Chapter 23 (The First Trimester)

Question 1

Fertilization typically occurs within ____ hours after ovulation?

Answer 1

24 hours

Question 2

The most common site of fertilization is within the:

Answer 2

ampulla of the uterine tube

Question 3

The structure created by the union of sperm and egg is the:

Answer 3

zygote

Question 4

The trophoblastic cells produce:

Answer 4

hCG

Question 5

What is the stage of the conceptus that implants within the decidualized endometrium?

Answer 5

blastocyst

Question 6

Another name for the chorionic sac is the:

Answer 6

gestational sac

Question 7

What structure lies within the extraembryonic coelem?

Answer 7

yolk sac

Question 8

What hormone, produced by the corpus luteum, maintains the thickened endometrium?

Answer 8

progesterone

Question 9

In the first trimester, normal hCG levels will :

Answer 9

double every 48 hours

Question 10

Compared with a normal IUP, the ectopic pregnancy will have a ____ hCG?

Answer 10

low

Question 11

The first son. sign of pregnancy:

Answer 11

decidual reaction

Question 12

The first definitive son. sign of an intrauterine pregnancy is the recognition of a:

Answer 12

gestational sac

Question 13

The normal gestational sac will grow:

Answer 13

1mm a day

Question 14

During a first trimester exam, you note a cystic structure within the fetal head. This most likely represents the:

Answer 14

rhombencephalon

Question 15

The herniation of the embryologic bowel into the base of the umbilical cord at 9 weeks is referred to as:

Answer 15

physiologic bowel herniation

Question 16

The most common pelvic mass associated with pregnancy is the:

Answer 16

corpus luteum cyst

Question 17

All of the following are associated with an abnormal nuchal translucency except:
A. Trisomy 21
B. Trisomy 16
C. Trisomy 18
D. Turner Syndrome

Answer 17

B. Trisomy 16

Question 18

The most common cause of pelvic pain with pregnancy is:

Answer 18

ectopic pregnancy

Question 19

The most common location of ectopic pregnancy is:

Answer 19

ampullary portion of uterine tube

Question 20

All of the following are contributing factors for an ectopic pregnancy except:
A. PID
B. Assisted reproductive therapy
C. IUCD
D. Advanced paternal age

Answer 20

D. advanced paternal age

Question 21

All of the following are sonographic findings consistent with an ectopic pregnancy except:
A. Decidual thickening
B. Complex free fluid within pelvis
C. Bilateral, multiloculated ovarian cysts
D. Complex adnexal mass separate from the ipsilateral ovary

Answer 21

C. bilateral, multilocuated ovarian cyst

Question 22

All of the following are clinical features of an ectopic pregnancy except:
A. pain
B. vaginal bleeding
C. shoulder pain
D. adnexal ring

Answer 22

D. adnexal ring

Question 23

All of the following are consistent with a hydatidiform mole except:
A. heterogenous mass within the endometrium
B. bilateral theca lutein cysts
C. hyperemesis gravidarum
D. low hCG

Answer 23

D. low hCG

Question 24

The most malignant form of gestational trophoblastic disease is:

Answer 24

choriocarcinoma

Question 25

Exam performed on pregnant patient with vaginal bleeding. Sonographically, a crescent shaped anechoic area is noted adjacent to the gestational sac. There is a 6 week single live IUP. Diagnosis?

Answer 25

subchorionic hemorrhage

Question 26

All of the following would be associated with a lower-than-normal hCG level except:
A. ectopic pregnancy
B. molar pregnancy
C. blighted ovum
D. spontaneous abortion

Answer 26

B. molar pregnancy

Question 27

All of the following are clinical findings consistent with a molar pregnancy except:
A. vaginal bleeding
B. hypertension
C. uterine enlargement
D. small for dates

Answer 27

D. small for dates

Question 28

Which of the following locations is most likely with metastatic gestational trophoblastic disease?
A. rectum
B. brain
C. spleen
D. lungs

Answer 28

D. lungs

Question 29

All of the following may be son. findings in the presence of an ectopic pregnancy except:
A. pseudogestational sac
B. corpus luteum cyst
C. adnexal ring
D. double sac sign

Answer 29

D. double sac sign