Summary

This document provides practice questions. It covers topics such as ectopic pregnancy, spontaneous abortion, and other obstetric and gynecological conditions. It's designed to help professionals review and prepare.

Full Transcript

o Implantation outside the uterine cavity (98% fallopian tubes; 80% in ampulla) o We consider this in ANY female of reproductive age w/ abdominal pain, cramping, vaginal bleeding o If ruptured, can be life threatening! Risk Factors o History of PID or abdominal...

o Implantation outside the uterine cavity (98% fallopian tubes; 80% in ampulla) o We consider this in ANY female of reproductive age w/ abdominal pain, cramping, vaginal bleeding o If ruptured, can be life threatening! Risk Factors o History of PID or abdominal/tubal surgery (d/t scarring) o Previous ectopic preg o Use of fertility drugs/ART o Age after 35 of the mother o Smoking S/S of Ectopic Pregnancy: o Amenorrhea, vaginal bleeding, abdominal pain, +/- cervical motion tenderness (and 1/3 of women have adnexal mass on exam) S/S of ruptured ectopic pregnancy o Sever abd/shoulder pain w/ peritonitis, syncope, orthostatic hypotension Dx of ectopic pregnancy o Urine and serum pregnancy test (HCG double every 1-2 days in early pregnancy; hCG rises much slower in abnormal pregnancies) o TVUS o Progesterone level (