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OB 1 > ch 36 ob > Flashcards

ch 36 ob Flashcards

1
Q

Early sampling of the exocoelomic cavity fluid via placenta free areas

A

coelocentesis

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2
Q

Round dish used to culture fetal tissue or cells

A

petri dish

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3
Q

Sampling of amniotic fluid

A

amniocentesis

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4
Q

Through the cervix

A

transcervical

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5
Q

more than one fetus

A

multifetal

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6
Q

Woman 35 years of age or older

A

advanced maternal age (AMA)

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7
Q

Aspiration of peritoneal fluid from the posterior cul-de-sac

A

culdocentesis

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8
Q

Removal of the infected fluid

A

abscess drainage

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9
Q

procedure to remove a piece of tissue or a sample of cells

A

biopsy

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10
Q

Procedure in which oocytes are aspirated from the ovaries

A

oocyte retrieval

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11
Q

noninvasive us exam performed with a transducer inserted into the vagina

A

endovaginal us

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12
Q

sampling of chorionic villus of the placenta

A

chorionic villus sampling (CVS)

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13
Q

sampling of fetal blood via the umbilical cord

A

percutaneous umbilical cord sampling (PUBS) (cordocentesis)

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14
Q

Cordocentesis is also known as

A

PUBS

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15
Q

a MSAFP value over ___ times the mean for a particular gestational age is suspect for ____ , ____ and many other fetal abnormalities

A

25 / multiple pregnancies / fetal demise

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16
Q

The optimal timing for a CVS is between the ___ weeks after the last menstrual period

A

9 - 12

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17
Q

____ is a serum protein found normally in the fetal circulatory system and produced by the fetal ____

A

Alpha feta protein / liver

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18
Q

Performing amniocentesis to determine the lecithin to sphingomyelin ratio is used to determine the risk of delivering an infant with _____ usually after ___ weeks gestation

A

respiratory distress syndrome / 32

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19
Q

Studies suggest that ___- is the safest and most accurate of the 3 procedures- transcervial cvs, transabdominal cvs, and amniocentesis

A

amniocentesis

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20
Q

During amniocentesis of twins, an ____ injection into the first sac/ twin after sampling ensures the second saC was entered for twin B

A

indigo carmine dye

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21
Q

coelocentesis is a technique that involves the us guided insertion of the needle into the ____ cavity through the vagina

A

extreme amniotic

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22
Q

When sampling fetal blood, the anterior placenta requires ____ cordocentesis whereas the posterior placenta allows sampling of the cord approx ____ from the placental umbilical cord insertion

A

transplacental / 1 cm

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23
Q

Tubal catheterization is a diagnostic and _______ technique in diagnosing tubal patency via injecting and observing fluid passage into the pelvis

A

therapeutic

24
Q

Antibiotic prophylaxis is recommended in patients witha postive history of ____ prior to hysterosonography or hysterisonosalpingography

A

PID

25
Q

The goal of radiotherapy is to deliver the ___ possible radiation dose to the malignant tissue and ____ the damage to the adjacent normal tissue

A

highest ___ minimize

26
Q

advantages of CVS are ___ and _____

A

accuracy and early genetic diagnosis

27
Q

multifetal reduction procedures have increasing owing to ____ inducing drug use

A

ovulation

28
Q

Indigo carmine dye is ___ in color

A

blue

29
Q

Fetal therapy often requires access to fetal ___

A

circulation

30
Q

fetal blood sampling occurs at the ___ cord insertion site

A

venous

31
Q

Removal of a small amount of fluid surrounding the fetus via the maternal abdomen, for testing is called

A

amniocentesis

32
Q

Transabdominal mutlipfetal reducation is preferred between _____ weeks gestation and endovaginal redcution is successful between ___ weeks gestation

A

10-12 / 8-10

33
Q

misdiagnosis of tubal occlusion owing to tubal spasm is a disadvantage of the _______ procedure

A

hysterosonosalpingography

34
Q

A common clinical technique for retrieving living fetal cells/cell products from the pregnancy uterus is
a- PUBS
b- amniotic villus sampling
c- amniocentesis
d- culdocentesis

A

amniocentesis

35
Q

An us procedure that obtains fetal blood via a needle inserted into the maternal abdomen is
a- fetal transfusion
b- reduction
c- fetal rapid blood culture
d- PUBS

A

PUBS

36
Q

Amniocentesis testing is recommended at
a- 6-8 weeks
b- 8-14 weeks
c- 14 - 20 weeks
d- 20-30 weeks

A

14 to 20 weeks

37
Q

fetal blood sampling occurs at the
a- venous cord insertion site
b- arterial cord insertion site
c- intrahepatic umbilical vein
d- intrahepatic umbilical artery

A

venous cord insertion site

38
Q

vaginal coelocentesis can provide a sample of extra amniotic fluid as early as
a- 8 weeks
b- 12 weeks
c- 10 weeks
d- 6 weeks

A

6 weeks

39
Q

women whose materal serum alpa-fetaprotein (MSAFP) screening results reveal a value nelow the mean levels for a given gestational age have been associated with an increased risk for
a- trisomy
b- spina bifida
c- cardiac malformation
d- anencephaly

A

trisomy

40
Q

indications for using an endovaginal transducer are all except
a- ovarian cyst aspiration
b- embryo transfer
c- hemoglobinopathies
d- IUCD position

A

Hemoglobinopathies

41
Q

The main purpose of a multifetal pregnancy reduction is to
a- limit the number of children a couple chooses to produce
b- reduce the number of embryos to improve survival for the remaining ones
c- decrease the physician liability in a multiple pregnancy
d- decrease the financial burden of multiples

A

reduce the number of embryos to improve survival for the remaining ones

42
Q

Hysterosonosalpingography should alwayes be performed during the ___ of the menstrual cycles
a- early follicular phase
b- late proliferative phase
c- secretory phase
d- menstrual phase

A

early follicular phase

43
Q

Select the most common endovaginal us puncture procedure
a- percutaneous pelvic mass biopsy
b- embryo transfer
c- radiotherapy planning and monitoring
d- oocyte retrieval

A

oocyte retrieval

44
Q

Culdocentesis is performed to:
a- collect a sampling of the exocoelomic cavity fluid
b- acquire fluid posterior to the lower uterus
c- place a pelvic draining catheter
d- diagnose inflammatory intestinal wall

A

acquire fluid posterior to the lower uterus

45
Q

Ultrasound is used to guide local treatment of the drug ___ for ectopic pregnancy resolution
a-methotrexate
b- reprotox
c- methohexital
d- repronex

A

Methotrexate

46
Q

Which imaging modality is most useful in diagnosing ectopic pregnancy
a- sprectral doppler us
b- MRI with contrast
c- color doppler us
d- TCD

A

color doppler us

47
Q

The gold standard procedure for establishing tubal condition is
a- sonohysterosalpingography
b- laparoscopy
c- HSG
d- hysteroscopy

A

laparoscopy

48
Q

3D endovaginal us is useful in the detection of all except
a- IUCD postion
b- IUCD shaft and branch orientation
c- detection of IUCD
d- IUCD hormone level

A

IUCD hormone level

49
Q

Choose a disadvantage of CVS
a- accuracy
b- early genetic diagnosis
c- false positive result
d- ability to obtain living fetal cells or products of them

A

false positive result

50
Q

The legal limit for elective termination of pregnancy is the us is determined by
a- country guidelines
b- state laws
c- findings.lab results and fetal gest age
d- health/welfare

A

state laws

51
Q

Counseling that provides communication regarding the occurrence and risk of occurrence of familial disorder is
a- perinatology counseling
b- genetic counseling
c- ob counseling
d- preg counseling

A

genetic counseling

52
Q

Maternal age-related chromosome abnormality risk increases after the age of
a- 35
b- 32
c- 45
d- 40

A

35

53
Q

Hysterosonography and hysterosomosalpingographt may be frequently preferable to laparoscopy bc
a- general anesthesia is required
b- the us procedures are more affordable
c- surgical complications may occur
d- recovery time is longer

A

the us procedures are more affordable

54
Q

2 types of amniocentesis

A

genetic and lung maturity

55
Q

A genetic amniocentesis is usually performed around

A

14-20 weeks

56
Q

Chorionic villi sampling samples ___ tissue

A

trophoblastic

57
Q
A

OB 1 (8 decks)

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