Title OB ECTOPIC JULY 2025 (for distribution).pdf ✅

20th OBGYN ORAL EXAM REVIEW ORAL SIMULATION 1 University of the Philippines-Manila, College of Medicine Philippine General Hospital Department of Obstetrics and Gynecology ORAL SIMULATION EXAM JULY 2025 EXAMINER’S COPY (ECTOPIC PREGNANCY) Name of Examinee: Name of Examiner: On July 10, 2025, a 33yo G1P0 (0010) came in for delayed menses in your clinic. Her LMP was last June 1, 2025. She has regular monthly menses, 28 days duration, lasting for 3-4 days. Her first pregnancy was an ectopic pregnancy where she underwent a right salpingectomy. She is a chronic smoker with a 10 pack year history. She has one partner, unknown promiscuity. Physical examination revealed a BP of 100/70, PR 80 bpm, RR 20, afebrile. BMI 25. No tenderness was elicited from the abdominal exam. Internal examination revealed a closed cervical os, with no cervical motion tenderness. The uterus was small, and no adnexal masses or tenderness was palpated ANSWER/ POINT SCORE 1. What diagnostic exam can you request for immediately in the clinic? (0.5 POINT/S) ● Pregnancy Test Inform them the pregnancy test is positive. Amenorrhea 8 3/7 2. What other diagnostic exam will you request for? (0.5 POINT/S) ● Transvaginal ultrasound Ultrasound results: Endometrial thickness 8mm, corpus luteum on the left ovary
20th OBGYN ORAL EXAM REVIEW ORAL SIMULATION 2 No intrauterine gestational sac. No adnexal masses. bHCG: 950 IU ANSWER/ POINT SCORE 3. What other diagnostic exams will you request for (0.5 POINT/S) ● Serum BHCG ANSWER/ POINT SCORE 4. What is your present working impression? (0.5 POINT/S) (0.25 point each) ● Pregnancy of unknown location, status post right salpingectomy for ectopic ● G2P0 (0010) 5. How will you manage the patient? (0.5 POINT/S) (0.25 point each) ● Repeat TVS and B hCG in 2 days ● Progesterone ANSWER/ POINT SCORE