Bleeding in Early Pregnancy

Question 1 of 33

1

Fill the blank spaces to complete the text.

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

Explanation

Question 2 of 33

1

Fill the blank space to complete the text.

Abnormal site of fertilisation and implantation is known as an pregnancy

Explanation

Question 3 of 33

1

Internal Os: ❌
External Os: ❌

Drag and drop to complete the text.

Opening into uterus from the cervix

Opening into fallopian tube from uterus

Opening into ovaries from fallopian tube

Opening into vagina from cervix

Explanation

Question 4 of 33

1

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

Select one of the following:

Ultrasound Scan
CT Scan
MRI Scan
Photoacoustic Imaging

Explanation

Question 5 of 33

1

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

Select one of the following:

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

Explanation

Question 6 of 33

1

Fill the blank space to complete the text.

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

Explanation

Question 7 of 33

1

Fill the blank space to complete the text.

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

Explanation

Question 8 of 33

1

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

Drag and drop to complete the text.

External Os closed

Products sited at open External Os

Products in vagina

Explanation

Question 9 of 33

1

Fill the blank space to complete the text.

Which autoantibody disease causes recurrent miscarriage?

Explanation

Question 10 of 33

1

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

Select one or more of the following:

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

Explanation

Question 11 of 33

1

Recurrent miscarriage is defined as ...

Select one of the following:

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

Explanation

Question 12 of 33

1

Where is the most common site for ectopic pregnancy?

Select one of the following:

The Fallopian Tubes
The Ovaries
The Cervix
The Uterus

Explanation

Question 13 of 33

1

Fill the blank space to complete the text.

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?

Explanation

Question 14 of 33

1

Fill the blank space to complete the text.

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

Explanation

Question 15 of 33

1

Fill the blank space to complete the text.

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

Explanation

Question 16 of 33

1

Fill the blank space to complete the text.

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.

Explanation

Question 17 of 33

1

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

Drag and drop to complete the text.

Fallopian tube removed

Ovary removed

Fallopian tube preserved

Ovary preserved

Explanation

Question 18 of 33

1

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

Select one of the following:

Molar Pregnancy
Ectopic Pregnancy

Explanation

Question 19 of 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

Drag and drop to complete the text.

Complete Mole

Partial Mole

Explanation

Question 20 of 33

1

What does this picture show?

Select one of the following:

Ectopic Pregnancy
Complete Molar Pregnancy
Partial Molar Pregnancy

Explanation

Question 21 of 33

1

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

Select one of the following:

Placental Tissue
Foetal Head
Umbilical Cord

Explanation

Question 22 of 33

1

Select from the dropdown list to complete the text.

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

Explanation

Question 23 of 33

1

Fill the blank space to complete the text.

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.

Explanation

Question 24 of 33

1

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

Select one of the following:

Dark red
Light pink/brownish
Dark brown/blackish

Explanation

Question 25 of 33

1

Fill the blank space to complete the text.

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

Explanation

Question 26 of 33

1

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

Select one of the following:

True
False

Explanation

Question 27 of 33

1

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

Select one of the following:

True
False

Explanation

Question 28 of 33

1

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

Drag and drop to complete the text.

Miscarriage

Ectopic Pregnancy

Explanation

Question 29 of 33

1

Fill the blank space to complete the text.

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

Explanation

Question 30 of 33

1

Select from the dropdown lists to complete the text.

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.

Explanation

Question 31 of 33

1

Select from the dropdown list to complete the text.

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.

Explanation

Question 32 of 33

1

Fill the blank space to complete the text.

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

Explanation

Question 33 of 33

1

	Created by Matthew Coulson over 5 years ago

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

Bleeding in Early Pregnancy

Question 1 of 33

Fill the blank spaces to complete the text.

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

Explanation

Question 2 of 33

Fill the blank space to complete the text.

Abnormal site of fertilisation and implantation is known as an pregnancy

Explanation

Question 3 of 33

Internal Os: ❌ External Os: ❌

Drag and drop to complete the text.

Explanation

Question 4 of 33

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

Select one of the following:

Explanation

Question 5 of 33

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

Select one of the following:

Explanation

Question 6 of 33

Fill the blank space to complete the text.

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

Explanation

Question 7 of 33

Fill the blank space to complete the text.

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

Explanation

Question 8 of 33

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

Drag and drop to complete the text.

Explanation

Question 9 of 33

Fill the blank space to complete the text.

Which autoantibody disease causes recurrent miscarriage?

Explanation

Question 10 of 33

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

Select one or more of the following:

Explanation

Question 11 of 33

Recurrent miscarriage is defined as ...

Select one of the following:

Explanation

Question 12 of 33

Where is the most common site for ectopic pregnancy?

Select one of the following:

Explanation

Question 13 of 33

Fill the blank space to complete the text.

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?

Explanation

Question 14 of 33

Fill the blank space to complete the text.

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

Explanation

Question 15 of 33

Fill the blank space to complete the text.

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

Explanation

Question 16 of 33

Fill the blank space to complete the text.

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.

Explanation

Question 17 of 33

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

Drag and drop to complete the text.

Explanation

Question 18 of 33

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

Select one of the following:

Explanation

Question 19 of 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

Drag and drop to complete the text.

Explanation

Question 20 of 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.