Obstetrics and Gynecology: Differential Diagnosis and Investigations Quiz
15 Questions
2 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the most likely differential diagnosis for the pregnant lady with vaginal bleeding and abdominal distension?

  • Uterine fibroids
  • Placental abruption
  • Ectopic pregnancy (correct)
  • Gestational trophoblastic disease
  • Which investigation is used to assess the discriminative zone of serum ß-hCG in early pregnancy?

  • Serum ß-hCG baseline assessment (correct)
  • Transvaginal ultrasound
  • Pregnancy test
  • Complete blood count
  • What is one of the key factors considered for the 'EXPECTANT' management approach in this case?

  • Gestational age of the fetus
  • Hemoglobin level
  • Maternal age
  • Patient's hemodynamic stability (correct)
  • Which condition can co-exist with a viable intrauterine pregnancy as a result of IVF treatment?

    <p>Ectopic pregnancy</p> Signup and view all the answers

    What is the primary purpose of conducting an infection screen in this scenario?

    <p>Assess for sexually transmitted infections</p> Signup and view all the answers

    What is the optimal rise of serum ß-hCG that should be assessed in early pregnancy?

    <p>Double every 2 days</p> Signup and view all the answers

    What must be identified in a transvaginal ultrasound to confirm a viable intrauterine pregnancy?

    <p>Intrauterine sac with yolk sac</p> Signup and view all the answers

    Which infection is not typically screened for in a pregnant lady with vaginal bleeding and abdominal distension?

    <p>Syphilis</p> Signup and view all the answers

    What investigation is used to assess whether the discriminative zone of serum ß-hCG (1000-1500IU/L) is reached?

    <p>Serum ß-hCG</p> Signup and view all the answers

    What factors are considered for initiating 'EXPECTANT' management?

    <p>Asymptomatic, clinically stable</p> Signup and view all the answers

    What should be assessed to determine if 'EXPECTANT' management is appropriate?

    <p>$\beta$-hCG levels</p> Signup and view all the answers

    Which condition can co-exist with a viable intrauterine pregnancy as a result of IVF treatment?

    <p>Pseudosac</p> Signup and view all the answers

    What must be assessed in the bloods investigation for a pregnant lady presenting with vaginal bleeding and abdominal distension?

    <p>$\beta$-hCG levels</p> Signup and view all the answers

    The ______ barked

    <p>dog</p> Signup and view all the answers

    The ______ meowed

    <p>cat</p> Signup and view all the answers

    Study Notes

    Pregnancy Complications

    • The most likely differential diagnosis for a pregnant lady with vaginal bleeding and abdominal distension is an ectopic pregnancy.
    • Serum β-hCG investigation is used to assess the discriminative zone in early pregnancy.

    Expectant Management Approach

    • One of the key factors considered for the 'EXPECTANT' management approach is the presence of a viable intrauterine pregnancy.
    • Factors considered for initiating 'EXPECTANT' management include the presence of a viable intrauterine pregnancy, low serum β-hCG levels, and minimal symptoms.

    Infection Screening

    • The primary purpose of conducting an infection screen in this scenario is to identify potential infections that may be contributing to the vaginal bleeding and abdominal distension.
    • Chlamydia is typically screened for in a pregnant lady with vaginal bleeding and abdominal distension.
    • HIV is not typically screened for in a pregnant lady with vaginal bleeding and abdominal distension.

    β-hCG Levels

    • The optimal rise of serum β-hCG that should be assessed in early pregnancy is 66% every 48 hours.
    • The discriminative zone of serum β-hCG is reached at 1000-1500 IU/L.

    Ultrasound Investigation

    • A transvaginal ultrasound must identify a fetal heartbeat to confirm a viable intrauterine pregnancy.

    Co-Existing Conditions

    • A heterotopic pregnancy can co-exist with a viable intrauterine pregnancy as a result of IVF treatment.

    Blood Investigations

    • Serum β-hCG levels and full blood count should be assessed in the bloods investigation for a pregnant lady presenting with vaginal bleeding and abdominal distension.

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Description

    This quiz covers a case of a pregnant woman at 8 weeks of IVF pregnancy presenting with vaginal bleeding and abdominal distension. Questions include the differential diagnosis for the symptoms and the investigations required to assess the condition.

    More Like This

    Use Quizgecko on...
    Browser
    Browser