EBCOG P1 – 3 Month- Early pregnancy-Day 5 EMQ EBCOG P1 - 3 Month- Early pregnancy-Day 5 EMQ Name EBCOG P1 - 3 Month- Early pregnancy-Day 5 EMQ Q1 EMQ A.Repeat UPT after a week B.Methotrexate C.Pelvic Ultrasound D.Repeat medical management E.Surgical management F.F.UPT after 3 weeks G.G.Expectant management 1-2 weeks H.Medical management I.Repeat Transvaginal scan after 1 week J.Transvaginal scan after 2 weeks K.take opinion of second sonographer L.Register with trophoblastic centre M.Counsel various management options The following Scenarios shows various women presenting to early pregnancy clinic .please choose from above options regarding their follow up and management . Missed miscarriage – medical management done. UPT done at 3 weeks is positive. What should be the next step/ appropriate step ? 1. Xavier, 32 year old woman , primigravida now 6weeks pregnant. Her transvaginal scan shows a right adnexa mass of 36x25x30mm with fetal cardiac activity present . Her beta hcg is 1570IU/L. She is asymptomatic and hemodynamically stable .She underwent laparoscopy and because of a healthy contralateral tube . Salpingectomy done.when is the follow up for this patient ? Please select your answer A.Repeat UPT after a week B.Methotrexate C.Pelvic Ultrasound D.Repeat medical management E.Surgical management F.F.UPT after 3 weeks G.G.Expectant management 1-2 weeks H.Medical management I.Repeat Transvaginal scan after 1 week J.Transvaginal scan after 2 weeks K.take opinion of second sonographer L.Register with trophoblastic centre M.Counsel various management options EBCOG P1 - 3 Month- Early pregnancy-Day 5 EMQ Q2 2.Mrs. X is 32 year old primigravida 7 pregnant.she is here for dating scan Trans abdominal scan shows gestational sac pole measuring 22mm No fetal pole.noted When is the Follow up advised ? Please select your answer A.Repeat UPT after a week B.Methotrexate C.Pelvic Ultrasound D.Repeat medical management E.Surgical management F. UPT after 3 weeks G. Expectant management 1-2 weeks H.Medical management I.Repeat Transvaginal scan after 1 week J.Transvaginal scan after 2 weeks K.take opinion of second sonographer L.Register with trophoblastic centre M.Counsel various management options EBCOG P1 - 3 Month- Early pregnancy-Day 5 EMQ Q3 3.Mrs, Rubina is into 9 weeks pregnancy . TVS – shows CRL 6.5mm and no cardiac activity. When do u advise follow up Please select your answer A.Repeat UPT after a week B.Methotrexate C.Pelvic Ultrasound D.Repeat medical management E.Surgical management F.UPT after 3 weeks G.Expectant management 1-2 weeks H.Medical management I.Repeat Transvaginal scan after 1 week J.Transvaginal scan after 2 weeks K.take opinion of second sonographer L.Register with trophoblastic centre EBCOG P1 - 3 Month- Early pregnancy-Day 5 EMQ Q4 4.Mrs. Ruby , has undergone evacuation for Missed miscarriage . Evacuation done and HPE of products of conception showed molar pregnancy . Follow up advised . Please select your answer A.Repeat UPT after a week B.Methotrexate C.Pelvic Ultrasound D.Repeat medical management E.Surgical management F.UPT after 3 weeks G.Expectant management 1-2 weeks H.Medical management I.Repeat Transvaginal scan after 1 week J.Transvaginal scan after 2 weeks K.take opinion of second sonographer L.Register with trophoblastic centre M.Counsel various management options EBCOG P1 - 3 Month- Early pregnancy-Day 5 EMQ Q5 5. 9 weeks pregnancy . TVS – CRL 9 mm and no cardiac activity. This was confirmed by 2nd sonographer, what is the best advise ? Please select your answer A.Repeat UPT after a week B.Methotrexate C.Pelvic Ultrasound D.Repeat medical management F.UPT after 3 weeks G.Expectant management 1-2 weeks H.Medical management I.Repeat Transvaginal scan after 1 week J.Transvaginal scan after 2 weeks K.take opinion of second sonographer L.Register with trophoblastic centre M.Counsel various management options EBCOG P1 - 3 Month- Early pregnancy-Day 5 EMQ Q6 A.Preimplantation genetic diagnosis B.11 + 2 to 13+6 C.14 + 1 to 20 + 0 D.18 + 0 to 20 + 6 E.24-28w F.32w G.36w H.41w Instructions For each of the clinical scenarios listed, select the SINGLE most appropriate gestation when the screening test should be performed. 6.Optimal gestational age to accurately determine chorionicity of multiple Pregnancies Please select your answer A.Preimplantation genetic diagnosis B.11 + 2 to 13+6 C.14 + 1 to 20 + 0 D.18 + 0 to 20 + 6 E.24-28w F.32w G.36w H.41w EBCOG P1 - 3 Month- Early pregnancy-Day 5 EMQ Q7 7. Quadruple test or integrated (combined and quadruple test) screening tests for Down syndrome Please select your answer A.Preimplantation genetic diagnosis B.11 + 2 to 13+6 C.14 + 1 to 20 + 0 D.18 + 0 to 20 + 6 E.24-28w F.32w G.36w H.41w EBCOG P1 - 3 Month- Early pregnancy-Day 5 EMQ Q8 8.Screening that prevents the risk of single gene defect disorders such as Huntington disease Please select your answer A.Preimplantation genetic diagnosis B.11 + 2 to 13+6 C.14 + 1 to 20 + 0 D.18 + 0 to 20 + 6 E.24-28w F.32w G.36w H.41w EBCOG P1 - 3 Month- Early pregnancy-Day 5 EMQ Q9 9. Optimal gestational age to accurately determine chorionicity of multiple Pregnancies Please select your answer A.Preimplantation genetic diagnosis B.11 + 2 to 13+6 C.14 + 1 to 20 + 0 D.18 + 0 to 20 + 6 E.24-28w F.32w G.36w H.41w EBCOG P1 - 3 Month- Early pregnancy-Day 5 EMQ Q10 10. Quadruple test or integrated (combined and quadruple test) screening tests for Down syndrome Please select your answer A.Preimplantation genetic diagnosis B.11 + 2 to 13+6 C.14 + 1 to 20 + 0 D.18 + 0 to 20 + 6 E.24-28w F.32w G.36w H.41w EBCOG P1 - 3 Month- Early pregnancy-Day 5 EMQ Q11 11. Screening that prevents the risk of single gene defect disorders such as Huntington disease Please select your answer A.Preimplantation genetic diagnosis B.11 + 2 to 13+6 C.14 + 1 to 20 + 0 D.18 + 0 to 20 + 6 E.24-28w F.32w G.36w H.41w Time's up Sajith P V2022-02-23T10:15:36+00:00