Bleeding in Early Pregnancy

Questão 1 de 33

1

Preencha os espaços em branco para completar o texto.

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

Explicação

Questão 2 de 33

1

Preencha o espaço em branco para completar o texto.

Abnormal site of fertilisation and implantation is known as an pregnancy

Explicação

Questão 3 de 33

1

Internal Os: ❌
External Os: ❌

Arraste e solte para completar o texto.

Opening into uterus from the cervix

Opening into fallopian tube from uterus

Opening into ovaries from fallopian tube

Opening into vagina from cervix

Explicação

Questão 4 de 33

1

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

Selecione uma das seguintes:

Ultrasound Scan
CT Scan
MRI Scan
Photoacoustic Imaging

Explicação

Questão 5 de 33

1

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

Selecione uma das seguintes:

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

Explicação

Questão 6 de 33

1

Preencha o espaço em branco para completar o 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

Explicação

Questão 7 de 33

1

Preencha o espaço em branco para completar o 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

Explicação

Questão 8 de 33

1

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

Arraste e solte para completar o texto.

External Os closed

Products sited at open External Os

Products in vagina

Explicação

Questão 9 de 33

1

Preencha o espaço em branco para completar o texto.

Which autoantibody disease causes recurrent miscarriage?

Explicação

Questão 10 de 33

1

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

Selecione uma ou mais das seguintes:

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

Explicação

Questão 11 de 33

1

Recurrent miscarriage is defined as ...

Selecione uma das seguintes:

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

Explicação

Questão 12 de 33

1

Where is the most common site for ectopic pregnancy?

Selecione uma das seguintes:

The Fallopian Tubes
The Ovaries
The Cervix
The Uterus

Explicação

Questão 13 de 33

1

Preencha o espaço em branco para completar o 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?

Explicação

Questão 14 de 33

1

Preencha o espaço em branco para completar o 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

Explicação

Questão 15 de 33

1

Preencha o espaço em branco para completar o texto.

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

Explicação

Questão 16 de 33

1

Preencha o espaço em branco para completar o 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.

Explicação

Questão 17 de 33

1

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

Arraste e solte para completar o texto.

Fallopian tube removed

Ovary removed

Fallopian tube preserved

Ovary preserved

Explicação

Questão 18 de 33

1

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

Selecione uma das seguintes:

Molar Pregnancy
Ectopic Pregnancy

Explicação

Questão 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

Arraste e solte para completar o texto.

Complete Mole

Partial Mole

Explicação

Questão 20 de 33

1

What does this picture show?

Selecione uma das seguintes:

Ectopic Pregnancy
Complete Molar Pregnancy
Partial Molar Pregnancy

Explicação

Questão 21 de 33

1

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

Selecione uma das seguintes:

Placental Tissue
Foetal Head
Umbilical Cord

Explicação

Questão 22 de 33

1

Selecione da lista do Menu para completar o texto.

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

Explicação

Questão 23 de 33

1

Preencha o espaço em branco para completar o texto.

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.

Explicação

Questão 24 de 33

1

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

Selecione uma das seguintes:

Dark red
Light pink/brownish
Dark brown/blackish

Explicação

Questão 25 de 33

1

Preencha o espaço em branco para completar o texto.

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

Explicação

Questão 26 de 33

1

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

Selecione uma das opções:

VERDADEIRO
FALSO

Explicação

Questão 27 de 33

1

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

Selecione uma das opções:

VERDADEIRO
FALSO

Explicação

Questão 28 de 33

1

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

Arraste e solte para completar o texto.

Miscarriage

Ectopic Pregnancy

Explicação

Questão 29 de 33

1

Preencha o espaço em branco para completar o 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

Explicação

Questão 30 de 33

1

Selecione das listas do Menu para completar o 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.

Explicação

Questão 31 de 33

1

Selecione da lista do Menu para completar o 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.

Explicação

Questão 32 de 33

1

Preencha o espaço em branco para completar o texto.

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

Explicação

Questão 33 de 33

1

	Criado por Matthew Coulson quase 8 anos atrás

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

Bleeding in Early Pregnancy

Questão 1 de 33

Preencha os espaços em branco para completar o texto.

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

Explicação

Questão 2 de 33

Preencha o espaço em branco para completar o texto.

Abnormal site of fertilisation and implantation is known as an pregnancy

Explicação

Questão 3 de 33

Internal Os: ❌ External Os: ❌

Arraste e solte para completar o texto.

Explicação

Questão 4 de 33

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

Selecione uma das seguintes:

Explicação

Questão 5 de 33

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

Selecione uma das seguintes:

Explicação

Questão 6 de 33

Preencha o espaço em branco para completar o 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

Explicação

Questão 7 de 33

Preencha o espaço em branco para completar o 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

Explicação

Questão 8 de 33

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

Arraste e solte para completar o texto.

Explicação

Questão 9 de 33

Preencha o espaço em branco para completar o texto.

Which autoantibody disease causes recurrent miscarriage?

Explicação

Questão 10 de 33

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

Selecione uma ou mais das seguintes:

Explicação

Questão 11 de 33

Recurrent miscarriage is defined as ...

Selecione uma das seguintes:

Explicação

Questão 12 de 33

Where is the most common site for ectopic pregnancy?

Selecione uma das seguintes:

Explicação

Questão 13 de 33

Preencha o espaço em branco para completar o 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?

Explicação

Questão 14 de 33

Preencha o espaço em branco para completar o 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

Explicação

Questão 15 de 33

Preencha o espaço em branco para completar o texto.

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

Explicação

Questão 16 de 33

Preencha o espaço em branco para completar o 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.

Explicação

Questão 17 de 33

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

Arraste e solte para completar o texto.

Explicação

Questão 18 de 33

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

Selecione uma das seguintes:

Explicação

Questão 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

Arraste e solte para completar o texto.

Explicação

Questão 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.