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Prep4USMLE » USMLE Step 2 CK Forum » Ob-Gyn Forum » Comments on ect. pregnancy


 ect. pregnancy  



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bobby

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Aug 24, 2005 - 10:27 AM       #1

the best way to confirm the diagnisis of ectopic pregnancy is

a ultrasound

b abdominal x ray

c colposcopy

d laparoscopy/laparotomy

e hCG



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tamar

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Aug 24, 2005 - 11:41 AM       #2

A


drkpp

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Aug 24, 2005 - 12:03 PM       #3

nothing beats a direct visualisation by a lap procedure i would say though not the initial method.


chemamr

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Aug 24, 2005 - 1:20 PM       #4

BEST diagnostic test = laparoscopy.


nisha

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Aug 27, 2005 - 12:35 AM       #5

what is the right answer? I want to know too



chemamr

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Aug 27, 2005 - 5:10 AM       #6

it must be D


bobby

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Aug 27, 2005 - 6:21 AM       #7

yes. right ans is D.

(but isn't it invasive, just to confirm a diagnosis of it? is ultrasound and physical not enough?)



chemamr

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Aug 27, 2005 - 10:40 AM       #8

yes, i agree, it´s too invasive, in my country is not used to diagnose, with a good clinical history and an US is enough, but I don´t know how is it in USA.


tamar

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Aug 27, 2005 - 12:39 PM       #9

even in the USA they do US not laparo unless complicated...raised eyebrow


chemamr

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Aug 27, 2005 - 2:20 PM       #10

ok, then it´s the same in clinical practice. Laparoscopy is just in real doubtful or complicated cases (or in a question of step 2ck grin).


doc26inder

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Sep 13, 2005 - 4:53 AM       #11

CMDT ___Laproscopy is the surgical procedure of choice both to confirm an ectopic preg. and in most cases to permit pelviscopic removal of ect, preg. without the need for exploratory laparotomy.


ammasara

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Nov 14, 2005 - 8:18 AM       #12

since the Q is to confirm the diagnosis not the first line in diagnosis then d is the answer





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