ECTOPIC PREGNANCY: QUESTIONS AND ANSWERS
LATEST UPDATE (GRADED A+)
out of place
ectopic pregnancy is derived from the Greek word ektopos, meaning _____.
fallopian tubes, cervix, ovary, cornual region of the uterus ,and the abdominal cavity
Ectopic pregnancy refers to implatation of fertilized egg in a location outside of the uterine cavity,
including:
primates
_____ are the only animals that have tubal ectopic pregnancies
first trimester
ectopic pregnancy is the leading cause of maternal death (due to hemorrhaging) in what trimester?
-previous ectopic pregnancy
-previous tubal surgery
-tubal ligation
-tubal pathology
-in utero DES exposure
-current IUD use
what are HIGH risk factors of an ectopic pregnancy?
a woman had a tubal ligation but desired to get pregnant again so the tubes are brought back
together (this can cause an ectopic pregnancy too)
what is tubal anastomosis?
that she doesn't have an ectopic pregnancy
it's not likely that a pt will get pregnancy with an IUD but if she does have an IUD, you would want to
make sure what?
-infertility
-previous cervicitis (gonorrhea, chlamydia)
-multiple sexual partners
-smoking
what are MODERATE risk factors for ectopic pregnancy?
many sexual partners increases the risk for cervicitis
why is having multiple sexual partners a moderate risk factor for an ectopic pregnancy?
, -previous pelvic/abdominal surgery
-vaginal douching
-early age of intercourse (<18 years)
LOW risk factors ectopic pregnancy?
fallopian tube
95% of ectopic pregnancies occur in the ____?
Ampulla (70%)
- isthmus (12%)
- fimbria (11%)
- interstitial /corneal (2%)
within the fallopian tube, what is the most common site for an etopic pregnancy?
3% of ectopic pregnancies
how common is it for an ectopic pregnancy to occur in the ovary?
1% of ectopic pregnancies
how common is it for an ectopic pregnancy to occur in the abdomen?
<1% of ectopic pregnancies
how common is it for an ectopic pregnancy to occur in the cervix?
1) conditions that delay or prevent passage of the fertilized oocyte into the uterine cavity or
2) factors inherent in the embryo that result in premature implantation
patho of ectopic pregnancy?
-abdominal pain
-amenorrhea
-vaginal bleeding
the classic symptoms of ectopic pregnancy are: (3)
breast tenderness, frequent urination, nausea, etc.
only about 50% of patients with an ectopic pregnancy present typically... so they would present with
normal pregnancy discomforts like....?
pelvic tenderness, enlarged uterus, adnexal mass, or tenderness
clinicians should have a high index of suspicion for ectopic pregnancy in any woman who presents with
these symptoms and who presents with physical findings of:?
asymptomatic
LATEST UPDATE (GRADED A+)
out of place
ectopic pregnancy is derived from the Greek word ektopos, meaning _____.
fallopian tubes, cervix, ovary, cornual region of the uterus ,and the abdominal cavity
Ectopic pregnancy refers to implatation of fertilized egg in a location outside of the uterine cavity,
including:
primates
_____ are the only animals that have tubal ectopic pregnancies
first trimester
ectopic pregnancy is the leading cause of maternal death (due to hemorrhaging) in what trimester?
-previous ectopic pregnancy
-previous tubal surgery
-tubal ligation
-tubal pathology
-in utero DES exposure
-current IUD use
what are HIGH risk factors of an ectopic pregnancy?
a woman had a tubal ligation but desired to get pregnant again so the tubes are brought back
together (this can cause an ectopic pregnancy too)
what is tubal anastomosis?
that she doesn't have an ectopic pregnancy
it's not likely that a pt will get pregnancy with an IUD but if she does have an IUD, you would want to
make sure what?
-infertility
-previous cervicitis (gonorrhea, chlamydia)
-multiple sexual partners
-smoking
what are MODERATE risk factors for ectopic pregnancy?
many sexual partners increases the risk for cervicitis
why is having multiple sexual partners a moderate risk factor for an ectopic pregnancy?
, -previous pelvic/abdominal surgery
-vaginal douching
-early age of intercourse (<18 years)
LOW risk factors ectopic pregnancy?
fallopian tube
95% of ectopic pregnancies occur in the ____?
Ampulla (70%)
- isthmus (12%)
- fimbria (11%)
- interstitial /corneal (2%)
within the fallopian tube, what is the most common site for an etopic pregnancy?
3% of ectopic pregnancies
how common is it for an ectopic pregnancy to occur in the ovary?
1% of ectopic pregnancies
how common is it for an ectopic pregnancy to occur in the abdomen?
<1% of ectopic pregnancies
how common is it for an ectopic pregnancy to occur in the cervix?
1) conditions that delay or prevent passage of the fertilized oocyte into the uterine cavity or
2) factors inherent in the embryo that result in premature implantation
patho of ectopic pregnancy?
-abdominal pain
-amenorrhea
-vaginal bleeding
the classic symptoms of ectopic pregnancy are: (3)
breast tenderness, frequent urination, nausea, etc.
only about 50% of patients with an ectopic pregnancy present typically... so they would present with
normal pregnancy discomforts like....?
pelvic tenderness, enlarged uterus, adnexal mass, or tenderness
clinicians should have a high index of suspicion for ectopic pregnancy in any woman who presents with
these symptoms and who presents with physical findings of:?
asymptomatic
