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SONOCAN OB Review > Assessment Of The First Trimester Review > Flashcards

Assessment Of The First Trimester Review Flashcards

1
Q
A

C. Fallopian tubes

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2
Q
A

D. Blastocyst

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3
Q
A

D. Trophoblastic tissue

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4
Q

The optimal gestational age for measuring fetal nuchal translucency is from:
a. 11 weeks and 0 days to 13 weeks and 6 days
b. 10 weeks and 0 days to 12 weeks and 0 days
c. 11 weeks and 6 days to 13 weeks and 0 days
d. 11 weeks and 0 days to 12 weeks and 6 days

A

A. 11 weeks and 0 days to 13 weeks and 6 days

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5
Q
A

D. Umbilical insertion

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6
Q
A

B. Embryo

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7
Q
A

D. Embryonic phase

11-12 is the fetal phase

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8
Q
A

C. Double decidua sign

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9
Q
A

B. Spontaneous abortion

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10
Q
A

B. Visualization of the amnion without an embryo

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11
Q
A

B. Implantation of the conceptus

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12
Q

The decidua exclusive of the area occupied by the conceptus is termed decidua:
a. basalis
b. parietalis
c. capsularis
d. frondosum

A

B. Parietalis

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13
Q
A

C

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14
Q

Normally, the chorionic cavity should no longer be visible after how many gestational weeks?
a. 10
b. 12
c. 16
d. 20

A

C. 16

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15
Q

Hyperemesis is a common clinical finding associated with:
a. ectopic pregnancy
b. embryonic demise
c. trophoblastic disease
d. heterotopic pregnancy

A

C. Trophoblastic disease (Molar pregnancy)

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16
Q
A

D. Early intrauterine pregnancy

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17
Q

Which of the following is also identified in this sonogram?
a. hematometra
b. incomplete abortion
c. intrauterine device
d. calcified uterine vessels

A

C. IUD

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18
Q

A transvaginal sonogram of the superior uterus demonstrates a(n):
a. embryonic demise
b. anembryonic pregnancy
c. amnion in an intrauterine pregnancy
d. yolk sac in an intrauterine pregnancy

A

D. Yolk sac in an intrauterine pregnancy

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19
Q

A patient presents with a history of rapidly increasing hCG levels. Based on this clinical history, the sonogram is most suspicious for:
a. pseudocyesis
b. heterotopic pregnancy
c. retained products of conception
d. gestational trophoblastic disease

A

D. Gestational Trophoblastic disease

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20
Q

With this abnormality, the adnexa are most likely to demonstrate:
a. theca lutein cysts
b. corpus luteal cysts
c. solid ovarian masses
d. complex adnexal masses

A

A. Theca lutein cysts

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21
Q

Theca lutein cysts are associated with an increase of what?

A

hCG levels

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22
Q

Approximately 40% of ectopic pregnancies demonstrate what?

A

Theca lutean cysts

23
Q

The most common clinical symptom associated with this abnormality is:
a. hyperemesis
b. vaginal spotting
c. pelvic cramping
d. lower-extremity swelling

A

C. Pelvic cramping

24
Q
A

C. Subchorionic hemorrhage

25
Q
A

C. Intrauterine pregnancy

26
Q
A

B. Embryo and the amnion

27
Q
A

C. Ectopic pregnancy

28
Q
A

C. Ectopic pregnancy

29
Q

Which clinical presentation is most likely associated with this diagnosis?
a. leukocytosis
b. elevated progesterone
c. slowly rising hCG levels
d. normal serial hCG levels

A

C. Slowly rising hCG levels

30
Q

This first trimester sonogram is most suspicious for a(n):
a. fetal demise
b. pseudogestational sac
c. anembryonic pregnancy
d. normal intrauterine pregnancy

A

C. Anembryonic pregnancy (Blight ovum)

31
Q

An afebrile patient presents with a history of a therapeutic abortion 2 weeks previously. She complains of continued vaginal spotting since the procedure. Based on this clinical history, the sonogram is most suspicious for:
a. endometritis
b. endometrial hyperplasia
c. degenerating leiomyoma
d. retained products of conception

A

D. RPOC

32
Q
A

D. Normal Rhombencephalon

33
Q
A

B. The normal amnion

34
Q

Subcutaneous accumulation of fluid behind the fetal neck measuring 3 mm in thickness is a(n):
a. normal finding in the late first trimester
b. abnormal finding in the late first trimester
c. normal finding in the late second trimester
d. abnormal finding regardless of gestational age

A

A. Normal finding in the late first trimester

35
Q
A

B. Possible small gestational site on EV

36
Q
A

B. Double every 48 hours

37
Q

On transvaginal imaging, in a normal pregnancy, cardiac activity must be identified within a gestational sac with a mean sac diameter of:
a. 10 mm
b. 16 mm
c. 20 mm
d. 25 mm

A

B. 16mm

38
Q
A

A. A normal finding

39
Q
A

B. Failure to demonstrate a yolk sac within a MSD of 10mm when using the EV Approach

40
Q

When measuring the mean sac diameter, the calipers should be placed from the:
a. inner wall to inner wall
b. inner wall to outer wall
c. outer wall to outer wall
d. superior wall to inferior wall

A

A. Inner to inner

41
Q
A

B. Is located in the chorionic cavity

42
Q
A

B. Tenth gestational week

43
Q

Which of the following ectopic locations is most life threatening to the patient?
a. cervical
b. ampullary
c. interstitial
d. peritoneal

A

C. Interstitial

44
Q

Retained products of conception can be a contributing factor of:
a. an ectopic pregnancy
b. trophoblastic disease
c. a heterotopic pregnancy
d. ovarian hyperstimulation syndrome

A

B. Trophoblastic disease

45
Q
A

D. Heterotrophic pregnancy

46
Q
A

A. Amnion

47
Q
A

C. Tenth testimonial week

48
Q
A

B. Morula

49
Q

Chorionic villi are more prolific:
a. adjacent to the yolk sac
b. opposite the cervical os
c. near the implantation site
d. adjacent to the uterine fundus

A

C. Near the implantation site

50
Q
A

C. Cardiovascular

51
Q
A

C. Ectopic pregnancy

52
Q
A

D. When a gestational sac should be visualized

53
Q
A

C. CRL

SONOCAN OB Review (11 decks)

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