Ni And Abn 1St Trimester Ultrasound

Front 1

Metastatic Molar Carcinoma

Back 1

CHORIOCARCINOMA

Front 2

First evidence of an IUP

Back 2

Gestational Sac

Front 3

Identified in fetal cranium between 8-11 weeks

Back 3

Rhombencephlon

Front 4

an embryonic pregnancy

Back 4

Blighted Ovum

Front 5

Invasive Mole

Back 5

Chorioadenoma Destreuns

Front 6

Most accurate way to estimate an EDC.

Back 6

CRL

Front 7

Diffuse hyperplastic chronic tissue

Back 7

MOLE

Front 8

Expulsion of intrauterine contents through dilated cycle

Back 8

ABORTION

Front 9

Decidua that surround the gestational sac

Back 9

Decidual Capsularis

Front 10

Pregnancy not in the endometrial cavity

Back 10

ECTOPIC

Front 11

ball of 16 cells

Back 11

MORULA

Front 12

Responsible for hematopoeisis and provides nutrients for the embryo

Back 12

YOLK SAC

Front 13

>90 BPM

Back 13

EMBRYONIC BRADICARDIA

Front 14

intracavity ultrasound exam

Back 14

ENDOVAGINAL

Front 15

outside the uterus

Back 15

ADNEXA

Front 16

Single cell form union of genetic material

Back 16

ZYGOTE

Front 17

Placenta is left in the body to re-absorb

Back 17

ABDOMINAL ECTOPIC

Front 18

Eventually becomes the placental site

Back 18

Basalis

Front 19

Twin Pregnancy with one in the adnexa

Back 19

HETEROTOPIC

Front 20

Pregnancy hormone in the blood

Back 20

BHCG

Front 21

Fertilization takes place in what anatomic site?

Back 21

Fallopian tube

Front 22

The single cell that forms as a result of the union of the sperm and the ovum is the ________

Back 22

Zygote

Front 23

The term DECIDUA denotes the transformed endometrium of pregnancy. The different regions of the decidua are divided layers.

Back 23

DECIDUA BASALIS
DECIDUA CAPSULARIS .
DECIDUAL PARIETALIS (vera)

Front 24

The decidual layer that closes over the implanted blastocyst is referred to as the_________

Back 24

DECIDUAL CAPSULARIS

Front 25

The decidual layer that ultimately develops into the placenta is the________

Back 25

DECIDUA BASALIS

Front 26

The primary source of progesterone during the first trimester of pregnancy is secreted by what structure?

Back 26

CORPUS LUTEUM

Front 27

The trophoblast of an early first trimester pregnancy produces_____________

Back 27

HCG

Front 28

Normal values for BHCG levels for visualization of a gestational sac with transvaginal sonography can be as low as __________.

Back 28

500
> or equal 500 MIU/MI (2IS)

Front 29

Where is the yolk sac located?

Back 29

Outside the amnion but inside the chorion

Front 30

Decribe the procedure for a gestational sac measurement

Back 30

1. Measures in 3 planar sections
2. Measures the fluid in the sac only
3. Calculate MSD by dividing the sum of the sagittal; AP and TRV diameter by 3

Front 31

Menstrual age is interchangeable with what other term?

Back 31

Gestational Age

Front 32

At what weeks gestation is it normal to visualize a chorionic and amniotic separation?

Back 32

up to 16 weeks

Front 33

The demonstration of "Midgut Herniation" seen after 11 weeks is considered _______.

Back 33

Abnormal

Front 34

The most accurate method of dating a gestation is the ______________.

Back 34

CRL

Front 35

The cystic structure seen in the embryonic cranium of a 10week fetus is considered to be ______________..

Back 35

NORMAL

Normally seen between 8-11 weeks

Front 36

What is this cystic structure in the embryonic cranium called?

Back 36

RHOMBENCEPHALON

Front 37

Using the date wheel, calculate the due date (EDC) for a LMP of 5-28-07

Back 37

EDC is 03/02/08

Front 38

How many weeks is/was she on Oct. 15,2007? hint: use your date wheel

Back 38

20 weeks

Front 39

A patient comes into your lab for a dating scan on 10-5-07. She is unsure of her last menstrual period, but knows her due date (EDC), is 2-19-08. Using the date wheel, calculate her gestational age on this date.

Back 39

20 weeks and 2 days

Front 40

What is the patient's probable date of conception? Hint: use information from last card, or see review sheet.

Back 40

May 30

Front 41

Since a heartbeat should visualized in a 6 week fetal pole, sonography can "diagnose" an __________ __________as early as 6 weeks.

Back 41

EMBRYONIC DEMISE

Front 42

With a spontaneous abortion three months ago, endovaginal sonographic findings include the presence of a well-circumscribed fluid collection within the uterus that has a mean sac diameter of 10 mm. A small spherical structure is seen within fluid collection. The uterus is slightly enlarged, yet there are no other findings. What is the most likely diagnosis?

Back 42

Normal Intra-Uterine Pregnancy @ 5 weeks

Front 43

Sonographic demonstration of the "double decidual" sac sign on an early first trimester pregnancy ultrasound suggest __________.

Back 43

Viable IUP

Front 44

See question 25 on review look at picture:
Describe the structures seen in this ultrasound image.

Back 44

Yolk Sac, Gestational Sac, and Subchorionic Hemorrhage

Front 45

Eight months ago, a patient reports to have had a miscarriage. Since then, her periods have not returned to normal and she has had a mild, brownish vaginal discharge. Her serum HCG levels are < 5 MIU/MT (negative)

Transabdominal sonography reveals a minimally enlarged uterus with brightly echogenic, endometrial cavity. Acoustic shadowing can be seen emanating from several areas of this mass. The findings are strongly suggestive of a (an)________.

Back 45

Missed Abortion

Front 46

What percentage of ectopic pregnancies occur in the fallopian tube?

Back 46

95%

Front 47

A 32-year-old is 15 weeks pregnant by her menstrual history. Her first pregnancy test was postive @ 6 weeks LNMP. Her most recent pregnancy test is negative. She reports vaginal bleeding and cramping. Sonography reveals a fluid-filled endometrial cavity containing echogenic debris.

This pattern most likely represents a (an) _____________

Back 47

INCOMPLETE ABORTION

Front 48

See your question review sheet for question 29 diagram:

What term describes the chorionic cavity seen in the uterus on ultrasound?

Back 48

GESTATIONAL SAC

Front 49

A 22-year-old patient is 9 weeks pregnant by her menstrual history. She has experienced some vaginal spotting. The pelvic sonogram reveals an irregular gestational sac that measures 3.2 cm. No embryo identified.

This pattern most likely represents a (an) __________.

Back 49

Anembryonic Pregnancy or Blighted Ovum

Front 50

Describe sonographic appearance of and ectopic pregnancy.

Back 50

1. Empty Uterus
2. An adnexal gestational sac with a fetal pole and cardiac activity.
3. Irregular/complex adnexal mass
4. Thickened edomentrium with a pseudo gestational sac.
5. Fluid in cul-de-sac

Front 51

A patient reports her last menstrual period 8 weeks ago. Her BHCG test is weakly postive and she is experencing left lower quadrant pain. The sonographic images display a prominent endometrial cavity echo pattern, a complex left adnexal mass, and a prominent amount of fluid in the posterior cul-de-sac. This pattern most likely represent a (an)_____________.

Back 51

ECTOPIC PREGNANCY

Front 52

Question 32 on Review

Describe the structures demonstrated in this transverse image.

Back 52

Uterus
RT Ectopic Pregnancy

Front 53

The term ectopic pregnancy describes any pregnancy __________the endometrial lumen.

Back 53

OUTSIDE

Front 54

List the locations of ectopic pregnancy.

Back 54

1. Abdominal cavity
a. bowel
b. pertioneum
2. Ovary
3. Fallopian tube
4. Cervix

Front 55

In an abdominal ectopic pregnancy the placenta is ______ after the delivery of the fetus?

Back 55

Left in the patient

Front 56

A patient presents with the following information: RLQ pain, light vaginal bleeding positive serum pregnancy test and a history of PID and tubal ligation.

What condition would you be most suspicious for?

Back 56

ECTOPIC PREGNANCY

Front 57

Human chorionic gonadotropin (HCG) titers in ectopic pregnancy _______double every 2 days.

Back 57

WILL NOT

Front 58

A patient presents with a clinical history of brisk vaginal bleeding. Information provided by the examining physician indicates that she has an enlarged uterus, a palpable large left adnexal mass and a serum beta HCG of 130,000 mIU/mI, despite the fact that she has a normal vaginal delivery prior to this most recent office visit.

These findings are most suspicious for ________

Back 58

A malignant form of gestational trophoblastic disease

Front 59

What type of cyst is commonly associated with hydatidform mole?

Back 59

THECA LUTEIN CYSTS

Front 60

List the types of gestational tropholastic disease.

Back 60

1. COMPLETE MOLE
2. PARTIAL MOLE
3. MOLE with CO-EXISTING FETUS
4. PERSISTENT TROPHOBLASTIC DISEASE
a. Invasion
b. Choriocarcinoma

Front 61

Another name for an Invasive Mole is ____

Back 61

Chorioadenoma Destruens

Front 62

List areas which choriocarcinoma may metatasize.

Back 62

1. Brain
2. Lungs
3. Liver
4. GI Tract
5. Bone
6. Skin