CASE 113
History: A patient with a 20-week pregnancy presents with a suspected fibroid on physical examination.
1. What should be included in the differential diagnosis of a palpated pelvic mass distinct from the uterus? (Choose all that apply.)
B. Abdominal ectopic pregnancy
C. Uterine anomaly with a rudimentary horn
2. Which of the following is not a presentation of an abdominal ectopic pregnancy?
B. Fetal heart sounds in maternal epigastrium
C. Fever
3. Which of the following is not a recommended treatment of abdominal ectopic pregnancy?
A. Methotrexate
B. Laparotomy
C. Laparoscopy
D. Observation with follow-up by physical examination
4. What is the most common cause of an abdominal ectopic pregnancy?
A. Secondary implantation of a tubal ectopic pregnancy
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