EPL Uterine Aspiration Quiz

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Question 1 of 6

1. Question
Use of a manual uterine aspirator is preferred by patients but has lower efficacy/success of removing the pregnancy than electric vacuum aspiration.
- True
- False
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Question 2 of 6

2. Question
Cervical preparation with misoprostol or osmotic dilators is recommended for all patients with:
- Anembryonic gestation and no vaginal bleeding
- Incomplete miscarriages
- Estimated gestational age > 6 weeks
- All of the above
- None of the above
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Question 3 of 6

3. Question
The following can be used to decrease pain during uterine aspiration:
- Verbal support and helping patient to take deep breaths
- NSAIDs
- Local anesthesia through intracervical and/or paracervical blocks
- Oral anxiolytics and/or opiates
- Intravenous anxiolytics and/or opiates
- All of the above
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Question 4 of 6

4. Question
Although no clear evidence supports one type of paracervical or intracervical block over another:
- The smallest volume of anesthetic is preferred to avoid toxicity
- Injections should be completed as quickly as possible to minimize pain
- Deep injections may be more effective than superficial ones
- All of the above
- None of the above
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Question 5 of 6

5. Question
When dilating the cervix for uterine aspiration:
- The clinician should maintain constant, forceful pressure to allow passage through the cervical canal
- Best practices recommend dilating the cervix one size greater than the intended cannula
- Counter traction should not be applied with the tenaculum
- Dilators should be passed through the cervix until the tip of the dilator makes gentle contact with the uterine fundus to ensure appropriate dilation
- None of the above
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Question 6 of 6

6. Question
What characteristics of a gestational sac differentiate it from decidua?
- A gestational sac is thin and without texture
- A gestational sac does not have villi
- A gestational sac is thicker and more rubbery
- There is no need to differentiate the gestational sac from decidua
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EPL Uterine Aspiration Quiz

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