Cervagem

Which of the following are the three types of miscarriage?

• Threatened miscarriage

• Complete miscarriage

• Incomplete miscarriage

• Missed miscarriage

What are the 3 types of management of miscarriage

• Expectant management

• Medical management

• Surgical management

• Spontaneous management

In expectant management, the women is expected to bleed up to:

• 6 days

• 6 weeks

• 6 months

• 6 hours

A transcervical intrauterine procedure involves the passage of an instrument through the endocervical canal into the uterine cavity

• True

• False

What are the changes observed in the cervix during delivery of the foetus?

• the cervix withstands multiple forces from the uterus

• the cervix softens, shortens and dilates

• the cervix returns to its previous form - shape and consistency

What is the active ingredient in Cervagem and which class does it belong to?

• Mifepristone; Anti progestogen

• Misoprostol; Prostaglandin E1 analogue

• Gemeprost; Prostaglindin E1 analogue

• Gemeprost; Prostagliandin E2 analogue

Which of the following is the correct indication for Cervagem

• Softening and dilatation of the cervix uteri prior to transcervical intrauterine operative procedures in pregnant patients in the first trimester of gestation

• Therapeutic termination of pregnancy in patients in the second trimester of gestation, in licensed institutions

• Induction of abortion of second trimester pregnancies complication by intrauterine foetal death.

• All of the above

The mechanism of action of Cervagem is/are:

• softens and dilates the cervix

• Induces uterine contractions

• mimics the natural process of cervical ripening initiated by prostaglandins during childbirth

• All of the above

Choose the correct statements about Cervagem Pessary

• Pessary allowed to warm to room temperature for 30mins

• Pessary inserted into the posterior vaginal formix at 3-hourly intervals

• Maximum of 5 pessaries to be given for each course

• Indicated to be used in 1st and 2nd trimester of gestation

The advantages of Cervagem vaginal pessary include:

• significantly greater pre-operative cervical dilatation

• significantly lesser mean operative blood loss

• no changes in cervical dilatation

• no changes in mean operative blood loss