CASE 77
Courtesy of Alda Cossi, MD.
History: Two patients present with pelvic pain during the first trimester of pregnancy.
1. What should be included in the differential diagnosis? (Choose all that apply.)
A. Pregnancy in two uterus horns
B. Twin intrauterine pregnancy
2. Which of the following factors does not account for the increase in heterotopic pregnancies to 1 in 100? (Choose all that apply.)
B. Pelvic inflammatory disease
C. Higher resolution ultrasound equipment
3. Which of the following is not a treatment option?
A. Salpingocentesis (direct infusion of potassium chloride into the ectopic gestation)
4. Which of the following factors is most important in determining the outcome of a heterotopic pregnancy?
A. Location of the ectopic component
C. Number of previous live births
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