Test Number 3

Front 1

Patient complaining of Acute pelvic pain, Vaginal bleeding, + HCG, Adnexal mass? Two possibilities?

Back 1

1. Ectopic Pregnancy
2. Intraperitoneal fluid

Front 2

What are the four different ways that a placenta is graded? Describe all?

Back 2

1. Grade 0= Smooth chorionic plate, Normal texture.
2. Grade 1= Subtle indentations, homogeneous, shows some calcifications.
3. Grade 2= Mild to medium sized indentations in the chorionic, comma like densities, basal echoes.
4. Grade 3= Indentations in the chorionic plate that extend to the basal layer, may contain both highly echogenic and anechoic areas, irregular densities, lacunae.

Front 3

In a pregnancy what structure is seen first?

Back 3

The yolk sac

Front 4

At which week do you first see a fetal heart beat? How big should the gestatianal sac be?

Back 4

1. 6th week
2. 4mm

Front 5

When there is a retention of a dead fetus, when the fetus dies but is retained within the uterus, what has occurred?

Back 5

Missed abortion - usually before the 13th week

Front 6

At what range of weeks does the fusion of the amnion and chorion occur?

Back 6

12 to 16 weeks

Front 7

What are the four placental positions related to placenta previa?

Back 7

1. Low lying
2. Marginal
3. Partial
4. Complete or total

Front 8

True or False? CRL is not considered an accurate measurement?

Back 8

FALSE

Front 9

Which line is closest to the sac?

Back 9

Decidua Capsularis

Front 10

What is the most common cause of vaginal bleeding, unplanned abortion(miscarriage) of the fetus and gestational sac before 23 weeks gestation?

Back 10

Spontaneous Abortion

Front 11

What are the two layers of the double sac sign?

Back 11

Decidua capsularis and Decidua parietalis(Vera)

Front 12

What is the difference between a fetal heart rate and a maternal heart rate?

Back 12

Fetal heart rate is twice as fast

Front 13

What is the amniotic fluid produced by?

Back 13

Fetal kidneys

Front 14

In the fetal heart, what alows blood to flow from right to left atrium? What happens to this after some time?

Back 14

Foramen Ovale, eventually it will close

Front 15

Cross-sectional anatomy of the fetal head should be defined at the varying levels, starting at the level of what? And name the structures going inferiorly?

Back 15

Lateral Ventricles. Thalamus, lateral ventricles, third ventricle, CSP, sylvian fissures, cerebral hemispheres, the vermis of the cerebellum, and the cisterna magna.

Front 16

What are two common sites for an ectopic pregnancy?

Back 16

Fallopian Tubes and abdomen

Front 17

20 year old female, severe pelvic pain, no LMP's, right side pain, what is not one of them?

Back 17

A. Ectopic pregnancy
B. Spontaneous Abortion
C. Hytitadid Form Mole
D. Fibroids

Front 18

What hormone causes ovulation?

Back 18

LH

Front 19

What are the three layers of the Meninges? Which one is more vascularized?

Back 19

Dura Mater, Arachnoid Layer, Pia Mater. Pia Mater is the most vascular.

Front 20

Which hormone is secreted by a growing follicle that helps the endometrial layer to regenerate?

Back 20

Estrogen

Front 21

The zygote or cell mass repeatedly divides and eventually forms a cluster of? Resembles a berry?

Back 21

Morela

Front 22

What connects the third and fourth ventricle?

Back 22

Aquadect of sylvius

Front 23

Where does the fetus implant?

Back 23

Chorium frondosum

Front 24

The cephalic index should be between what two measurements?

Back 24

0.72 to 0.86

Front 25

What is the most acurate measurement for dating GA?

Back 25

CRL

Front 26

Lateral ventricles are divided into five regions, what are they?

Back 26

1. Frontal horns
2. Lateral bodies
3. Occippital horns
4. Temporal
5. Atria

Front 27

Fetal heart activity should be detected by what week?

Back 27

6 week

Front 28

Hydatidiform mole causes everything except this?

Back 28

A. Bleeding
B. Vomiting
C. Enlarged Uterine size for dates
D. HCG titer is very high
E. May develop a neoplasm
F. Benign tumor

Front 29

What is the common site for spinal defects?

Back 29

Lumbar

Front 30

A mass may be seen at the cord insertion site which is phisiological omphaloceles and herniates at what weeks?

Back 30

8 to 12 weeks

Front 31

T or F Methotrexate can treat an ectopic pregnancy?

Back 31

False- there is no treatment for it.

Front 32

Mean sac diameter, if more than 17mm and no fetal pole is seen what is the diagnosis?

Back 32

Blited Ovum

Front 33

34 year old female, pregnant, increased blood pressure, bleeding, and vomiting. This is a sign for?

Back 33

Hydatitid Form Mole

Front 34

To rule out an ectopic pregnancy, in an US diagnosis which two things should not be there?

Back 34

Gestational sac and adnexal mass

Front 35

How often should the fetal bladder empty?

Back 35

30 to 45 minutes

Front 36

The LS ratio determines what?

Back 36

Lung Maturaty

Front 37

What function does amniotic fluid have?

Back 37

Permits cemetric growth of embyo, prevents adhesions from forming, cushions the embryo or shock absorber, helps prevent infections; allows for normal development of resperitarory, GI, and bone system; and a source of nutrients for the developing embryo.

Front 38

What structures develop from the neurotube?

Back 38

The brain and spinal cord

Front 39

What 4 structures will develop from the hind brain or rombencephalon?

Back 39

1. Medulla
2. Adult pons
3. Develops the fourth ventricle
4. Cerebellum

Front 40

The alimentary canal forms during the fourth week and divides into what three structures?

Back 40

1. Fore gut
2. Mid gut
3. Hind gut

Front 41

What is an early sign of pregnancy?

Back 41

Yolk sac- seen by the fourth week

Front 42

In ultrasound what is the bladder considered?

Back 42

Acoustic Window

Front 43

What two things combine at the gestational sac, it appears hyperechoic and thick due to developing placental tissue?

Back 43

1. Decidua Basalis
2. Chorion Fondosum

Front 44

What are the three layers of a pregnant womans gestational sac?

Back 44

1. Decidua Basalis
2. Decidua Capsularis
3. Decidua Parietalis

Front 45

Amniotic Band Syndrome

Back 45

What syndrome has bands within the amniotic fluid adhere to the fetus and amputate portions of limbs?

Front 46

Arnold-Chiari Malformation (Type II)

Back 46

Low position of the cerebellum in the upper cervical spinal canal due to cord tethering. Associated with "lemon" skull shape, banana shaped cerebellum, and hydrocephalus?

Front 47

Fluid Filled space at the back of the head that lies between the cerebellum and the skull?

Back 47

Cisterna Magna

Front 48

What sign has a change in the shape of the cerebellum (it becomes curved) that occurs in the presence of spina bifida?

Back 48

Banana Sign

Front 49

Which is not an indication of fetal hydrops?

Back 49

1. Oligohydramnios
2. Polihydramnios
3. Fetal edema
4. Ascites
5. Pleural and pericardial effusion

Front 50

Normal ventricle measurements should not be greater than?

Back 50

10mm

Front 51

Fetal structures from the hind gut includes all except for?

Back 51

1. Distal colon
2. Rectum
3. Portions of the bladder
4. Small intestines

Front 52

How many types of spontaneous abortions?

Back 52

1. Threatend abortion
2. Incomplete abortion
3. Blited Ovum
4. Inevitable abortion
5. Septic abortion
6 All of the above

Front 53

When does an ectopic pregnancy rupture, what week?

Back 53

8 to 10 weeks

Front 54

How do you check for an abdominal pregnancy?

Back 54

Superior to the uterus, and lies close to the wall.

Front 55

What does PARA stand for?

Back 55

1. P = Positive pregnancies
2. A = Aborted pregnancies
3. R = Premature pregnancies
4. A = Total number of full term pregnancies

Front 56

A small degree or dilatation of the central sinus echoes is permissable if a normal variant?

Back 56

5 <-

Front 57

Extra ovarian adnexal mass with thick echogenic border, this finding is suspecious for ectopic pregnancy, an example of?

Back 57

Adnexal Ring

Front 58

The BPD along with FOD is utilized to calculate what?

Back 58

Cephalic Index

Front 59

What is the most common fetal intracranial anomaly?

Back 59

Anencephaly