Fetal Growth Disorders, Abortion, Ectopic

Question 1

Organ spared from effects of growth restriction

Answer 1

Brain

Question 2

Fetal growth disorder when there is an early insult

Answer 2

Symmetric

Question 3

Banana cerebellum is associated with what disease?

Answer 3

Arnold Chiari malformation

Question 4

Strawberry cranium os associated with what disorder?

Answer 4

Edwards syndrome

Question 5

Most common fetal cause of abortion

Answer 5

Blighted ovum

Question 6

Common infectious cause of abortion in the 2nd trimester

Answer 6

Bacterial vaginosis

Question 7

Nonviable genetically abnormal pregnancy due to an excess expression of paternal genes

Answer 7

Hydatidiform mole

Question 8

What type of H mole occurs when there is generalized swelling of the placental villi with marked trophoblastic proliferation and absent fetal component

Answer 8

Complete H mole

Question 9

This type of H mole occurs when there is 1 maternal and 2 paternal chromosomes and a milder form of trophoblastic invasion

Answer 9

Partial H mole

Question 10

Most accurate non invasive imaging modality in detecting H mole

Answer 10

Ultrasound

Question 11

Ultrasound in H mole will reveal this finding

Answer 11

Grape like or snowstorm like clusters

Question 12

Chemoprophylaxis for H mole

Answer 12

Methotrexate

Actinomycin D

Question 13

Post evacuation HCG monitoring for H mole:

Answer 13

1-2-1-2

1 week after suction curretage
Every 2 weeks until hcg becomes normal for 3 consecutive tests
Every 1 month for the first 6 months
Every 2 months for the next 6 months

Question 14

When is pregnancy allowed after a normal HcG for a patient with previous H mole?

Answer 14

6 months

Question 15

Vaginal bleedinfg, uterine enlargement, acute abdomen, rise in HCG levels for 2 determinations or persistently elevated levels for 6 months or more

Answer 15

Gestational Trophoblastic Neoplasia

Question 16

GTN stage where it extends outside the uterus but confined to pelvic organs

Answer 16

Stage 2

Question 17

GTN stage where there is pulmonary metastasis

Answer 17

Stage 3

Question 18

Treatment for stage 1 GTN

Answer 18

Single agent- Methotrexate or actinomycin D

Question 19

Treatment for all other stages of GTN

Answer 19

EMACO with or winning hysterectomy

Etoposide
Methotrexate 
Actinomycin D
Cyclophosphamide
Vincristine

Question 20

Infectious cause of ectopic pregnancy

Answer 20

Chlamydia trachomatis

Question 21

Most catastrophic site of ectopic pregnancy

Answer 21

Decidua

Intersitial

Question 22

Gold standard for the diagnosis and treatment of tubal pregnancy

Answer 22

Laparoscopy

Question 23

Medical management for tubal pregnancy

Answer 23

Methotrexate

Question 24

Indications for methotrexate therapy in tubal pregnancy

Answer 24

Pregancy < 6 weeks
Tubal mass <3.5 cm
No cardiac activity
HCG <10-15k mIU/ml

Question 25

Is breastfeeding contraindicated when taking methotrexate?

Answer 25

Yes