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Category: Obstetrics & Gynecology--->Obstetrical Complications of Pregnancy
Page: 3

Question 11# Print Question

Expulsion of all fetal and placental tissue from the uterine cavity at 10 weeks’ gestation.

Match the description with the correct type of abortion.

A. Complete abortion
B. Incomplete abortion
C. Threatened abortion
D. Missed abortion
E. Inevitable abortion


Question 12# Print Question

A 19-year-old P0 presents for her first prenatal visit. She is 12 weeks’ pregnant by sure last menstrual period. She reports vaginal bleeding, and on physical examination, you appreciate a 16-week size uterus. You are unable to detect fetal heart tone with a Doppler. The ultrasound shown is obtained.

Which of the following best describes the patient’s diagnosis?

A. The most common chromosomal makeup of a partial (or incomplete) mole is 46, XX, of paternal origin
B. Older maternal age is not a risk factor for hydatidiform mole
C. Partial (or incomplete) hydatidiform mole has a higher risk of developing into choriocarcinoma than complete mole
D. Vaginal bleeding is a common symptom of hydatidiform mole
E. Hysterectomy is contraindicated as primary therapy for molar pregnancy in women who have completed childbearing


Question 13# Print Question

A 19-year-old P0 presents for her first prenatal visit. She is 12 weeks’ pregnant by sure last menstrual period. She reports vaginal bleeding, and on physical examination, you appreciate a 16-week size uterus. You are unable to detect fetal heart tone with a Doppler. The ultrasound shown is obtained.

The patient undergoes suction dilation and curettage (D&C) for management of the suspected molar pregnancy. The pathology report reveals trophoblastic proliferation and hydropic degeneration with the absence of vasculature; no fetal tissue is identified. A chest x-ray is negative for any evidence of metastatic disease.

Which of the following is the best next step in her management?

A. Weekly human chorionic gonadotropin (hCG) titers
B. Hysterectomy
C. Single-agent chemotherapy
D. Combination chemotherapy
E. Radiation therapy


Question 14# Print Question

A 19-year-old P0 presents for her first prenatal visit. She is 12 weeks’ pregnant by sure last menstrual period. She reports vaginal bleeding, and on physical examination, you appreciate a 16-week size uterus. You are unable to detect fetal heart tone with a Doppler. The ultrasound shown is obtained.

Which of the following would be an indication to start single-agent chemotherapy?

A. A rise in hCG titers
B. A plateau of hCG titers for 1 week
C. Return of hCG titer to normal at 6 weeks after evacuation
D. Appearance of liver metastasis
E. Appearance of brain metastasis


Question 15# Print Question

A 32-year-old woman presents to the emergency department with abdominal pain and vaginal bleeding. Her last menstrual period (LMP) was 8 weeks ago, and her pregnancy test is positive. Her blood pressure is 85/65 mm Hg and her pulse is 110 beats per minute. On examination, her abdomen is distended and tender. A bedside abdominal ultrasound shows free fluid within the abdominal cavity. The decision is made to take the patient to the operating room for emergency exploratory laparotomy.

Which of the following is the most likely diagnosis?

A. Ruptured ectopic pregnancy
B. Hydatidiform mole
C. Incomplete abortion
D. Missed abortion
E. Torsed ovarian corpus luteal cyst




Category: Obstetrics & Gynecology--->Obstetrical Complications of Pregnancy
Page: 3 of 8