Quiz
Bleeding in Early Pregnancy
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Questions in this quiz (33)
1In terms of trimesters of pregnancy:
First Trimester - Completes at [blank_start]13[blank_end] weeks
Second Trimester - Completes at [blank_start]28[blank_end] weeks
Third Trimester - Completes at [blank_start]40[blank_end] weeks- A40
- B28
- C13
2Abnormal site of fertilisation and implantation is known as an [blank_start]ectopic[blank_end] pregnancy
- Aectopic
3Internal Os: [blank_start]Opening into uterus from the cervix[blank_end]
External Os: [blank_start]Opening into vagina from cervix[blank_end]- AOpening into uterus from the cervix
- BOpening into fallopian tube from uterus
- COpening into ovaries from fallopian tube
- DOpening into vagina from cervix
4Which scanning modality is used to estimate the length of gestation?
- AUltrasound Scan
- BCT Scan
- CMRI Scan
- DPhotoacoustic Imaging
5Which hormone, produced by the placenta during pregnancy, confirms that a women is pregnant?
- ABeta human chorionic gonadotropin (Beta hCG)
- BHuman Placental Lactogen (hPL)
- CFollicle Stimulating Hormone (FSH)
6Miscarriage 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 [blank_start]Molar[blank_end] pregnancy- AMolar
7A 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 [blank_start]miscarriage[blank_end]- Amiscarriage
8Stages of miscarriage:
Threatened = [blank_start]External Os closed[blank_end]
Inevitable = [blank_start]Products sited at open External Os[blank_end]
Complete = [blank_start]Products in vagina[blank_end]- AExternal Os closed
- BProducts sited at open External Os
- CProducts in vagina
9Which autoantibody disease causes recurrent miscarriage?
[blank_start]Antiphospholipid Syndrome[blank_end]- AAntiphospholipid Syndrome
10The main two autoantibodies indicative of antiphospholipid syndrome are ...
- AAnti-cardiolipin Antibodies
- BLupus Anticoagulant
- CAnti-Double Stranded DNA
- DAnticentromere Antibodies
- EAntinuclear Antibodies
11Recurrent miscarriage is defined as ...
- A3 or more pregnancy losses
- B4 or more pregnancy losses
- C2 or more pregnancy losses
12Where is the most common site for ectopic pregnancy?
- AThe Fallopian Tubes
- BThe Ovaries
- CThe Cervix
- DThe Uterus
13A 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?
[blank_start]Ectopic Pregnancy[blank_end]- AEctopic Pregnancy
14Blood from a ruptured ectopic pregnancy can build up and irritate certain nerves, causing pain which is commonly referred to the tip of the [blank_start]shoulder[blank_end]
- Ashoulder
15Which part of the fallopian tubes is most commonly affected by ectopic pregnancy (78% of ectopic pregnancies)?
The [blank_start]Ampulla[blank_end]- AAmpulla
16Women suffering from ectopic pregnancy who are not in significant pain are offered a drug called [blank_start]Methotrexate[blank_end] 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.- AMethotrexate
17Surgical management should be given to women who are experiencing significant pain as part of an ectopic pregnancy:
Salpingectomy: [blank_start]Fallopian tube removed[blank_end]
Salpingotomy: [blank_start]Fallopian tube preserved[blank_end]- AFallopian tube removed
- BOvary removed
- CFallopian tube preserved
- DOvary preserved
18Which type of abnormal pregnancy is described as looking like 'grape-like clusters'
- AMolar Pregnancy
- BEctopic Pregnancy
19Types of Molar Pregnancy:
[blank_start]Complete Mole[blank_end]: Egg without DNA fertilised by 1 or 2 sperm, no foetus
[blank_start]Partial Mole[blank_end]: Haploid egg fertilised by 1 or 2 sperm, may result in foetus- AComplete Mole
- BPartial Mole
20What does this picture show?
- AEctopic Pregnancy
- BComplete Molar Pregnancy
- CPartial Molar Pregnancy
21In both partial and complete molar pregnancies there is overgrowth of the ...
- APlacental Tissue
- BFoetal Head
- CUmbilical Cord
22'Snowstorm' appearance on ultrasound is indicative of [blank_start]complete molar pregnancy[blank_end]
- Acomplete molar pregnancy
- Bpartial molar pregnancy
- Cnormal pregnancy
- Dectopic pregnancy
23[blank_start]Implantation[blank_end] 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.
- AImplantation
24The most common sign of implantation bleeding is vaginal bleeding or spotting that is ...
- ADark red
- BLight pink/brownish
- CDark brown/blackish
25A pooling of blood between endometrium and the embryo due to separation is called a [blank_start]chorionic haematoma[blank_end]
- Achorionic haematoma
26Chorionic Haematoma is the most common cause of second trimester bleeding.
- ATrue
- BFalse
27Chorionic haematomas are usually self limiting and don't require any intervention
- ATrue
- BFalse
28[blank_start]Ectopic Pregnancy[blank_end]: Pain is the primary symptom
[blank_start]Miscarriage[blank_end]: Vaginal bleeding is the primary symptom- AMiscarriage
- BEctopic Pregnancy
29A 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 [blank_start]cervical shock[blank_end]- Acervical shock
30If diagnosed with incomplete or missed miscarriage, a woman should be treated via [blank_start]expectant management[blank_end] for [blank_start]14[blank_end] days in order to try and bring about the expulsion of products.
- Aexpectant management
- Bpharmacological intervention
- Csurgical intervention
- D14
- E7
- F10
31If, after 14 days of expectant management, expulsion of products has not occurred, the woman should be offered medical management via [blank_start]Misoprostol[blank_end] in order to induce expulsion.
- AMisoprostol
- BMifepristone
32If a woman fails on both expectant and medical management of her incomplete/missed miscarriage, [blank_start]surgical[blank_end] intervention should be offered.
- Asurgical
33Intrauterine death before 20 weeks gestation with retained products of conception and little to no pelvic pain or bleeding is known as a [blank_start]missed[blank_end] miscarriage
- Amissed
Information
- Description
- Bleeding in Early Pregnancy Lecture given on 06/11/2018
- Author
- Matthew Coulson
- Language
- English
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- 499
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