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62 Cards in this Set
- Front
- Back
Metastatic Molar Carcinoma
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CHORIOCARCINOMA
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First evidence of an IUP
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Gestational Sac
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Identified in fetal cranium between 8-11 weeks
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Rhombencephlon
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an embryonic pregnancy
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Blighted Ovum
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Invasive Mole
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Chorioadenoma Destreuns
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Most accurate way to estimate an EDC.
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CRL
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Diffuse hyperplastic chronic tissue
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MOLE
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Expulsion of intrauterine contents through dilated cycle
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ABORTION
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Decidua that surround the gestational sac
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Decidual Capsularis
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Pregnancy not in the endometrial cavity
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ECTOPIC
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ball of 16 cells
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MORULA
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Responsible for hematopoeisis and provides nutrients for the embryo
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YOLK SAC
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>90 BPM
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EMBRYONIC BRADICARDIA
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intracavity ultrasound exam
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ENDOVAGINAL
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outside the uterus
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ADNEXA
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Single cell form union of genetic material
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ZYGOTE
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Placenta is left in the body to re-absorb
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ABDOMINAL ECTOPIC
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Eventually becomes the placental site
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Basalis
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Twin Pregnancy with one in the adnexa
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HETEROTOPIC
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Pregnancy hormone in the blood
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BHCG
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Fertilization takes place in what anatomic site?
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Fallopian tube
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The single cell that forms as a result of the union of the sperm and the ovum is the ________
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Zygote
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The term DECIDUA denotes the transformed endometrium of pregnancy. The different regions of the decidua are divided layers.
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DECIDUA BASALIS
DECIDUA CAPSULARIS . DECIDUAL PARIETALIS (vera) |
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The decidual layer that closes over the implanted blastocyst is referred to as the_________
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DECIDUAL CAPSULARIS
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The decidual layer that ultimately develops into the placenta is the________
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DECIDUA BASALIS
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The primary source of progesterone during the first trimester of pregnancy is secreted by what structure?
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CORPUS LUTEUM
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The trophoblast of an early first trimester pregnancy produces_____________
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HCG
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Normal values for BHCG levels for visualization of a gestational sac with transvaginal sonography can be as low as __________.
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500
> or equal 500 MIU/MI (2IS) |
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Where is the yolk sac located?
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Outside the amnion but inside the chorion
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Decribe the procedure for a gestational sac measurement
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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 |
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Menstrual age is interchangeable with what other term?
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Gestational Age
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At what weeks gestation is it normal to visualize a chorionic and amniotic separation?
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up to 16 weeks
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The demonstration of "Midgut Herniation" seen after 11 weeks is considered _______.
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Abnormal
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The most accurate method of dating a gestation is the ______________.
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CRL
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The cystic structure seen in the embryonic cranium of a 10week fetus is considered to be ______________..
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NORMAL
Normally seen between 8-11 weeks |
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What is this cystic structure in the embryonic cranium called?
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RHOMBENCEPHALON
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Using the date wheel, calculate the due date (EDC) for a LMP of 5-28-07
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EDC is 03/02/08
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How many weeks is/was she on Oct. 15,2007? hint: use your date wheel
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20 weeks
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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.
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20 weeks and 2 days
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What is the patient's probable date of conception? Hint: use information from last card, or see review sheet.
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May 30
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Since a heartbeat should visualized in a 6 week fetal pole, sonography can "diagnose" an __________ __________as early as 6 weeks.
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EMBRYONIC DEMISE
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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?
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Normal Intra-Uterine Pregnancy @ 5 weeks
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Sonographic demonstration of the "double decidual" sac sign on an early first trimester pregnancy ultrasound suggest __________.
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Viable IUP
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See question 25 on review look at picture:
Describe the structures seen in this ultrasound image. |
Yolk Sac, Gestational Sac, and Subchorionic Hemorrhage
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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)________. |
Missed Abortion
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What percentage of ectopic pregnancies occur in the fallopian tube?
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95%
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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) _____________ |
INCOMPLETE ABORTION
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See your question review sheet for question 29 diagram:
What term describes the chorionic cavity seen in the uterus on ultrasound? |
GESTATIONAL SAC
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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) __________. |
Anembryonic Pregnancy or Blighted Ovum
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Describe sonographic appearance of and ectopic pregnancy.
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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 |
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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)_____________.
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ECTOPIC PREGNANCY
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Question 32 on Review
Describe the structures demonstrated in this transverse image. |
Uterus
RT Ectopic Pregnancy |
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The term ectopic pregnancy describes any pregnancy __________the endometrial lumen.
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OUTSIDE
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List the locations of ectopic pregnancy.
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1. Abdominal cavity
a. bowel b. pertioneum 2. Ovary 3. Fallopian tube 4. Cervix |
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In an abdominal ectopic pregnancy the placenta is ______ after the delivery of the fetus?
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Left in the patient
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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? |
ECTOPIC PREGNANCY
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Human chorionic gonadotropin (HCG) titers in ectopic pregnancy _______double every 2 days.
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WILL NOT
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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 ________ |
A malignant form of gestational trophoblastic disease
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What type of cyst is commonly associated with hydatidform mole?
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THECA LUTEIN CYSTS
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List the types of gestational tropholastic disease.
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1. COMPLETE MOLE
2. PARTIAL MOLE 3. MOLE with CO-EXISTING FETUS 4. PERSISTENT TROPHOBLASTIC DISEASE a. Invasion b. Choriocarcinoma |
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Another name for an Invasive Mole is ____
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Chorioadenoma Destruens
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List areas which choriocarcinoma may metatasize.
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1. Brain
2. Lungs 3. Liver 4. GI Tract 5. Bone 6. Skin |