1.

The following is useful to diagnose ectopic pregnancy:

A. X- Ray

B.Laporascopy

C. Qualitative hCG

2. One of the following is an indication to treat ectopic pregnancy with methotrexate:

A. Mass < 3 cm

B. Non tubal implantation

C. Mass > 5 cm

3. Case: A patient who is gravida 8 present with missed period for 7 weeks. P.V. bleeding. cervical
excitation, lower abdominal pain, fainting 2 times yesterday. You diagnosis is:

A. Pancreatitis

B. Ectopic pregnancy

C. Abortion

4. Ectopic pregnancy can be reliably diagnosed by:

A. Ultrasound scan

B. Laporascopy

C. Pregnancy test

D. HSG

5. Which type of the following ectopic pregnancies would rupture earlier:

A. Isthmus

B. Interstitial

C. Ampulla
D. Fimbria

E. No difference

6. Regarding ectopic pregnancy which is true:

A. Bleeding precedes pain

B. Shoulder tip pain is an important symptom

C. The isthmus of the tube is the commonest site of implantation

D. The incidence is higher in women fitted with intrauterine device

E. Ultrasonic scan is of no help in the diagnosis

7. Which of the following is not a sign of ruptured ectopic pregnancy:

A. mFast thready pulse

B. Heavy vaginal bleeding

C. Rebound tenderness of the abdomen

D. + cervical excitation

E. Cold and clammy extremities

8. The most common cause of ectopic pregnancy:

A. Congenital anomalies of the tube

B. Inflammation of the tubes

C. Uterine abnormalities

D. Using OCPs

E. Pelvic adhesions

9. Regarding interstitial ectopic pregnancy:

A. Bleeds heavily

B. Less dangerous than ampullary

C. Salpingectomy is the surgery indicated

D. More common than ampullary

10. The commonest surgical procedure used to treat ruptures tubal pregnancy:

A. Total hysterectomy

B. Salpingostomy

C. Salpingectomy

D. Salpingo-oophorectomy

E. Electrical cauterization