Counsel and offer evacuation of retained products of conception
B
Counsel and offer support group
C
Counsel and offer laparoscopy & salpingectomy
D
Counsel and offer investigation for recurrent miscarriage
E
Counsel and offer treatment with methotrexate
F
Counsel and offer laparotomy & salpingectomy
G
Counsel and offer termination of pregnancy
H
Perform salpingectomy
I
Proceed to laparotomy
J
Serial HCG assay
K
Counsel and refer to early pregnancy assessment unit
L
Repeat trans-vaginal scan 7 days later
Instrunctions:For each patient described below choose the single most appropriate initial management option from the list. Each option may be used once, more than once, or not at all.
Explanation
Question 2
A 25 year old woman has a transvaginal scan following IVF treatment during which 2 embryos were replaced and is found to have a 6 week singleton intra-uterine pregnancy with no fetal heart activity.
Why its ans is A and not L.We should repeat scan if no FHR at 6 week.
