40 Questions
What is the indication of Uterus > POC in the context of pregnancy?
Fetal parts are inside the uterus
What does a higher BUCG level (> 10 1/2) indicate?
A complete mole
What is the characteristic ultrasound feature of a complete mole?
A snow storm pattern
What is the term for fetal parts outside the uterus?
Jetal tissue
What is the term for a cystic structure in the uterus during pregnancy?
Luteal cyst
What is the term for a pregnancy with a fetal heart rate?
Apparent pregnancy
What is the consequence of decreased HCG?
Increased risk of abortions
Which of the following is NOT a consequence of trisomy 21?
Frisomies other than trisomy 21
What is the characteristic of a circummarginate placenta?
It has no correlation with HCG levels
What is the relationship between HCG levels and frisomies other than trisomy 21?
Increased HCG levels increase the risk of frisomies
What is the consequence of increased HCG levels?
Increased risk of ectopic pregnancy
Which of the following is a consequence of trisomy 21?
Higher risk of ectopic pregnancy
What is the relationship between HCG levels and abortions?
Decreased HCG levels increase the risk of abortions
What is the characteristic of an ectopic pregnancy?
It is a pregnancy that develops outside the uterus
What is the recommended timing for ensuring the evacuation process is complete?
Between 7-10 weeks
What is the recommended method for suction evacuation?
Vaccum Aspiration
What is the key indicator of UPI according to the Lab Criteria?
Presence of 3 antibodies
At what gestational age is preterm delivery considered a risk?
Before 32 weeks
What is the recommended interval for testing antibodies?
12 weeks apart
What is the recommended threshold for fetal losses at 7/10 weeks?
3 losses
What is the recommended medication for oral/buccal administration?
Misoprostol
What is the recommended blood pressure threshold for UGR?
660mmHg
What is the most common congenital condition associated with compression of the Inferior Vena Cava (IVC)?
Marfan Syndrome
Which of the following is a contraindication for Methylergometrine during labor?
Severe Mitral Stenosis
What is the NYHA classification associated with severe heart disease?
NYHA Grade 3/4
What is the lateral position associated with Bromocriptine therapy?
Left lateral position
Which of the following is not a contraindication for Methylergometrine?
Hypertension during pregnancy
What is the condition associated with compression of the Inferior Vena Cava (IVC) during pregnancy?
Marfan Syndrome
What is the primary concern when using Methylergometrine in patients with severe heart disease?
Pulmonary edema
What is the underlying condition associated with severe Mitral Stenosis?
Rheumatic Heart Disease
What is the most likely diagnosis if a patient presents with bright red coloured blood and a sinusoidal heart pattern?
Vasa Previa
Which of the following is a risk factor for uterine rupture?
Previous C-Section
What is the most likely cause of fetal distress in a patient with abruptio placenta?
Fetal blood loss
A patient presents with a non-tender uterus and dark red coloured blood. What is the most likely diagnosis?
Placenta Previa
What is the most likely diagnosis if a patient presents with a relaxed, soft uterus and bleeding?
Placenta Previa
A patient presents with abdominal tenderness and dark red coloured blood. What is the most likely diagnosis?
Abruptio Placenta
What is the most likely diagnosis if a patient presents with a high chance of conversion to GTN?
Hydatidiform Mole
A patient presents with bleeding and no pain. What is the most likely diagnosis?
Placenta Previa
What is the most likely diagnosis if a patient presents with a high chance of hemorrhage?
Vasa Previa
A patient presents with a tender uterus and bright red coloured blood. What is the most likely diagnosis?
Abruptio Placenta
Study Notes
Abortions and Pregnancy Complications
- Decreased HCG levels are associated with abortions, ectopic pregnancy, and trisomy 21.
- Misoprostol 800 may be used orally or buccally to ensure a complete process.
Diagnostic Criteria
- Mod SAPPARO.SYDNEY Criteria include clinical and laboratory criteria.
- Clinical criteria include:
- Thrombosis episode
- Three or more losses at 10 weeks
- Fetal losses at 7/10 weeks
- Lethal fetal anomaly
- Preterm delivery before 32 weeks
- Laboratory criteria include:
- Three antibodies
- Any one positive antibody on two occasions 12 weeks apart
Pregnancy Complications
- Uterine size greater than expected for gestational age (POG) is a complication.
- Fundal height less than expected for gestational age (POG) is a complication.
- High beta HCG level (> 10 1/2) is a complication.
- Bilateral theca luteal cysts are a complication of pregnancy.
- Molar pregnancy is a complication.
Ultrasound Findings
- Snow Storm appearance on USG is associated with a less chance of conversion to GTN.
- High chance of conversion to GTN is associated with a complete mole.
Antepartum Hemorrhage
- Causes of antepartum hemorrhage include:
- Placenta previa
- Abruptio placenta
- Vasa previa
- Uterine rupture
- Signs and symptoms of antepartum hemorrhage include:
- Pain
- Bleeding
- Tz bleeding
- Red colored blood
- Bright red colored blood
- Non-tender uterus
- Fetal distress
Fetal Distress
- Signs of fetal distress include:
- Sinusoidal heart pattern
- Abnormal non-stress test (NST)
- Fetal blood loss
Other Complications
- Compression of IVC can cause hypertension.
- Methylergometrine is contraindicated in:
- Severe hypertension
- Pulmonary hypertension
- Marjolin's ulcer
- Heart disease
- NYHA grade 3/4
- Severe MS
- Coarctation of aorta
Learn about abortions, pregnancy complications, and diagnostic criteria including Mod SAPPARO.SYDNEY Criteria. Understand the roles of HCG levels and Misoprostol in obstetrics.
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