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Ectopic Pregnancy

Which of the following most accurately defines ectopic pregnancy?

a. Composed solely of cytotrophoblast

b. Implantation within the fallopian tube

c. Implantation outside the uterine cavity

d. Abnormally rising maternal serum β-human chorionic gonadotropin (β-hCG) level

As shown here, what is the most common site of tubal pregnancy implantation?

Used with permission from Dr. Kevin Doody. Reproduced with permission from Werner CL, Moschos E, Griffith WF (eds): Williams Gynecology, 2nd ed. Study Guide. New York, McGraw-Hill, 2012, p 39.

a. Cornua

b. Fimbria

c. Isthmus

d. Ampulla

Which of the following defines heterotopic pregnancy?

a. One tubal and one abdominal pregnancy

b. One ectopic and one intrauterine pregnancy

c. Two pregnancies, one in each fallopian tube

d. Two ectopic pregnancies in one fallopian tube

Which of the following is least likely to increase the risk for ectopic pregnancy?

a. Prior pelvic infection

b. Prior hydatidiform mole

c. Prior ectopic pregnancy

d. Salpingitis isthmica nodosum

b. Risks

With contraceptive failure, which method has a relative increased risk of ectopic pregnancy?

a. Condoms

b. Vasectomy

c. Tubal sterilization

d. All of the above

c. Risks

Which of the following clinical outcomes of tubal pregnancy is has the lowest potential for maternal morbidity?

a. Tubal rupture

b. Tubal abortion

c. Chronic persistence

d. Pregnancy resorption

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