You are about to take the CME Quiz for Sonographic Evaluation of Ectopic Pregnancies

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Sonographic Evaluation of Ectopic Pregnancies


1. The current incidence of ectopic pregnancy is:

0.5%

1.0%

1.5%

2.0%

2.5%

2. The percent of ectopic pregnancies that are currently diagnosed before rupture is:

28%

50%

75%

85%


3. What percent of maternal deaths in the United States are due to ectopic pregnancies?

10%

4%

9%

11%

15%


4. Which of the following is not a risk factor for an ectopic pregnancy?

prior tubal pregnancy

smoking

a history of pelvic inflammatory disease

in-vitro fertilization

a prior ovarian pregnancy


5. The classic signs and symptoms of an ectopic pregnancy include all of the following except

vaginal bleeding

syncope

adnexal tenderness

adnexal mass


6. The discriminatory zone beyond which a gestational sac will be visualized in the uterus in 95% of cases is:

500 mIU/ml

1000 mIU/ml

1500 mIU/ml

3000 mIU/ml

6000 mIU/ml


7. Which of the following sonographic signs associated with an ectopic pregnancy is the most common?

a pseudogestational sac

an extrauterine gestation with cardiac activity

an "echogenic ring"

debris-filled cul-de-sac fluid

a complex adnexal mass.


8. Which of the following ectopics will grow to the largest size before becoming symptomatic?

isthmus

fimbrial

cervical

cornual

ovarian

9. The medical management of an ectopic pregnancy requires that the B-hCG level drops by what percent between day 4 and 7 after therapy?

10%

15%

20%

25%

30%

10. The prevalence of a persistent ectopic pregnancy after linear salpingostomy at laparotomy is?

1%

2-5%

6-10%

11-15%

15%






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