Assessment Of The First Trimester Review

Question 1

Answer 1

C. Fallopian tubes

Question 2

Answer 2

D. Blastocyst

Question 3

Answer 3

D. Trophoblastic tissue

Question 4

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

Answer 4

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

Question 5

Answer 5

D. Umbilical insertion

Question 6

Answer 6

B. Embryo

Question 7

Answer 7

D. Embryonic phase

11-12 is the fetal phase

Question 8

Answer 8

C. Double decidua sign

Question 9

Answer 9

B. Spontaneous abortion

Question 10

Answer 10

B. Visualization of the amnion without an embryo

Question 11

Answer 11

B. Implantation of the conceptus

Question 12

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

Answer 12

B. Parietalis

Question 13

Answer 13

C

Question 14

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

Answer 14

C. 16

Question 15

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

Answer 15

C. Trophoblastic disease (Molar pregnancy)

Question 16

Answer 16

D. Early intrauterine pregnancy

Question 17

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

Answer 17

C. IUD

Question 18

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

Answer 18

D. Yolk sac in an intrauterine pregnancy

Question 19

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

Answer 19

D. Gestational Trophoblastic disease

Question 20

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

Answer 20

A. Theca lutein cysts

Question 21

Theca lutein cysts are associated with an increase of what?

Answer 21

hCG levels

Question 22

Approximately 40% of ectopic pregnancies demonstrate what?

Answer 22

Theca lutean cysts

Question 23

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

Answer 23

C. Pelvic cramping

Question 24

Answer 24

C. Subchorionic hemorrhage

Question 25

Answer 25

C. Intrauterine pregnancy

Question 26

Answer 26

B. Embryo and the amnion

Question 27

Answer 27

C. Ectopic pregnancy

Question 28

Answer 28

C. Ectopic pregnancy

Question 29

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

Answer 29

C. Slowly rising hCG levels

Question 30

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

Answer 30

C. Anembryonic pregnancy (Blight ovum)

Question 31

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

Answer 31

D. RPOC

Question 32

Answer 32

D. Normal Rhombencephalon

Question 33

Answer 33

B. The normal amnion

Question 34

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

Answer 34

A. Normal finding in the late first trimester

Question 35

Answer 35

B. Possible small gestational site on EV

Question 36

Answer 36

B. Double every 48 hours

Question 37

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

Answer 37

B. 16mm

Question 38

Answer 38

A. A normal finding

Question 39

Answer 39

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

Question 40

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

Answer 40

A. Inner to inner

Question 41

Answer 41

B. Is located in the chorionic cavity

Question 42

Answer 42

B. Tenth gestational week

Question 43

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

Answer 43

C. Interstitial

Question 44

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

Answer 44

B. Trophoblastic disease

Question 45

Answer 45

D. Heterotrophic pregnancy

Question 46

Answer 46

A. Amnion

Question 47

Answer 47

C. Tenth testimonial week

Question 48

Answer 48

B. Morula

Question 49

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

Answer 49

C. Near the implantation site

Question 50

Answer 50

C. Cardiovascular

Question 51

Answer 51

C. Ectopic pregnancy

Question 52

Answer 52

D. When a gestational sac should be visualized

Question 53

Answer 53

C. CRL