| Bleeding in Early Pregnancy | Maternal Serum Screening | ASA Prophylaxis | The 2nd Trimester Anatomic Ultrasound | Miscellaneous |
|---|---|---|---|---|
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What is 50%. (1)
Approximately what percentage of patients who have an ectopic pregnancy have no known risk factors?
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What is between 11 weeks to 13 weeks 6 days. (8)
The first set of labs for MSS are to be drawn between which gestational ages?
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What is pre-eclampsia.
In certain patients, ASA is used to try to prevent the development of which condition?
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What is 18-20 weeks. (8)
The routine anatomy scan should take place between ____________weeks gestation.
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What is 8 weeks by LMP.
In a low risk patient who is clinically well, a dating ultrasound should generally NOT be ordered earlier than ____ weeks gestation based on LMP.
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What is 32 days. (2)
The earliest gestational age by LMP where one could expect to see an intrauterine gestational sac by trans-vaginal U/S is ___days gestation.
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What is between 15 to 20 weeks. (8)
The second set of labs for MSS are to be drawn between which gestational ages?
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What is 16? (9)
In a patient who is deemed to be a candidate for ASA prophylaxis, it should be initiated prior to _____ weeks gestation.
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What is because the fetus can do a lot of somersaults between the time of the ultrasound and the time of delivery. (Still document it if it gets reported)
The reporting of fetal presentation on the anatomy scan seen as irrelevant by some clinicians because?
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What is 16 to 24 weeks. (Depends on when the indication is identified) (16)
When indicated, antenatal vaginal progesterone should be initiated at what gestational age?
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What is WinRho. (3, 4, 5)
The SOGC continues to recommend its administration (2018). Newer evidence states no need if less than 8 weeks gestation (2020).
Administration of ______ to some patients following bleeding in early pregnancy remains a hotly debated topic with no current consensus on standard of care.
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What is 11 to 14 weeks. (8)
If a nuchal translucency ultrasound is being done, it is done between which gestational ages?
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What is 81-162mg po QHS? (9)
In a patient who is deemed to be a candidate for ASA prophylaxis, what is the dose?
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What is 2cm. (14)
Low lying placenta is defined as less than ___cm from the internal cervical os.
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What is a LEEP procedure. (17)
Routine screening for cervical length is NOT recommended in patients who have had which procedure previously?
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What is referral to EPAC, referral to EPAC, and referral to EPAC? Just kidding.
Expectant, medical, and surgical.
The management options for a spontaneous abortion fall into three general categories - what are they?
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What is inform the patient and advise no further testing is required. (8)
The required action when an MSS report says "risk below cut off" is to?
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What are personal hx of pre-eclampsia, chronic HTN, diabetes, renal disease, autoimmune disease, pre-pregnancy BMI over 30, ART. (10)
Candidacy for ASA prophylaxis is determined by assessing a patient's risk for development of pre-eclampsia. List three "high" risk factors for pre-E.
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What are gestational diabetes, pre-existing diabetes, previously macrosomic infant, maternal obesity, EFW reported as 95%ile or higher on U/S, maternal age less than 17. (12)
Five risk factors for a macrosomic infant are:
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What are 6 movements and 2 hours.
A normal "kick count" is considered to be _____ or more perceived fetal movements over the span of ____ hours.
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What is 1800 mIU/ml. (6, 7)
However this is debated and is not reliable so should not be used in isolation to make management decisions.
The "discriminatory level" of quantitative beta-hcg where a gestational sac could be seen is?
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What are Trisomy 18, Trisomy 21, and open neural tube defects? (8)
MSS in Saskatchewan screens for three conditions. What are they?
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What are prior abruption, prior stillbirth, prior FGR, nulliparity, age over 40, multifetal pregnancy. (10)
Candidacy for ASA prophylaxis is determined by assessing a patient's risk for development of pre-eclampsia. List three "moderate" risk factors for pre-E.
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What is none. Hehe trick question.
If it is solitary and in the capsule of the liver, it is most often a benign finding with no clinical significance. (15)
A solitary calcification seen in the liver capsule is always associated with which condition?
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What are cervical length less than 25mm between 16 and 24 week and personal history of spontaneous preterm birth NOT TPTL. (16)
The indications for antenatal progesterone to prevent pre term birth are:
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