WorksheetsEctopic Pregnancy Quiz
Total questions: 10
Worksheet time: 5mins
A woman presents with 6 weeks of amenorrhea, pelvic pain, and β-hCG of 2200 mIU/mL. TVUS shows no intrauterine gestational sac. What is the most likely diagnosis?
Early normal intrauterine pregnancy
Ectopic pregnancy
Missed abortion
Corpus luteum cyst
Which combination of findings most strongly suggests a nonviable pregnancy?
β-hCG rise >66% in 48 hrs, Progesterone >25 ng/mL
Plateau β-hCG, Progesterone <5 ng/mL
β-hCG doubling normally, Progesterone 15 ng/mL
Declining β-hCG, Progesterone 30 ng/mL
A patient with IVF conception presents with β-hCG 5000 mIU/mL and an intrauterine gestational sac on US. However, she has severe unilateral pelvic pain and adnexal mass. What should be suspected?
Interstitial pregnancy
Ovarian cyst rupture
Heterotopic pregnancy
Cervical abortion
In interstitial pregnancy, which specific ultrasound sign is considered most reliable?
Ring of fire sign
Interstitial line sign
Double decidual sac sign
Tubal ring sign
Which ultrasound feature best differentiates corpus luteum from ectopic pregnancy?
Peripheral hypervascularity (Ring of fire)
Central cystic appearance
Location within the ovary
Associated pelvic free fluid
A thin myometrial mantle (<5 mm) around a gestational sac eccentrically located in the upper lateral uterus is most consistent with:
Interstitial pregnancy
Cornual pregnancy
Cervical pregnancy
Cesarean scar pregnancy
A pseudo-gestational sac differs from a true intrauterine gestational sac by:
Being centrally located, lacking yolk sac, and no double decidual sign
Having peripheral location with a trilaminar endometrium
Presence of a fetal pole without cardiac activity
Surrounding thick myometrial wall
Which of the following strongly indicates ruptured ectopic pregnancy rather than a corpus luteum bleed?
Free fluid in cul-de-sac only
Echogenic free fluid in Morrison’s pouch
Unilateral adnexal mass adjacent to ovary
β-hCG below discriminatory level
Which type of ectopic pregnancy has the highest maternal mortality risk?
Tubal
Interstitial
Intra-abdominal
Ovarian
In cervical pregnancy, the negative sliding sign indicates:
The gestational sac is mobile → abortion in progress
The gestational sac is fixed → true cervical implantation
The pregnancy is interstitial rather than cervical
The diagnosis cannot be confirmed
