nbme 3 2 19 - clobetasol

[ArchivalUser]

For each patient with vaginal bleeding during pregnancy, select the most likely diagnosis.

O A)Abortion of a blighted twin
O B)Cervicitis
O C)Ectopic pregnancy
O D)Focal decidual necrosis
O E) Gestational trophoblastic disease
0 F) Incomplete abortion
0 G) Ovarian torsion
0 H) Ruptured ovarian cyst
0 I) Threatened abortion


19. A 23-year-old woman, gravida 2, para 0, has had vaginal spotting and abdominal cramps for 2 days. Her last menstrual period was 8 weeks ago. A home pregnancy test was positive 2 weeks ago. She underwent a salpingectomy4 years ago following an ectopic pregnancy. Examination shows a closed cervix, an enlarged uterus, and no adnexal masses. Transvaginal ultrasonography shows an empty uterus. Serum 3-hCG level is 8000 mIU1mL.

[ArchivalUser]

20. A 25-year-old woman has had painless vaginal postcoital bleeding for 2 hours. Her last menstrual period was 10 weeks ago. A pregnancy test is positive. There is a small amount of dark blood in the vaginal canal. She has a reddened, friable cervical os.

[ArchivalUser]

both Q answer choices are same.
19- is it still ectopic or is it H mole?

20. b /f /i i cant pick from these 3

[ArchivalUser]

19. ectopic pregnancy
20. threatened abortion

[ArchivalUser]

..... why not incomplete abortion

[ArchivalUser]

cervix not dilate, pregnancy test +ve, so cant be incomplete abortion.

[ArchivalUser]

how do u say ectopic? cant it be H mole? can u differentiate from the HCG level?

[ArchivalUser]

here in this q, ut is empty, if it is H mole, ut cant be empty, so i think ectopic, how do u think?

[ArchivalUser]

19. ectopic pregnancy
20. threatened abortion