Answers:
1. hydatidiform mole (molar pregnancy), Choriocarcinoma
2. placental tissue
3. No, there is either no or very little fetal tissue in the uterus. The patient will undergo a D&C to have the contents of the uterus removed.
4. single agent chemo and D&C
5. False, in a complete molar pregnancy there is no fetal tissue.
6. Answer is B
- Pelvic pain at night is not specific to a molar pregnancy.
- Significantly elevated BP in the first trimester is a sign of a molar pregnancy. Think eclampsia in the first trimester.
- I hate these questions. Vaginal bleeding may be a sign of molar pregnancy, but the better choice is b. Sorry 🙁
- Again, although nausea and vomiting in the first trimester can be a sign of hydatidiform mole it is not more specific then elevated BP
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