Ch. 27 The Fetal Heart and Chest Flashcards

1
Q

A group of anomalies characterized by a small or absent left ventricle is:

  • Turner syndrome
  • Hypoplastic right heart syndrome
  • Hypoplastic left heart syndrome
  • Coarctation of the aorta
A

Hypoplastic left heart syndrome

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2
Q

A group of anomalies characterized by a small or absent right ventricle is:

  • Turner syndrome
  • Hypoplastic right heart syndrome
  • Hypoplastic left heart syndrome
  • Coarctation of the aorta
A

Hypoplastic right heart syndrome

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3
Q

All of the following are sonographic signs of Ebstein anomaly except:

  • Enlarged right atrium
  • Fetal hydrops
  • Narrowing of the aortic arch
  • Malpositioned tricuspid valve
A

Narrowing of the aortic arch

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4
Q

The narrowing of the aortic arch is indicative of:

  • Tetralogy of Fallot
  • Coarctation of the aorta
  • Ebstein anomaly
  • Hypoplastic right heart syndrome
A

Coarction of the aorta

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5
Q
An echogenic intracardiac focus is most often seen w/in the:
Right atrium
Left atrium
Right ventricle
Left ventricle
A

Left ventricle

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6
Q
An echogenic intracardiac focus is often seen in cases of:
Trisomy 21
Trisomy 13
Trisomy 8
Turner syndrome
A

Trisomy 21

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7
Q
The most common fetal cardiac tumor is the:
Rhabdomyoma
Chordae tendineae
Cardiomyoma
Cystic adenomatoid malformation
A

Rhabdomyoma

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8
Q
All of the following are sonographic features of pentalogy of Cantrell except:
Omphalocele
Gastroschisis
Cleft sternum
Diaphragmatic defect
A

Gastroschisis

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9
Q
The accumulation of fluid around the lungs is termed:
Ascites
Extracorporeal effusion
Peripleural fluid
Pleural effusion
A

Pleural effusion

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10
Q

The condition in which the heart is located on the outside of the chest wall is termed:

  • Cystic adenomatoid malformation
  • Coarctation of the heart
  • Cardiac sequestration
  • Ectopic cordis
A

Ectopic cordis

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11
Q
The most common form of diaphragmatic hernia is the:
Foramen of Morgagni
Foramen of Magendie
Foramen of Luschka
Foramen of  Bochdalek
A

Foramen of Bochdalek

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12
Q
The most common cause of cardiac malposition is:
Diaphragmatic hernia
Omphalocele
Gastroschisis
Pulmonary hypoplasia
A

Diaphragmatic hernia

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13
Q

A separate mass of nonfunctioning fetal lung tissue is referred to as:

  • Pulmonary adenomatoid malformation
  • Pulmonary sequestration
  • Cystic adenomatoid malformation
  • Bat wing sign
A

Pulmonary sequestration

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14
Q

The most common sonographic appearance of pulmonary sequestration is a/an:

  • Dilated pulmonary artery and hypoechoic chest mass
  • Pleural effusion and ipsilateral hiatal hernia
  • Triangular, echogenic mass w/in the chest
  • Anechoic mass w/in the chest
A

Triangular, echogenic mass w/in the chest

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15
Q
The embryonic heart begins as:
2 tubes
4 tubes
8 folds
1 tube
A

2 tubes

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16
Q

Tetralogy of Fallot consists of all of the following except:

  • Overriding aortic root
  • Ventricular septal defect
  • Pulmonsary stenosis
  • Left ventricular hypertrophy
A

Left ventricular hypertrophy

17
Q

Eventration of the diaphragm is best described as:

  • A lack of muscle in the dome of the diaphragm
  • A defect in the anterior lateral wall of the diaphragm
  • A defect in the posterolateral wall of the diaphragm
  • Congenital absence of the diaphragm
A

A lack of muscle in the dome of the diaphragm

18
Q

The visualization of the fetal stomach w/in the fetal chest is most indicative of:

  • Pulmonary sequestration
  • Diaphragmatic hernia
  • Turner syndrome
  • Cystic adenomatoid malformation
A

Diaphragmatic hernia

19
Q
The sonographic "bat wing" sign is indicative of:
Pericardial effusion
Pulmonary atresia
Pleural effusion
Endocardial cushion defects
A

Pleural effusion

20
Q

Which statement is true concerning fetal outflow tracts?

  • The normal pulmonary artery should be positioned posterior to the aorta and should be visualized passing under it.
  • The normal pulmonary artery should be positioned anterior to the aorta and should be visualized crossing over it.
  • The right ventricular outflow tract leads to the aorta.
  • The left ventricular outflow tract leads to the pulmonary artery.
A

The normal pulmonary artery should be positioned anterior to the aorta and should be visualized crossing over it.

21
Q

Fetal lung maturity can be assessed using the:

  • Lecithin to sphingomyelin ratio
  • Systolic to diastolic ratios
  • Estriol to alpha-fetoprotein ratio
  • Lung size formula
A

Lecithin to sphingomyelin ratio

22
Q

Fetal rhabdomyomas are associated w/ which of the following?

  • Tracheoesophageal fistulas
  • Tuberous sclerosis
  • Eventration of the diaphragm
  • Tuberculosis
A

Tuberous sclerosis

23
Q

Which of the following is considered to be the most common cardiac defect?

  • Hypoplastic right heart syndrome
  • Transposition of the great vessels
  • Hypoplastic left heart syndrome
  • Ventricular septal defect
A

Ventricular septal defect

24
Q

What is the normal opening in the lower middle third of the atrial septum?

  • Foramen of Magendie
  • Foramen of Monro
  • Foramen ovale
  • Ductus arteriosus
A

Foramen ovale

25
``` Blood is shunted into the IVC from the umbilical vein by what structure? Ductus venosus Ductus arteriosus Foramen ovale Foramen of Luschka ```
Ductus venosus
26
Which of the following isn't a true statement about the normal fetal heart? * The ventricular septum should be uninterrupted and of equal thickness to the left ventricular wall. * There is a normal opening w/in the atrial septum. * B/n the right ventricle and right atrium, one should visualize the tricuspid valve. * The mitral valve is positioned closer to the cardiac apex than the tricuspid valve.
The mitral valve is positioned closer to the cardiac apex than the tricuspid valve.
27
Which of the following is a true statement about the fetal heart? * The apex of the heart will be angled to the right of the midline. * The apex of the heart is positioned closest to the spine. * The normal fetal heart will fill approximately 2/3 of the fetal chest. * The chamber closest to the fetal spine is the left atrium.
The chamber closest to the fetal spine is the left atrium.
28
``` The fetal heart is fully formed by: 2 wks 4 wks 8 wks 10 wks ```
10 wks
29
A co-existing pericardial effusion and a pleural effusion is consistent w/ the diagnosis of: * Tetralogy of Fallot * Petnalogy of Cantrell * Fetal hydrops * Potter syndrome
Fetal hydrops
30
Which of the following best describes transposition of the great vessels? * The aorta arises from the left ventricle and the pulmonary artery arises from the right ventricle. * The aorta arises from the right ventricle and the pulmonary artery arises from the left ventricle. * The aortic arch is narrowed and positioned anterior to the pulmonary vein. * The presence of an omphalocele and ectopic cordis.
The aorta arises from the right ventricle and the pulmonary artery arises from the left ventricle.