JDMS Article - SDMS CME Credit

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Article: Recognition of the Type of Cesarean Scar Pregnancy in First Trimester Sonography

Authors: Carlos M. Fernandez, MD, Elliot M. Levine, MD, Abraham Shashoua, MD, Irma Sodini, MD, Jude Duval, MD, and Jacqueline Juna, MD

Category: OB/GYN [OB]

Credit: 0.5 SDMS CME Credit

Objectives: After studying the article you will be able to:

• Recognize the value of sonography in identifying cesarean scar pregnancies (CSP)

• Describe the sonographic features of CSP

• Discuss the management and treatment of CSP

1. CSP, a new type of ectopic pregnancy, represents what percentage of all ectopic pregnancies (EP)?

2. 2.3%

3. 3.5%

4. 4.2%

Which type of CSP is caused by deep implantation of the gestational sac on a previous cesarean scar with progression toward either the cervicoisthmic space or the uterine cavity?

Type I

Type II

Type III

Type IV

What was the quantitative human chorionic gonadotropin level of the patient in the first case report?

5672 mIU

8900 mIU

10818 mIU

23670 mIU

How was the CSP managed in the second case report?

Robotic resection

Methotrexate

Laproscopic resection

Dilation and curettage

What is the best first line diagnostic tool for CSP?

Transvaginal sonography

Computed Tomography

Magnetic resonance imaging

Hysteroscopy