SDMS CME Credit – Ruptured Ectopic Pregnancy with Properly Placed Intrauterine Device: A Case Report

The opportunity to earn SDMS CME credit is complimentary for SDMS members and available for a fee to non-members. Access the SDMS CME test at: learn.sdms.org

Author: Julie McGuirk, MBA, BS, RDMS, RVT

Category: OB/GYN [OB]

Credit: 0.50 SDMS CME Credit

Objectives: After studying the article, you should be able to:

• • Describe the risk factors and clinical presentations of a ruptured ectopic pregnancy in women using an intrauterine device (IUD).

• • Recognize the sonographic appearances in the evaluation of a ruptured ectopic pregnancy with uncomplicated IUD.

• • Discuss early intervention of a ruptured ectopic pregnancy.

1. In the United States, women of reproductive age who experience an intrauterine device (IUD) failure have an ectopic pregnancy risk of:

2. B. 9% to 15%

3. C. 15% to 27%

4. D. 27% to 29%

According to the article, risk factors for an ectopic pregnancy include:

A. Age, smoking, infertility, and contraception failure

B. Location and alcohol use

C. Only contraception failure

D. Only a prior ectopic pregnancy and injury to the fallopian tubes

What is the efficacy rate of intrauterine devices (IUDs)?

A. 99.7%

B. 98.9%

C. 99.5%

D. 99.8%

Which of the following sonographic findings has a 99.5% association with a ruptured ectopic pregnancy?

A. IUD

B. Free fluid

C. Kidney stones

D. Appendicitis

What percentage of maternal deaths are attributed to massive internal bleeding from a ruptured ectopic pregnancy?

A. 1% to 3%

B. 4% to 6%

C. 7% to 9%

D. 10% to 12%