EBCOG Part 1 2 Weeks Crash Course Early pregnancy, preconception care, Maternal Medicine Day 1

EMQs

options for questions 1 to 5.

A.Laparoscopic salpingotomy

B.Laparoscopic salpingectomy.

C.Laparotomy & salpingectomy

D.Medical management with methotrexate

E.LSCS Scar ectopic

F.Expectant management

G.hysterectomy

choose the most appropriate treatment option for the scenarios described below ,from the options given above.Each option maybe used once or more than once or not used at all.

1.Usg image of a lady with heterotopic pregnancy.one intrauterine & one ectopic gestation.which treatment modality is contraindicated ?

2.Usg image of a tubal ectopic pregnancy.pt clinically stable.Adnexal mass-20mm,No fetal cardiac activity ,no free fluid in POD & no significant pain. Suitable for which modality of treatment?

3. A 26 years old lady with h/o previous delivery by LSCS presents with 6 weeks amenorrhea & low abdominal pain.TVS shows the following picture.Identify the type of ectopic pregnancy.

4.Laparoscopic picture of a woman with left unruptured tubal ectopic pregnancy.contralateral tube looks normal.Which surgery is the best treatment option?

5.Laparoscopic picture of a lady undergoing surgery for unruptured tubal ectopic pregnancy.She expressed concern for fertility.contralateral tube looked damaged.identify the procedure being done

Options for questions  

A.Repeat TVS after 7 days

B.Repeat TAS after 14 days

C.Get a second opinion

D.Do a Serum BHCG level

E.Repeat serum BHCG level after 48 hrs

F.Diagnose miscarriage & offer surgical management

G.Diagnose ectopic pregnancy.

H.Pregnancy of unknown location

choose the most appropriate management option or the diagnosis for the scenarios described below.Each option maybe used once or more than once or not at all.

6.TVS scan of a lady with 6 weeks amenorrhea & a positive pregnancy test shows a single IU gestational sac with CRL 4mm & no cardiac activity.

7.TAS scan of a lady with 7 weeks amenorrhea & mild pv bleeding-single intrauterine GS 20 mm & no fetal pole.

8.TVS of a lady with 7 weeks amenorrhea-single intrauterine pregnancy  with CRL8mm & no fetal cardiac activity.

9.A 21 year old lady comes to A & E with mild pv bleeding,pregnancy test done 2 days ago positive.Usg shows thickened endometrium ,both adnexa normal & no free fluid in POD.

10.TVS picture of a lady with mild pain in RIF & delayed period by 2 days-endometrium thick,both adnexa normal.BHCG done is 400 iu/L.

Options for questions  

A.46,XX—one set of maternal & paternal chromosomes each

B.46 XX—paternal chromosomes

C.69-XXY- fertilisation of ovum by 2 sperm

D.clusters of grapes

E.15%

G.histopath-fetal tissues identifiable

below are some characteristics of molar pregnancy.Choose the most appropriate option from the above to match the description.Each option maybe used once or more than once or not at all.

11.Karyotype of complete molar pregnancy ?

12. Risk of requiring chemotherapy in GTN after complete molar pregnancy ?

13.Karyotype of partial mole

14.Macroscopic appearance of complete molar pregnancy

15.Karyotype in normal pregnancy ?