Ryan Module 4 Post Quiz 2023

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Question 1 of 10

1. Question
1. Which of the following is false regarding self-managed abortion?
- A. Prevalence of complications after self-managed medication abortion with mifepristone and misoprostol is similar to those reported with facility-based medication abortion
- B. For patients who disclose plans to self-manage an abortion, physicians can practice harm reduction by assessing gestational age, health conditions, and provide information about abortion methods and anticipatory guidance about side effects and when to seek care
- C. Evidence-based care after self-managed abortion is similar to management of spontaneous abortion
- D. When a patient seeks post-abortion care after self-managed abortion, medications that a patient has used should always be documented in the medical record
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Question 2 of 10

2. Question
2. For which of the following patient(s) is medication abortion not recommended: (Choose all that apply.)
- A. 21 year – old G1P0 at 9 weeks gestational age with iron deficiency anemia and a hemoglobin of 10.5 gm/dL
- B. 35 year – old G4P3 at 8 weeks gestational age with asthma
- C. 35 year old with a history of venous thromboembolism, on anticoagulant
- D. 34 year – old G3P1 at 7 weeks gestational age with lupus using 20 mg of oral prednisone daily
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Question 3 of 10

3. Question
3. Antibiotic prophylaxis at the time of first-trimester medication abortion:
- A. Decreases the risk of clostridium infection
- B. Is not recommended
- C. Prevents PID and should be prescribed to all patients
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Question 4 of 10

4. Question
4. Follow up after medication abortion can be done in all of the following ways EXCEPT:
- A. Transvaginal ultrasound approximately 1 week after abortion
- B. Serum hCG level before and approximately 1 week after abortion
- C. High-sensitivity urine pregnancy test 1 week after abortion
- D. Telephone follow-up at 1 week and high-sensitivity urine pregnancy test at 4 weeks after abortion
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Question 5 of 10

5. Question
5. Seven days after a medication abortion a patient presents for routine follow up. Prior to her abortion she had an ultrasound documenting an intrauterine pregnancy consistent with 7 weeks gestation. She reports light spotting less than a menses and denies pelvic pain. She is feeling well and believes the abortion was completed. Her endometrium measures 2.1 cm with no gestational sac. Management should include:
- A. Uterine aspiration
- B. Repeat dose of misoprostol and clinical follow up
- C. Reassurance regarding completion of abortion
- D. Follow up ultrasound after next menses
- E. Repeat mifepristone and misoprostol
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Question 6 of 10

6. Question
6. How soon after medication abortion can an IUD be inserted?
- A. 3-6 weeks after medical abortion
- B. After the next normal menses
- C. As soon as successful documentation of medication abortion completion
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Question 7 of 10

7. Question
7. All of the following are true of second trimester labor induction abortion with Mifepristone and Misoprostol EXCEPT:
- A. The use of mifepristone significantly decreases the time from first dose of misoprostol to delivery
- B. Ninety – five percent of labor induction abortions are complete within 24 hours of misoprostol administration
- C. Mifepristone is most effective when used in conjunction with osmotic dilators for cervical preparation prior to labor induction abortion
- D. 200 mg of mifepristone is as effective as 600 mg of mifepristone prior to induction abortion
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Question 8 of 10

8. Question
8. Which of the following is the optimal dosing for mifepristone in second trimester labor induction?
- A. 6-8 hours prior to misoprostol
- B. 9-12 hours prior to misoprostol
- C. 12-24 hours prior to misoprostol
- D. 24-48 hours prior to misoprostol
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Question 9 of 10

9. Question
9. For a person who has undergone second-trimester labor induction abortion and delivered the fetus but not the placenta, what is the best management strategy? (Choose all that apply.)
- A. Routine surgical or manual evacuation of the placenta within 30 minutes, if the placenta has not spontaneously delivered
- B. Expectant management for up to 4 hours with frequent clinical evaluation and surgical or manual evacuation if heavy bleeding
- C. Cord traction immediately to assist in delivery of the placenta.
- D. Routine surgical or manual evacuation of the placenta within 1 hour, if the placenta has not delivered.
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Question 10 of 10

10. Question
10. When misoprostol is used alone for induction abortion in a person without a prior uterine scar, which of the following is the optimal dosing regimen?
- A. Loading dose of 200 mcg followed by 50 mcg every 4 hours
- B. 100 mcg every 6 hours
- C. Loading dose of 600-800 mcg followed by 400 mcg every 3 hours
- D. 200 mcg every 12 hours
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Ryan Module 4 Post Quiz 2023

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