Gestational trophoblastic disease

5,100views

High Yield Notes

9 pages

Flashcards

Gestational trophoblastic disease

of complete

Questions

USMLE® Step 1 style questions USMLE

of complete

A 38-year-old primigravid woman comes to the office at 18 weeks gestation due to palpitations and pelvic pressure. She has been consistent with prenatal care. She is following a healthy diet and takes prenatal vitamins daily. She does not smoke or use alcohol or illicit drugs. Temperature is 37.5°C (99.5°F), pulse is 110/min, and blood pressure is 130/80 mmHg. On physical examination, the patient’s skin is moist and warm. Uterus size is consistent with 22 weeks of gestation. When the patient is holding her hands stretched, a mild tremor is noted. The thyroid gland is normal to palpation and nontender. Laboratory tests show hCG concentrations of 110,000 mIU/mL. TSH is 0.1 μU/mL. An abdominal ultrasound is obtained and shown below.  


 Reproduced from: Wikimedia Commons

Further evaluation would most likely reveal which of the following karyotypes?   

External Links

Summary

Gestational trophoblastic disease (GTD) is a group of tumors starting in the uterus's trophoblastic cells. Most cases of GTD occur during the first trimester of pregnancy, but it can also happen later. GTDs include partial and complete hydatidiform moles, gestational choriocarcinoma, placental site trophoblastic tumors, etc. Symptoms can include vaginal bleeding and pain, tiredness, and urination problems.

Elsevier

Copyright © 2024 Elsevier, its licensors, and contributors. All rights are reserved, including those for text and data mining, AI training, and similar technologies.

Cookies are used by this site.

USMLE® is a joint program of the Federation of State Medical Boards (FSMB) and the National Board of Medical Examiners (NBME). COMLEX-USA® is a registered trademark of The National Board of Osteopathic Medical Examiners, Inc. NCLEX-RN® is a registered trademark of the National Council of State Boards of Nursing, Inc. Test names and other trademarks are the property of the respective trademark holders. None of the trademark holders are endorsed by nor affiliated with Osmosis or this website.

RELX