ECTOPIC PREGNANCY: QUESTIONS AND ANSWERS
LATEST UPDATE (GRADED A+)
35-44 y/o = 3x increased risk
incidence every 1:100 pregnancies
At what age do you have an increased risk for an ectopic pregnancy?
The blastocyst implants anywhere other than the endometrial lining of the uterine cavity
An ectopic or extrauterine pregnancy is one in which....
Blastocyst phase
the development stage prior to implantation of the embryo in the mother's uterus.
Blastocyst
A thin-walled hollow structure in early embryonic development that contains a cluster of cells called the
inner cell mass from which the embryo arises
fallopian tube (especially ampulla)
The vast majority of ectopic gestations occur in the:
previous tubal surgery/adhesions, endometriosis, uterine myomas
PID
Post abortion, DES exposure
Previous uterine surgery
smoking
Advanced age
Ovulation induction
hx of infertility
previous ectopic pregnancy
Risk Factors for an Ectopic Pregnancy?
salpingitis, often caused from chlamydial infection
The primary risk factor ectopic pregnancy is a prior history of :
, True
T/F ? Use of intrauterine device (IUD) & elective pregnancy termination do NOT increase the overall risk
of ectopic pregnancy
Ovarian
Cervical
Interstitial
Heterotrophic
What are the types of ectopic pregnancy
heterotopic pregnancy
A uterine pregnancy in conjunction with an extrauterine pregnancy is termed:
Pelvic or abdominal pain
Amenorrhea, followed by irregular vaginal bleeding
Abdominal tenderness
Adnexal tenderness or palpable mass
Syncope
Shoulder pain (e.g phrenic nerve- irritation from subdiaphragmatic bleeding)
Signs and symptoms of an ectopic pregnancy
Amenorrhea
vaginal bleeding
lower abdominal pain on the affected side : colicky, unilateral, bilateral
What are the CLASSIC sx of ectopic pregnancy
abdominal distention with tenderness with or without rebound, rigidity, decreased bowel sounds
cervical motion tenderness, adnexal mass or adrenal tenderness after rupture
Describe the physical findings usually found when examining an ectopic patient
TRUE
LATEST UPDATE (GRADED A+)
35-44 y/o = 3x increased risk
incidence every 1:100 pregnancies
At what age do you have an increased risk for an ectopic pregnancy?
The blastocyst implants anywhere other than the endometrial lining of the uterine cavity
An ectopic or extrauterine pregnancy is one in which....
Blastocyst phase
the development stage prior to implantation of the embryo in the mother's uterus.
Blastocyst
A thin-walled hollow structure in early embryonic development that contains a cluster of cells called the
inner cell mass from which the embryo arises
fallopian tube (especially ampulla)
The vast majority of ectopic gestations occur in the:
previous tubal surgery/adhesions, endometriosis, uterine myomas
PID
Post abortion, DES exposure
Previous uterine surgery
smoking
Advanced age
Ovulation induction
hx of infertility
previous ectopic pregnancy
Risk Factors for an Ectopic Pregnancy?
salpingitis, often caused from chlamydial infection
The primary risk factor ectopic pregnancy is a prior history of :
, True
T/F ? Use of intrauterine device (IUD) & elective pregnancy termination do NOT increase the overall risk
of ectopic pregnancy
Ovarian
Cervical
Interstitial
Heterotrophic
What are the types of ectopic pregnancy
heterotopic pregnancy
A uterine pregnancy in conjunction with an extrauterine pregnancy is termed:
Pelvic or abdominal pain
Amenorrhea, followed by irregular vaginal bleeding
Abdominal tenderness
Adnexal tenderness or palpable mass
Syncope
Shoulder pain (e.g phrenic nerve- irritation from subdiaphragmatic bleeding)
Signs and symptoms of an ectopic pregnancy
Amenorrhea
vaginal bleeding
lower abdominal pain on the affected side : colicky, unilateral, bilateral
What are the CLASSIC sx of ectopic pregnancy
abdominal distention with tenderness with or without rebound, rigidity, decreased bowel sounds
cervical motion tenderness, adnexal mass or adrenal tenderness after rupture
Describe the physical findings usually found when examining an ectopic patient
TRUE
