Gestational trophoblastic disease (GTD) and neoplasia (GTN) Quiz: Ace Your Exams
Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!
Learning videos
Flashcards
Expert reviewed
Spaced Repetition
Mobile app
Custom Quizzes
1 of 3
A 39-year-old woman, gravida 2, para 1, presents at 14 weeks of gestational age with severe nausea and vomiting that has been getting progressively worse over the past two months. She has also had several episodes of spotting and constant pelvic pressure. She had one prior spontaneous vaginal delivery three years ago and is otherwise healthy. Temperature is 36.5°C (97.8°F), pulse is 84/min, respirations are 16/min, and blood pressure is 118/76 mmHg. On physical exam, the fundal height reaches the umbilicus. Pelvic ultrasound shows an enlarged cystic placenta and a non-viable fetus. The patient undergoes suction dilation and curettage (D&C). The pathology report shows the fetus had a 69,XXY karyotype, and multiple focal areas of villous edema and mild atypia of trophoblast cells. Following the procedure, the obstetrician/gynecologist recommends weekly bloodwork, with results shown in the table below. Which of the following is the most appropriate next step in management?
| # of Week(s) Since D&C | Human chorionic gonadotropin (hCG) level (IU/mL) |
| Pre-D&C | 58,000 |
| 1 | 6,000 |
| 3 | 500 |
| 4 | 500 |
| 5 | 500 |
Elimination tool
0 XP
Press space to continue