1. Choose the most likely diagnosis from the following ultrasound descriptions or histology results. Each option may be used once, more than once or not at all.

Possible Answers

For each of the questions below, select the answer which is most appropriate. Each option can be used once, more than once or not at all.

a.) Empty uterus, free fluid within the pouch of Douglas. Serum bHCG is >1000 IU/mL.

Choose from one of the following answersA Complete miscarriageB Complete moleC Ectopic pregnancyD Gestational trophoblastic diseaseE Heterotopic pregnancyF Hyperemesis gravidarumG Missed miscarriageH Ovarian cystI Partial moleJ Pregnancy of uncertain viabilityK Viable intrauterine pregnancy

b.) Uterus empty and measurements are smaller than expected from gestation. On the R ovary there is a corpus luteum and next to it the ultrasonographer queries a complex mass.

Choose from one of the following answersA Complete miscarriageB Complete moleC Ectopic pregnancyD Gestational trophoblastic diseaseE Heterotopic pregnancyF Hyperemesis gravidarumG Missed miscarriageH Ovarian cystI Partial moleJ Pregnancy of uncertain viabilityK Viable intrauterine pregnancy

c.) An intrauterine pregnancy is identified consistent with dates/5 weeks' gestation; a fetal heartbeat is not visible.

Choose from one of the following answersA Complete miscarriageB Complete moleC Ectopic pregnancyD Gestational trophoblastic diseaseE Heterotopic pregnancyF Hyperemesis gravidarumG Missed miscarriageH Ovarian cystI Partial moleJ Pregnancy of uncertain viabilityK Viable intrauterine pregnancy

d.) A patient attends for her nuchal translucency as part of screening for Down's syndrome. Intrauterine pregnancy is identified consistent with 6 weeks gestation but a fetal heartbeat is not visible.

Choose from one of the following answersA Complete miscarriageB Complete moleC Ectopic pregnancyD Gestational trophoblastic diseaseE Heterotopic pregnancyF Hyperemesis gravidarumG Missed miscarriageH Ovarian cystI Partial moleJ Pregnancy of uncertain viabilityK Viable intrauterine pregnancy

e.) Live pregnancy, fetal heart visible, situated in the left cornua.

Choose from one of the following answersA Complete miscarriageB Complete moleC Ectopic pregnancyD Gestational trophoblastic diseaseE Heterotopic pregnancyF Hyperemesis gravidarumG Missed miscarriageH Ovarian cystI Partial moleJ Pregnancy of uncertain viabilityK Viable intrauterine pregnancy

f.) ‘Snowstorm’ appearance.

Choose from one of the following answersA Complete miscarriageB Complete moleC Ectopic pregnancyD Gestational trophoblastic diseaseE Heterotopic pregnancyF Hyperemesis gravidarumG Missed miscarriageH Ovarian cystI Partial moleJ Pregnancy of uncertain viabilityK Viable intrauterine pregnancy

g.) Post ERPC, a sample sent for histology/karyotyping shows diploid tissue, 46 XX.

Choose from one of the following answersA Complete miscarriageB Complete moleC Ectopic pregnancyD Gestational trophoblastic diseaseE Heterotopic pregnancyF Hyperemesis gravidarumG Missed miscarriageH Ovarian cystI Partial moleJ Pregnancy of uncertain viabilityK Viable intrauterine pregnancy

h.) Post ERPC, a sample sent for histology/karyotyping shows triploid tissue, 69 XYY.

Choose from one of the following answersA Complete miscarriageB Complete moleC Ectopic pregnancyD Gestational trophoblastic diseaseE Heterotopic pregnancyF Hyperemesis gravidarumG Missed miscarriageH Ovarian cystI Partial moleJ Pregnancy of uncertain viabilityK Viable intrauterine pregnancy