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
- Cervical pregnancy, 12 weeks
- Incipient abortion, habitual noncarrying of pregnancy
- Isthmico-cervical insufficiency, habitual noncarrying of pregnancy
- Threatened spontaneous abortion
- Cervical hysteromyoma, habitual noncarrying of pregnancy
Correct answer
Isthmico-cervical insufficiency, habitual noncarrying of pregnancy
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