal tenderness
• ± Palpable adnexal mass

Question 3

Diagnosis of ectopic pregnancy

Answer 3

Positive hCG
Transvaginal ultrasound revealing adnexal mass, empty uterus

Question 4

Management of ectopic pregnancy

Answer 4

Stable: Methotrexate
Unstable: Surgery

Question 5

hemodynamically unstable patient with hemoperitoneum due to ruptured ectopic pregnancy requires emergency

Answer 5

surgical exploration

Question 6

Diagnosis of a cornual ectopic pregnancy is made by……. showing a gestational sac at the upper outer corner of the uterine fundus.

Answer 6

ultrasound