Bleeding in Early Pregnancy

Pregunta 1 de 33

1

Rellena los espacios en blanco para completar el texto.

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

Explicación

Pregunta 2 de 33

1

Rellena el espacio en blanco para completar el texto.

Abnormal site of fertilisation and implantation is known as an pregnancy

Explicación

Pregunta 3 de 33

1

Internal Os: ❌
External Os: ❌

Arrastra y suelta para completar el texto.

Opening into uterus from the cervix

Opening into fallopian tube from uterus

Opening into ovaries from fallopian tube

Opening into vagina from cervix

Explicación

Pregunta 4 de 33

1

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

Selecciona una de las siguientes respuestas posibles:

Ultrasound Scan
CT Scan
MRI Scan
Photoacoustic Imaging

Explicación

Pregunta 5 de 33

1

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

Selecciona una de las siguientes respuestas posibles:

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

Explicación

Pregunta 6 de 33

1

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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

Explicación

Pregunta 7 de 33

1

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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

Explicación

Pregunta 8 de 33

1

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

Arrastra y suelta para completar el texto.

External Os closed

Products sited at open External Os

Products in vagina

Explicación

Pregunta 9 de 33

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Which autoantibody disease causes recurrent miscarriage?

Explicación

Pregunta 10 de 33

1

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

Selecciona una o más de las siguientes respuestas posibles:

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

Explicación

Pregunta 11 de 33

1

Recurrent miscarriage is defined as ...

Selecciona una de las siguientes respuestas posibles:

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

Explicación

Pregunta 12 de 33

1

Where is the most common site for ectopic pregnancy?

Selecciona una de las siguientes respuestas posibles:

The Fallopian Tubes
The Ovaries
The Cervix
The Uterus

Explicación

Pregunta 13 de 33

1

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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?

Explicación

Pregunta 14 de 33

1

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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

Explicación

Pregunta 15 de 33

1

Rellena el espacio en blanco para completar el texto.

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

Explicación

Pregunta 16 de 33

1

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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.

Explicación

Pregunta 17 de 33

1

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

Arrastra y suelta para completar el texto.

Fallopian tube removed

Ovary removed

Fallopian tube preserved

Ovary preserved

Explicación

Pregunta 18 de 33

1

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

Selecciona una de las siguientes respuestas posibles:

Molar Pregnancy
Ectopic Pregnancy

Explicación

Pregunta 19 de 33

1

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

Arrastra y suelta para completar el texto.

Complete Mole

Partial Mole

Explicación

Pregunta 20 de 33

1

What does this picture show?

Selecciona una de las siguientes respuestas posibles:

Ectopic Pregnancy
Complete Molar Pregnancy
Partial Molar Pregnancy

Explicación

Pregunta 21 de 33

1

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

Selecciona una de las siguientes respuestas posibles:

Placental Tissue
Foetal Head
Umbilical Cord

Explicación

Pregunta 22 de 33

1

Selecciona la opción correcta del menú desplegable para completar el texto.

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

Explicación

Pregunta 23 de 33

1

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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.

Explicación

Pregunta 24 de 33

1

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

Selecciona una de las siguientes respuestas posibles:

Dark red
Light pink/brownish
Dark brown/blackish

Explicación

Pregunta 25 de 33

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

Explicación

Pregunta 26 de 33

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

Selecciona uno de los siguientes:

VERDADERO
FALSO

Explicación

Pregunta 27 de 33

1

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

Selecciona uno de los siguientes:

VERDADERO
FALSO

Explicación

Pregunta 28 de 33

1

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

Arrastra y suelta para completar el texto.

Miscarriage

Ectopic Pregnancy

Explicación

Pregunta 29 de 33

1

Rellena el espacio en blanco para completar el texto.

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

Explicación

Pregunta 30 de 33

1

Selecciona la opción correcta de los menús desplegables para completar el texto.

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.

Explicación

Pregunta 31 de 33

1

Selecciona la opción correcta del menú desplegable para completar el texto.

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.

Explicación

Pregunta 32 de 33

1

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

Explicación

Pregunta 33 de 33

1

	Creado por Matthew Coulson hace más de 5 años

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

Bleeding in Early Pregnancy

Pregunta 1 de 33

Rellena los espacios en blanco para completar el texto.

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

Explicación

Pregunta 2 de 33

Rellena el espacio en blanco para completar el texto.

Abnormal site of fertilisation and implantation is known as an pregnancy

Explicación

Pregunta 3 de 33

Internal Os: ❌ External Os: ❌

Arrastra y suelta para completar el texto.

Explicación

Pregunta 4 de 33

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

Selecciona una de las siguientes respuestas posibles:

Explicación

Pregunta 5 de 33

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

Selecciona una de las siguientes respuestas posibles:

Explicación

Pregunta 6 de 33

Rellena el espacio en blanco para completar el texto.

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

Explicación

Pregunta 7 de 33

Rellena el espacio en blanco para completar el texto.

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

Explicación

Pregunta 8 de 33

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

Arrastra y suelta para completar el texto.

Explicación

Pregunta 9 de 33

Rellena el espacio en blanco para completar el texto.

Which autoantibody disease causes recurrent miscarriage?

Explicación

Pregunta 10 de 33

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

Selecciona una o más de las siguientes respuestas posibles:

Explicación

Pregunta 11 de 33

Recurrent miscarriage is defined as ...

Selecciona una de las siguientes respuestas posibles:

Explicación

Pregunta 12 de 33

Where is the most common site for ectopic pregnancy?

Selecciona una de las siguientes respuestas posibles:

Explicación

Pregunta 13 de 33

Rellena el espacio en blanco para completar el texto.

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?

Explicación

Pregunta 14 de 33

Rellena el espacio en blanco para completar el texto.

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

Explicación

Pregunta 15 de 33

Rellena el espacio en blanco para completar el texto.

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

Explicación

Pregunta 16 de 33

Rellena el espacio en blanco para completar el texto.

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.

Explicación

Pregunta 17 de 33

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

Arrastra y suelta para completar el texto.

Explicación

Pregunta 18 de 33

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

Selecciona una de las siguientes respuestas posibles:

Explicación

Pregunta 19 de 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

Arrastra y suelta para completar el texto.

Explicación

Pregunta 20 de 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.