Bleeding in Early Pregnancy

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In terms of trimesters of pregnancy:
First Trimester - Completes at weeks
Second Trimester - Completes at weeks
Third Trimester - Completes at weeks

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Abnormal site of fertilisation and implantation is known as an pregnancy

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Internal Os: ❌
External Os: ❌

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Opening into uterus from the cervix

Opening into fallopian tube from uterus

Opening into ovaries from fallopian tube

Opening into vagina from cervix

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Which scanning modality is used to estimate the length of gestation?

Wähle eine der folgenden:

Ultrasound Scan
CT Scan
MRI Scan
Photoacoustic Imaging

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Which hormone, produced by the placenta during pregnancy, confirms that a women is pregnant?

Wähle eine der folgenden:

Beta human chorionic gonadotropin (Beta hCG)
Human Placental Lactogen (hPL)
Follicle Stimulating Hormone (FSH)

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Miscarriage is expulsion of a viable fetus from the womb before it is able to survive independently.
What do you call a pregnancy whereby the embryo that was fertilisation was never viable in the first place?
A pregnancy

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A recently pregnant woman presents to you with vaginal bleeding and what she describes as 'period cramping'. She describes that she passed small products when using the toilet 20 minutes ago.
This woman has likely had a

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Stages of miscarriage:
Threatened = ❌
Inevitable = ❌
Complete = ❌

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External Os closed

Products sited at open External Os

Products in vagina

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Which autoantibody disease causes recurrent miscarriage?

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The main two autoantibodies indicative of antiphospholipid syndrome are ...

Wähle eine oder mehr der folgenden:

Anti-cardiolipin Antibodies
Lupus Anticoagulant
Anti-Double Stranded DNA
Anticentromere Antibodies
Antinuclear Antibodies

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Recurrent miscarriage is defined as ...

Wähle eine der folgenden:

3 or more pregnancy losses
4 or more pregnancy losses
2 or more pregnancy losses

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Where is the most common site for ectopic pregnancy?

Wähle eine der folgenden:

The Fallopian Tubes
The Ovaries
The Cervix
The Uterus

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A woman presents to A&E with sharp waves of lower abdominal pain, light vaginal bleeding and a feeling of dizziness. She describes these symptoms coming on over the past couple of days.
If this patient were to have a positive hCG test, what would be the most likely diagnosis?

Erklärung

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Blood from a ruptured ectopic pregnancy can build up and irritate certain nerves, causing pain which is commonly referred to the tip of the

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Which part of the fallopian tubes is most commonly affected by ectopic pregnancy (78% of ectopic pregnancies)?
The

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Women suffering from ectopic pregnancy who are not in significant pain are offered a drug called first line if they are unable to return for follow-up.
If they are able to return for follow-up, then watchful waiting is advised.
If they are in significant pain, surgical management is advised.

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Surgical management should be given to women who are experiencing significant pain as part of an ectopic pregnancy:
Salpingectomy: ❌
Salpingotomy: ❌

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Fallopian tube removed

Ovary removed

Fallopian tube preserved

Ovary preserved

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Which type of abnormal pregnancy is described as looking like 'grape-like clusters'

Wähle eine der folgenden:

Molar Pregnancy
Ectopic Pregnancy

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Types of Molar Pregnancy:
❌: Egg without DNA fertilised by 1 or 2 sperm, no foetus
❌: Haploid egg fertilised by 1 or 2 sperm, may result in foetus

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Complete Mole

Partial Mole

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What does this picture show?

Wähle eine der folgenden:

Ectopic Pregnancy
Complete Molar Pregnancy
Partial Molar Pregnancy

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In both partial and complete molar pregnancies there is overgrowth of the ...

Wähle eine der folgenden:

Placental Tissue
Foetal Head
Umbilical Cord

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Wähle von der Aufklappliste, um den Text zu vervollständigen.

'Snowstorm' appearance on ultrasound is indicative of ( complete molar pregnancy, partial molar pregnancy, normal pregnancy, ectopic pregnancy )

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bleeding is an early sign of pregnancy and happens when a fertilised egg attaches itself to the lining of the uterus in order to begin growing. This occurs in around 1/3 of pregnant women and does not require any medical treatment.

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The most common sign of implantation bleeding is vaginal bleeding or spotting that is ...

Wähle eine der folgenden:

Dark red
Light pink/brownish
Dark brown/blackish

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A pooling of blood between endometrium and the embryo due to separation is called a

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Chorionic Haematoma is the most common cause of second trimester bleeding.

Wähle eins der folgenden:

WAHR
FALSCH

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Chorionic haematomas are usually self limiting and don't require any intervention

Wähle eins der folgenden:

WAHR
FALSCH

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❌: Pain is the primary symptom
❌: Vaginal bleeding is the primary symptom

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Miscarriage

Ectopic Pregnancy

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A woman presents to A&E complaining of vaginal pain and bleeding. She has a low grade fever and is both bradycardic and hypotensive. As you are speaking to her it is obvious that she is very quickly deteriorating and becoming less responsive. Upon further investigation, the doctors confirm she has an inevitable miscarriage.
This woman is likely suffering from

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Frage 30 von 33

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If diagnosed with incomplete or missed miscarriage, a woman should be treated via ( expectant management, pharmacological intervention, surgical intervention ) for ( 14, 7, 10 ) days in order to try and bring about the expulsion of products.

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Frage 31 von 33

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If, after 14 days of expectant management, expulsion of products has not occurred, the woman should be offered medical management via ( Misoprostol, Mifepristone ) in order to induce expulsion.

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If a woman fails on both expectant and medical management of her incomplete/missed miscarriage, intervention should be offered.

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	Erstellt von Matthew Coulson vor etwa 6 Jahre

Bleeding in Early Pregnancy Lecture given on 06/11/2018

Bleeding in Early Pregnancy

Frage 1 von 33

Fülle die Lücken, um den Text zu vervollständigen.

In terms of trimesters of pregnancy: First Trimester - Completes at weeks Second Trimester - Completes at weeks Third Trimester - Completes at weeks

Erklärung

Frage 2 von 33

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Abnormal site of fertilisation and implantation is known as an pregnancy

Erklärung

Frage 3 von 33

Internal Os: ❌ External Os: ❌

Klicke und ziehe, um den Text zu vervollständigen.

Erklärung

Frage 4 von 33

Which scanning modality is used to estimate the length of gestation?

Wähle eine der folgenden:

Erklärung

Frage 5 von 33

Which hormone, produced by the placenta during pregnancy, confirms that a women is pregnant?

Wähle eine der folgenden:

Erklärung

Frage 6 von 33

Fülle die Lücke, um den Text zu vervollständigen

Miscarriage is expulsion of a viable fetus from the womb before it is able to survive independently. What do you call a pregnancy whereby the embryo that was fertilisation was never viable in the first place? A pregnancy

Erklärung

Frage 7 von 33

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A recently pregnant woman presents to you with vaginal bleeding and what she describes as 'period cramping'. She describes that she passed small products when using the toilet 20 minutes ago. This woman has likely had a

Erklärung

Frage 8 von 33

Stages of miscarriage: Threatened = ❌ Inevitable = ❌ Complete = ❌

Klicke und ziehe, um den Text zu vervollständigen.

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Frage 9 von 33

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Which autoantibody disease causes recurrent miscarriage?

Erklärung

Frage 10 von 33

The main two autoantibodies indicative of antiphospholipid syndrome are ...

Wähle eine oder mehr der folgenden:

Erklärung

Frage 11 von 33

Recurrent miscarriage is defined as ...

Wähle eine der folgenden:

Erklärung

Frage 12 von 33

Where is the most common site for ectopic pregnancy?

Wähle eine der folgenden:

Erklärung

Frage 13 von 33

Fülle die Lücke, um den Text zu vervollständigen

A woman presents to A&E with sharp waves of lower abdominal pain, light vaginal bleeding and a feeling of dizziness. She describes these symptoms coming on over the past couple of days. If this patient were to have a positive hCG test, what would be the most likely diagnosis?

Erklärung

Frage 14 von 33

Fülle die Lücke, um den Text zu vervollständigen

Blood from a ruptured ectopic pregnancy can build up and irritate certain nerves, causing pain which is commonly referred to the tip of the

Erklärung

Frage 15 von 33

Fülle die Lücke, um den Text zu vervollständigen

Which part of the fallopian tubes is most commonly affected by ectopic pregnancy (78% of ectopic pregnancies)? The

Erklärung

Frage 16 von 33

Fülle die Lücke, um den Text zu vervollständigen

Women suffering from ectopic pregnancy who are not in significant pain are offered a drug called first line if they are unable to return for follow-up. If they are able to return for follow-up, then watchful waiting is advised. If they are in significant pain, surgical management is advised.

Erklärung

Frage 17 von 33

Surgical management should be given to women who are experiencing significant pain as part of an ectopic pregnancy: Salpingectomy: ❌ Salpingotomy: ❌

Klicke und ziehe, um den Text zu vervollständigen.

Erklärung

Frage 18 von 33

Which type of abnormal pregnancy is described as looking like 'grape-like clusters'

Wähle eine der folgenden:

Erklärung

Frage 19 von 33

Types of Molar Pregnancy: ❌: Egg without DNA fertilised by 1 or 2 sperm, no foetus ❌: Haploid egg fertilised by 1 or 2 sperm, may result in foetus

Klicke und ziehe, um den Text zu vervollständigen.

Erklärung

Frage 20 von 33

What does this picture show?

In terms of trimesters of pregnancy:
First Trimester - Completes at weeks
Second Trimester - Completes at weeks
Third Trimester - Completes at weeks

Internal Os: ❌
External Os: ❌

Miscarriage is expulsion of a viable fetus from the womb before it is able to survive independently.
What do you call a pregnancy whereby the embryo that was fertilisation was never viable in the first place?
A pregnancy

A recently pregnant woman presents to you with vaginal bleeding and what she describes as 'period cramping'. She describes that she passed small products when using the toilet 20 minutes ago.
This woman has likely had a

Stages of miscarriage:
Threatened = ❌
Inevitable = ❌
Complete = ❌

A woman presents to A&E with sharp waves of lower abdominal pain, light vaginal bleeding and a feeling of dizziness. She describes these symptoms coming on over the past couple of days.
If this patient were to have a positive hCG test, what would be the most likely diagnosis?

Which part of the fallopian tubes is most commonly affected by ectopic pregnancy (78% of ectopic pregnancies)?
The

Women suffering from ectopic pregnancy who are not in significant pain are offered a drug called first line if they are unable to return for follow-up.
If they are able to return for follow-up, then watchful waiting is advised.
If they are in significant pain, surgical management is advised.

Surgical management should be given to women who are experiencing significant pain as part of an ectopic pregnancy:
Salpingectomy: ❌
Salpingotomy: ❌

Types of Molar Pregnancy:
❌: Egg without DNA fertilised by 1 or 2 sperm, no foetus
❌: Haploid egg fertilised by 1 or 2 sperm, may result in foetus

'Snowstorm' appearance on ultrasound is indicative of ( complete molar pregnancy, partial molar pregnancy, normal pregnancy, ectopic pregnancy )

❌: Pain is the primary symptom
❌: Vaginal bleeding is the primary symptom

If, after 14 days of expectant management, expulsion of products has not occurred, the woman should be offered medical management via ( Misoprostol, Mifepristone ) in order to induce expulsion.