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Exam questionKROK 2Medicine ยท 2016

A pregnant woman is 28 years old. Anamnesis: accelerated labor complicated by the II-degree cervical rupture. The following two pregnancies resulted in spontaneous abortions at the terms of 12 and 14 weeks. On mirror examination: the uterine cervix is scarred from previous ruptures at 9 and 3 hours, the cervical canal is gaping. On vaginal examination: the cervix is 2 cm long, the external orifice is open 1 cm wide, the internal orifice is half-open; the uterus is enlarged to the 12th week of pregnancy, soft, mobile, painless, the appendages are without changes. What diagnosis would you make?

Answer options

  1. Cervical pregnancy, 12 weeks
  2. Incipient abortion, habitual noncarrying of pregnancy
  3. Isthmico-cervical insufficiency, habitual noncarrying of pregnancy
  4. Threatened spontaneous abortion
  5. Cervical hysteromyoma, habitual noncarrying of pregnancy
Correct answer

Isthmico-cervical insufficiency, habitual noncarrying of pregnancy

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