Ob Final Spring 2O12

Front 1

How long does it take a post partum uterus to get back to its nongralegs by facvid or original size

Back 1

6-8 weeks

Front 2

Where does the retroflexed uterus get trapped with an incarcerated uterus.

Back 2

sacral hollow

Front 3

During a pelvis exam on a child baring age girl, you see a echogenic device with intense sound beam attenuation. What could it be.

Back 3

IUD

Front 4

In the 2nd trimester it is important to locate the placenta. Why?

Back 4

prevent placenta previa

Front 5

What is another technique of scanning the placenta if previa is a possibility

Back 5

translabial

Front 6

tell me why the baby position in frank breech

Back 6

legs by face bottom down

Front 7

When we do pelvic ultrasound for post partum and post abortive patients, what are we looking for

Back 7

retained product of conception

Front 8

Complete failure of fusion of the mullerian ducts leads to uterus ____, which has 2 uteri each with its own cervix

Back 8

didelphys

Front 9

What trimester is the most accurated measurement for gestational age

Back 9

1st

Front 10

How many mins should you sit on the heart if no cardiac activity is seen or recorded?

Back 10

2-3

Front 11

Partial fusion of the 2 mullerian ducts leads to formation of a _____uterus. Duplication of uterus and a single cervix.

Back 11

Bicornate

Front 12

Are the most common neoplasm of the uterus and occur in 20-30% of women older than 30 years old

Back 12

Leiomyoma

Front 13

Considered low amounts of amniotic fluid, almost none

Back 13

Oligohydramnios

Front 14

What is noUterine tumors are rare bet an indication to do a TV U.S.

Back 14

virgin

Front 15

Considered high amounts of fluid

Back 15

polyhydraminos

Front 16

Our goal on a first trimester exarm is to determine whether the pregnancy is?

Back 16

Intrauterine and living

Front 17

The two paired ____ ___ultimately develop into fallopian tubes,uterus,cervix, and upper 2/3 vagina

Back 17

mullerian ducts

Front 18

The adnexa should be scanned for presences of ____ during all pelvis exams.

Back 18

cysts, neoplasms

Front 19

It is important for the sonographer to stay ____ in decisions about race, raising children and disabilities

Back 19

Passine

Front 20

Uterine tumors are rare benign conditions but are readily recognized on ultrasound. Highly echogenic mass w/in the myometrium w/o doppler.

Back 20

lipomatous

Front 21

What is another name for leiomyoma

Back 21

fibroid

Front 22

The ___ is fixed midline but the body of the uterus can be mobile, and changes degrees of bladder and rectal distention

Back 22

cervix

Front 23

The blastocyst divides into 2 layer. The outer layer becomes the

Back 23

chorionic membrane

Front 24

Between ___ weeks limb buds evolve into paddle shaped upper and lower limbs with early development of hands and feet.

Back 24

7-8

Front 25

By thPlacentse end of the 10th week what should the crown rump lenght be measuring?

Back 25

30mm or 3.0 cm

Front 26

It is not common that vaginal bleeding occurs during implantation. T/F

Back 26

false

Front 27

What can be measured to help dx down syndromes in the first trimester

Back 27

Nuchal Translucency

Front 28

What are the 3 disk layers before the embryo is formed

Back 28

endoderm,mesoderm,ectoderm

Front 29

Placenta development begins at ___ gestational week

Back 29

8

Front 30

What week should you be able to start seeing the heart beat?

Back 30

6

Front 31

What is the first structure that can be measured for the purpose of calculating GA

Back 31

gestational sac

Front 32

The placenta is derived from what tissue

Back 32

trophoblastic tissue

Front 33

At fertilization a fusion of egg and sperm, eash haploid gamete with____ individual chromosomes, result in zygote

Back 33

23

Front 34

Finding the yolk sac helps to determine an ____ pregnancy

Back 34

intrauterine

Front 35

what membrane extends up to an merges with the edge of the placenta in week 10

Back 35

chorionic

Front 36

During the first trimester cardiac rates which should be recorded using ____ mode, vary with GA

Back 36

M

Front 37

What does the morula transform into

Back 37

blastocyte

Front 38

Fertilization most often occurs within ___ day of ovulation

Back 38

1

Front 39

Are we able to see 1st or 2nd yolk sac?

Back 39

2nd

Front 40

What is the first structure identified in the gestational sac

Back 40

yolk sac

Front 41

The 1st trimester is based on menstrual dates:in patients with a 28 dya cycle, it begins 2 weeks before fertilization

Back 41

1st day of LMP

Front 42

Which of the 2 membranes cover the embryo

Back 42

amnion

Front 43

A line of decreased reflectivity around the follicle suggests what will occur within 24 hours

Back 43

ovulation

Front 44

Ruptured graafin follicle results in formation of the ____

Back 44

corpus luteum

Front 45

Days 6-14 go with which uterine response

Back 45

proliferative

Front 46

In the absence of HCG the corpus luteum _____ after 14 days

Back 46

regress

Front 47

If you see a mid gut herniation after 14 weeks this is normal? T/F

Back 47

False

Front 48

Midline defect lower abd wall as well as anterior wall of bladder, part of bladder is seen outside the body?

Back 48

bladder extrophy

Front 49

Follicle stimulating hormone FSH and Lutenizing hormone is secreted by what?

Back 49

pituitary gland

Front 50

Results for a failure of the intestines to return to the abdomen during 2nd stage of intestinal rotation.

Back 50

omphalocele

Front 51

When implantation occurs in endo, HCG production signals the corpus luteum to continue secreting ___ to prevent shedding of endometrial lining

Back 51

Progesterone

Front 52

Sono:fluid filled bowel and stomach within thoracic cavity at the level of 4 chamber veiw of the heart. What should you suspect?

Back 52

Diaphragmic hernia

Front 53

The superficial layer of the endometrium become ishemic, degenerates, sloughs off the basal layer and is expelled. What uterine response?

Back 53

Menstration

Front 54

Days 1-5 go with what uterine response?

Back 54

menstral

Front 55

Which of the 2 stimulate progesterone which peaks after ovulation?

Back 55

lutenizing hormone

Front 56

Protusion of intestines into amniotic cavity through an opening defect in the anterior abd wall. This usually occurs to the RT of umbillical

Back 56

gastroschsis

Front 57

Place the 3 uterine responses in order

Back 57

mentrual,proliferation,secretory

Front 58

Place in order the ovarian respone, the 3 different phases the ovaries go thru

Back 58

follicular, ovulation,luteal

Front 59

days 15-28 would match up with what ovarian response

Back 59

luteal

Front 60

Sono shows a sudden decrease in follicular size and free fluid in cul-de-sac, what has occured

Back 60

ovulation

Front 61

What week should the normal mid gut herniation be back in the abdominal cavity

Back 61

12

Front 62

In the ovarian phases which one is between days 1-14?

Back 62

follicular

Front 63

ovulation occurs within 24-36 hours after onset of _____surge

Back 63

lutenizing hormone

Front 64

Is excessive proliferation of trophoblastic tissue. It usually happensshortly after implantation, it can occur months to years after any type of pregnancy. HCG grossly elevated

Back 64

GTD

Front 65

Most common form of GTD, more common in Taiwan

Back 65

Molar pregnancy

Front 66

What is imminent when any of the following 2 are present? Moderate effacement of ce3rvix cervical dilation greater than 3 cm or rupture of membranes

Back 66

abortion

Front 67

The presence of an embryo within the uterus, w/o evidence of cardiac activity. May be retained for months following embryonic demise.

Back 67

missed abortion

Front 68

Sono:absence of myometrium surrounding the pregnancy,poor visual of placenta, diagnosed later in gestation, presence of empty uterus seperate from developed fetus,oligohydraminos, and unusual fetal presentation

Back 68

abdominal ectopic

Front 69

The future pregnancy may be in jeopardy but the pregnancy continues. Closed cervix

Back 69

threatened abortion

Front 70

Evacuation of all product of conception

Back 70

ERCP

Front 71

Def-Simultaneous development of a gestation w/in the uterine cavity and gestation outside the uterine cavity

Back 71

heterotopic pregnancy

Front 72

Implantation outside the endometrium cavity. Most common location is in the ampullary part of the fallpoian tube 90%

Back 72

ectopic

Front 73

The placenta is divided into 2 section, what are they called?

Back 73

Maternal, Fetal

Front 74

The surface of the placenta is covered by the amniotic membrane

Back 74

Fetal portion

Front 75

The identification of a grade III placenta in the 2nd and early 3rd trimester may indicate impending?

Back 75

placental insufficency

Front 76

A placenta divided into 2 lobes but united by primary vessels and membranes

Back 76

bipartite

Front 77

Appear sono as focal hypoechoic areas within the placenta

Back 77

fibrin deposition

Front 78

presence of large pools of maternal blood within the placenta, may be caused by early intervillous thrombosis or perivillous

Back 78

maternal lakes

Front 79

placental covering the internal cervical os is called what?

Back 79

complete placenta previa

Front 80

clinically serious condition in which velametously inserted cord vessels precede the presenting fetal part of overlie the cervix

Back 80

vas previa

Front 81

Clinical spotting signs of spotting during first and second trimesters sudden ,painless profuse bleeding in thrid trimester? Occasional cramping. Pitfalls can be over distended bladder may compress lower uterine segment.

Back 81

placenta previa

Front 82

Premature seperation of the placenta from the uterine wall.

Back 82

Abrubtio Placentae

Front 83

Sono: Evaluation of placenta from uterine wall, complex mass without flow by doppler, placenta may appear normal, may appear thickened

Back 83

abruptio placentae

Front 84

What does the normal umbilical cord contain?

Back 84

2 arteries 1 vein

Front 85

The vessels in the umbilical cord are surrounded by?

Back 85

Whartons jelly and covered with amnion

Front 86

Cystic dilation of the primitive embryonic allantois. Small and located within cord AWAY from fetal abdomen

Back 86

Allontoic Cyst

Front 87

Wrapping of umbilical cord around around the fetal neck.

Back 87

Nuchal cord

Front 88

Known as short umbilical cord syndrome, limb body wall complex, or cyllosomas

Back 88

Body stalk anomaly

Front 89

A tumor that consists of hair,tooth,skin, and is bilateral in nature

Back 89

teratoma

Front 90

Endometriomas are known to manifest typical ___ ___ appearance at gray scale imaging.

Back 90

ground glass

Front 91

Usually occurs as a result of ascending spread of microorganisms from the vagina and cervix into the fallopian tubes

Back 91

Pathogenesis

Front 92

Chlamydia and Gonorrhea are the most common causes of this inflammation

Back 92

PID

Front 93

A fallopian tube with pus

Back 93

pyosalpinx

Front 94

When the fallopian tube becomes blocked are the fimbrial of cornual end, it becomes convoluted and incomplete septa are visible.

Back 94

Tubal Inflammatory Disease

Front 95

While evaluating the ovaries you come across one with no blood flow. What should you suspect?

Back 95

Ovarian Torsion

Front 96

To perform a TVS the bladder needs to be?

Back 96

Empty

Front 97

chorioadenoma destruens, most common form 80-95% of persistent trophoblastic disease is also called?

Back 97

Invasive Mole