Daily Exam Question - Feb. 12, 2014 - GYN

By drwall
February 12, 2014

The best treatment of a cervical pregnancy at 7 weeks gestation in a hemodynamically stable patient is:

A. Hysterectomy
B. Uterine artery embolization
C. D&C
D. Methotrexate
E. Hypogastric artery Ligation

Telinde’s 10th Edition Chp 34- Ectopic Pregnancy.

Answer: D

For most Hemodynamically stable women with a first trimester cervical pregnancy non surgical management with systemic methotrexate can be offered and adminstered with local methotrexate  injection. Uterine artery embolization either before or after methotrexate administration may be an additional adjunct to limit bleeding complications

The treatment for a cervical pregnancy is surgical, and the condition often requires an abdominal hysterectomy. In selected patients, conservative evacuation of an early cervical pregnancy may be accomplished by skillful D&C, although the procedure has the potential to be complicated by profuse hemorrhage

Daily Exam Question - Written/MOC

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