Step 1 of 11 9% Name* First Last Your Email* 1) The following are recognised ways of expressing ectopic pregnancy ratesPer deliveries after 26 weeks*TrueFalseEctopic pregnancies per all known pregnancies*TrueFalsePer termination of pregnancy and miscarriages requiring ERPC*TrueFalsePer 100 000 total population age 15-44*TrueFalsePer viable pregnancies (TOP and deliveries)*TrueFalse 2) Recurrence ectopic pregnancyThe rate is 15-30%*TrueFalseSubsequent intrauterine pregnancy rate is 30-50%*TrueFalseAfter salpingostomy the risk of tubal ectopic pregnancy is 21%*TrueFalseAfter salpingostomy the live birth rate is 40%*TrueFalseThe ectopic pregnancy rate is significantly better after laparoscopy than after laparotomy*TrueFalse 3) The following epidemiological factors affect the maternal mortality rateRising numbers of older or obese mothers*TrueFalseGrowing proportion of women with medically complex pregnancies*TrueFalseIncreasing numbers of migrant women*TrueFalseIncreasing numbers of serious underlying medical conditions and poorer general health*TrueFalseDifficulty in accessing maternity care*TrueFalse 4) The following definitions relating to maternal death are correctPregnancy Related Death (ICD 10) is the death of a woman while pregnant or within 42 days of the end of her pregnancy, irrespective of cause*TrueFalseMaternal Mortality Ratio (MMR) is the number of Direct and Indirect deaths per 1000 live births*TrueFalseMaternal Deaths is death of women while pregnant or within 42 days of the end of the pregnancy any cause related to or aggravated by the pregnancy or its management, but not from accidental or incidental causes*TrueFalseDirect Deaths are deaths resulting from obstetric complications of the pregnant state (pregnancy, labour and puerperium}, from interventions, omissions, incorrect treatment, or from a chain of events resulting from any of the above*TrueFalseIndirect Deaths are deaths resulting from previous existing disease, or disease that developed during pregnancy and which was not due to direct obstetric causes, but which was aggravated by the physiologic effects of pregnancy*TrueFalse 5) In order to use Methotrexate in treatment of Ectopic pregnancy the following entry criteria must be metPatients must be haemodynamically stable*TrueFalseUnruptured ectopic pregnancy*TrueFalseInitial βhCG < 6000 iu/ml and Tubal mass < 3.5 cm*TrueFalseNo previous history of liver disease, anaemia, leucopoenia, thrombocytopenia*TrueFalsePatient understands need for surveillance and is able to attend for this*TrueFalse 6) The following side effects are associated with methotrexate therapyAbdominal pain*TrueFalseConjunctivitis*TrueFalseStomatitis*TrueFalseGastro-intestinal upset*TrueFalseBone marrow suppression*TrueFalse 7) During treatment with methotrexate the following should be avoidedAvoid Sexual intercourse*TrueFalseAvoid exposure to sun*TrueFalseAvoid NSAIDs*TrueFalseAvoid alcohol*TrueFalseAvoid exercise*TrueFalse 8) The following statistics regarding social risk factors for maternal death are correctMore than 20% of women who died from Direct or Indirect causes were morbidly or super morbidly obese*TrueFalseA third of all women who died were either single and unemployed, or in a relationship where both partners were unemployed*TrueFalseWomen with partners who were unemployed, many of whom had features of social exclusion, were up to seven times more likely to die than women with partners who were employed*TrueFalseIn England, women who lived in the most deprived areas were five times more likely to die than women living in the least deprived areas*TrueFalse35% of women self-declared that they were subject to domestic abuse*TrueFalse 9) With regards to Ectopic pregnancy in 2003-2005There were 32,100 registered ectopic pregnancies*TrueFalseThere were 100 registered deaths directly related to ruptured ectopic pregnancy*TrueFalseDiarrhoea and vomiting are unreliable signs of ectopic pregnancy*TrueFalseTachycardia, hypotension and rapid respiration are common presentations of ruptured Ectopic pregnancy*TrueFalseSeven of the ten deaths from ectopic pregnancy were associated with sub-standard care*TrueFalse 10) Regarding contraception, the combined oral contraceptive pill (COP)/ progesterone only pill (POP)/ mirena intrauterine system (IUS)May protect against Pelvic Inflammatory Disease*TrueFalseThe OCP is contraindicated in migraines*TrueFalseThe POP acts by reducing penetrability and transport through cervical mucus*TrueFalseThe mirena coil in contraindicated in nulliparaus women*TrueFalseThe mirena coil does not increase the risk of Pelvic Inflammatory Disease*TrueFalseNameThis field is for validation purposes and should be left unchanged. Share to Share to Facebook Share to Twitter Share to Google + Share to LinkedIn Share to Email
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