Molar and Ectopic Pregnancy ob24-ob26.

Molar Pregnancy (Hydatidiform mole).

***) Regarding hydatidiform mole, all the following are true except:

Commoner in women of blood group A married to blood O men

Group AB women have the worst prognosis

Are commoner in older gravida

Are complicated by ovarian cyst

Can be diagnosed by chest X-ray

Answer: E* Can be diagnosed by chest X-ray

***) In hydatiform mole pregnancy, all the following are true except:

Uterine size is larger than dates

Bilateral ovarian cysts (Lutein cysts) is common

Aggravated morning sickness

Treatment is by suction, curettage regardless of the size of the uterus

Pregnancy is allowed after 6 months

Answer: E* Pregnancy is allowed after 6 months

***) The complications of hydatiform mole include all the following except:

Hemorrhage

Sepsis

Perforation of the uterus

Inversion of the uterus

Choriocarcinoma

Answer: D* Inversion of the uterus

***) Hydatiform mole (vesicular mole) is usually treated by:

Hysterectomy

Prostaglandin induction

Syntocinon induction

Methotrexate

Suction-evacuation of the uterus

Answer: E* Suction-evacuation of the uterus

Ectopic Pregnancy.

***) Regarding ectopic pregnancy all of the following statements are true, except:

It is a pregnancy that implants outside the uterus

The most common site of implantation is the abdominal cavity

It may occur in the cervix

Previous infection is a major cause

There is an increase incidence among IUCD users

Answer: B* The most common site of implantation is the abdominal cavity

***) In ectopic pregnancy, all the following are true except:

Pain usually proceeds bleeding

Shoulder pain is an important symptom

The isthmus of the tube is the commonest site of implantation

Is often not diagnosed by os

The incidence is greater in women with IUCD

Answer: C* The isthmus of the tube is the commonest site of implantation

***) The commonest site for tubal ectopic pregnancy is:

Fimbria

Ampulla

Isthmus

Intramural

Paratubal

Answer: B* Ampulla

???) All of the following may be etiological factors of ectopic pregnancy, except:

Previous infection of the tubes

Delayed passage of the fertilized ovum down the tube

Progesterone pills for contraception

Intrauterine contraceptive device IUCD users

Irregular periods

Answer: E* Irregular periods

***) All of the following may increase the incidence of ectopic pregnancy, except:

Previous pelvic infection

Use of birth control pills

Tubal surgery

Previous appendicitis

Tubal abnormalities

Answer: B* Use of birth control pills

***) The ectopic pregnancy may be due to:

Chronic salpingitis

Short fallopian tube

Long uterine cavity

Use of vaginal diaphragm

Contraceptive pills

Answer: A* Chronic salpingitis

***) All of the following are the clinical features of tubal pregnancy, except:

The patient may have evidence of peritoneal irritation

Lower abdominal pain

Abdominal rigidity

Fainting

Severe vaginal bleeding

Answer: E* Severe vaginal bleeding

***) The most important symptom of ectopic pregnancy is one of the following:

Severe bleeding

Pain

Amenorrhea

Fainting

Pelvic heaviness

Answer: B* Pain

***) Vaginal bleeding in ectopic pregnancy is due to:

Rupture of the fallopian tube

Rupture of the uterus

Vaginal laceration

Peritoneal hemorrhage

Hormone withdrawal

Answer: E* Hormone withdrawal

***) The following features suggest a diagnosis of ectopic pregnancy, except:

Amenorrhea of 6-10 weeks

Acute abdomen

Enlarged uterus

Decidual tissue at curettage

Vaginal bleeding

Answer: C* Enlarged uterus

***) Regarding ectopic pregnancy, all the following are true except:

Amenorrhea

Vaginal bleeding

Abdominal pain

Elevated hCG

Endometrium has always secretory changes

Answer: D* Elevated hCG

***) All true about ectopic pregnancy, except:

Attacks of abdominal sharp stabbing pain

Fainting attacks

Vaginal bleeding

Period of amenorrhea

Pregnancy test is always positive

Answer: A* Attacks of abdominal sharp stabbing pain

***) Signs of ruptures ectopic pregnancy include the following, except:

Rebound tenderness in the abdomen

Heavy vaginal bleeding

Cervical excitation on vaginal examination

Localized tenderness in the pelvis

Tachycardia

Answer: B* Heavy vaginal bleeding

***) Ectopic pregnancy is confirmed by one of the following:

Ultrasound examination