Chapter 45-46 Flashcards

1
Q
Your patient is from the ER and complaining of bleeding for two days.  She is 16 weeks by dates.  This is what you find what is your diagnosis?
PICTURE IS NOT IMAGED FYI
a. Hydrops
b. Pre-mature Rupture of Membranes
c. Complete AB
d. Conjoined Twins
A

b. Pre-mature Rupture of Membranes Correct

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2
Q

A code of ethics for sonographers has been adopted by which one of the following organizations?

a. American Registry of Diagnostic Medical Sonographers
b. Joint Review Committee
c. Society of Diagnostic Medical Sonographers
d. American Medical Association

A

c. Society of Diagnostic Medical Sonographers

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3
Q

A sonographer can minimize thermal effects by which one of the following?
Select one:
a. Not staying in one spot
b. Placing the focus of the beam in the near field
c. Scanning over fetal bone
d. Increasing acoustic output

A

a. Not staying in one spot

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4
Q
Adherence to moral and ethical principles is called which one of the following?
Select one:
a. Veracity
b. Morality
c. Autonomy
d. Integrity
A

d. Integrity

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5
Q
ALARA is an example of which one of the following ethical principles?
Select one:
a. Justice
b. Beneficence
c. Nonmaleficence
d. Veracity
A

c. Nonmaleficence

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6
Q
Approximately \_\_\_\_\_% of all pregnant women in the United States are examined with sonography.
Select one:
a. 50
b. 65 
c. 75
d. 100
A

b. 65

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7
Q
Biophysical evaluation for fetal well-being includes all of the following except:
Select one:
a. Assessment of amniotic fluid
b. Fetal tone
c. Muscle tone
d. Body and breathing movements
A

c. Muscle tone

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8
Q
Diagnostic ultrasound has been in use since late in which one of the following decades?
Select one:
a. 1940s
b. 1950s 
c. 1960s
d. 1970s
A

b. 1950s Correctx

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9
Q
Even with a known menstrual date, conception may occur from day \_\_\_\_\_ to day \_\_\_\_\_.
Select one:
a. 1; 15
b. 6; 27 
c. 10; 18
d. 15; 27
A

b. 6; 27 Correctx

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10
Q
Fetal anatomy may be adequately assessed after \_\_\_\_\_\_ weeks gestation.
Select one:
a. 14
b. 16
c. 18 
d. 21
A

c. 18

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11
Q
Fetal interests in sonography are understood exclusively in terms of \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_.
Select one:
a. Justice
b. Autonomy
c. Fiduciary
d. Beneficence
A

d. Beneficence

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12
Q
Fetal sonography with or without Doppler should be performed:
Select one:
a. On all second-trimester pregnancies
b. On all first-trimester pregnancies
c. With a valid medical reason 
d. For sex determination
A

c. With a valid medical reason Correctx

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13
Q
In the second trimester, guidelines recommend images of the fetal head include all of the following except:
Select one:
a. Sylvian fissure 
b. Lateral cerebral ventricles
c. Cerebellum
d. Midline falx
A

a. Sylvian fissure

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14
Q
Informed consent is a(n) \_\_\_\_\_\_\_\_\_\_\_\_\_\_-based right.
Select one:
a. Autonomy
b. Morality
c. Beneficence
d. Nonmaleficence
A

a. Autonomy Correctx

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15
Q
Interval fetal growth may be determined by sonographic measurements \_\_\_\_\_\_ weeks apart.
Select one:
a. 1 to 2
b. 2 to 3
c. 2 to 4
d. 4 to 6
A

c. 2 to 4 Correctx

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16
Q

Limited obstetric ultrasound examinations are ordered for which one of the following reasons?
Select one:
a. To answer a specific clinical question
b. To determine the fetal gender
c. To screen the fetus for anomalies
d. To rule out an ectopic pregnancy

A

a. To answer a specific clinical question Correctx

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17
Q
Obstetric (OB) ultrasound allows the clinician to assess all of the following except:
Select one:
a. Muscle tone
b. Development
c. Growth
d. Well-being
A

a. Muscle tone Correctx

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18
Q
On transabdominal imaging, an overdistended bladder may give a false impression of which one of the following?
Select one:
a. Incompetent cervix
b. Placenta previa 
c. Fetal position
d. Fetal size
A

b. Placenta previa Correctx

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19
Q
The abdominal circumference on a transverse view is measured at the level of all the following structures except:
Select one:
a. Portal sinus
b. Fetal stomach
c. Fetal kidneys
d. Umbilical vein
A

c. Fetal kidneys Correctx

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20
Q
The dates established by sonography examinations performed in the second trimester typically take precedence over the menstrual age when the discrepancy is greater than \_\_\_\_\_\_\_ days.
Select one:
a. 5
b. 7
c. 10
d. 15
A

c. 10 Correctx

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21
Q
The ethical principle(s) that determine the timing of a routine sonographic examination is(are) which of the following?
Select one:
a. Autonomy
b. Veracity
c. Justice
d. Autonomy and justice
A

d. Autonomy and justice

22
Q

The major biologic effects of ultrasound are believed to be which one of the following?
Select one:
a. Thermal
b. Production and collapse of gas-filled bubbles
c. Cavitation
d. All of the above

A

d. All of the above

23
Q
The most accurate measurement of gestational age during the first trimester is which one of the following?
Select one:
a. Mean sac diameter
b. Yolk sac diameter
c. Biparietal diameter
d. Crown-rump length
A

d. Crown-rump length

24
Q

The purpose for certification in diagnostic sonography is to assure the public that the sonographer has which one of the following?
Select one:
a. Necessary knowledge to perform the examination
b. Necessary skills to perform the examination
c. Necessary experience to perform the examination
d. All of the above

A

d. All of the above

25
Q
The second trimester is between \_\_\_\_\_\_\_\_\_\_\_ gestational weeks.
Select one:
a. 12 and 21
b. 12 and 28
c. 13 and 26 
d. 15 and 30
A

c. 13 and 26

26
Q
The sonographer who provides a detailed explanation of the examination is an example of respecting the patient's \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_.
Select one:
a. Morals
b. Autonomy
c. Beneficence
d. Nonmaleficence
A

b. Autonomy Correctx

27
Q
Truthfulness with respect to abilities and limitations is an example of which one of the following?
Select one:
a. Integrity
b. Justice
c. Nonmaleficence
d. Veracity
A

d. Veracity

28
Q

Ultrasound is able to determine all of the following except:
Select one:
a. Source of bleeding and status of fetus
b. Fetal presentation
c. Multiple gestation
d. Exact date of delivery

A

d. Exact date of delivery

29
Q
Western medicine uses which one of the following principles to know what is in the clinical interest of the patient?
Select one:
a. Ethics
b. Morality
c. Primum non-nocere
d. Integrity
A

c. Primum non-nocere Correctx

30
Q
Which one of the following describes the duty of a health care professional to protect the privacy of patient information?
Select one:
a. Integrity
b. Morality
c. Ethics
d. Confidentiality
A

d. Confidentiality

31
Q
Which one of the following emphasizes individual rights and autonomy?
Select one:
a. Morality
b. Declaration of Helsinki
c. Nuremberg Code 
d. Hippocratic Oath
A

c. Nuremberg Code Correctx

32
Q
Which one of the following goals seeks a greater balance of clinical "goods" over clinical "harms?"
Select one:
a. Beneficence
b. Fiduciary
c. Pain
d. Autonomy
A

a. Beneficence Correctx

33
Q
Which one of the following is not an ethical issue?
Select one:
a. Nonmedical use of sonography
b. Nonmaleficence
c. Family traditions
d. Primum non-nocere
A

c. Family traditions Correctx

34
Q
Which one of the following is a psychologic phenomenon involving blocked intentions, plans, and projects?
Select one:
a. Pain
b. Suffering
c. Psychosis
d. Addiction
A

b. Suffering Correctx

35
Q
Which one of the following is the discipline that seeks to articulate clear and practical guidelines for conduct and character?
Select one:
a. Autonomy
b. Ethics
c. Morality
d. Justice
A

b. Ethics Correctx

36
Q
Which one of the following is the physiologic phenomenon involving the central nervous system processing tissue damage?
Select one:
a. Suffering
b. Pain
c. Nonmaleficence
d. Ethics
A

b. Pain Correctx

37
Q
Which one of the following principles describes the right of self-determination?
Select one:
a. Beneficence
b. Non-maleficence
c. Autonomy
d. Veracity
A

c. Autonomy Correctx

38
Q
Which one of the following principles directs the sonographer not to cause harm?
Select one:
a. Nuremberg Code
b. Autonomy
c. Nonmaleficence
d. Beneficence
A

c. Nonmaleficence Correctx

39
Q
Which one of the following principles encourages sonographers to exceed the minimum standards of protocol and seek additional pertinent images as needed?
Select one:
a. Veracity
b. Autonomy
c. Beneficence
d. Justice
A

c. Beneficence Correctx

40
Q
Which one of the following principles is served when protocols are standardized?
Select one:
a. Confidentiality
b. Justice 
c. Morality
d. Beneficence
A

b. Justice Correctx

41
Q
Which one of the following principles requires the sonographer to read current medical literature to stay abreast of new developments related to patient safety?
Select one:
a. Informed consent
b. Nonmaleficence
c. Autonomy
d. Morality
A

b. Nonmaleficence Correctx

42
Q

Which one of the following statements about determining fetal age is false?
Select one:
a. Measure the head circumference at the same level as the biparietal diameter (BPD).
b. Measure the abdominal circumference at the level of junction of the umbilical vein and portal sinus.
c. Measure the femur length on the femur farthest from the transducer.
d. Measure BPD in the axial plane that includes the thalamus and cavum septum pellucidum.

A

c. Measure the femur length on the femur farthest from the transducer. Correctx

43
Q

Which one of the following statements about the amniotic fluid development is true?
Select one:
a. The fetal kidneys begin to produce urine in the first trimester.
b. In the first trimester, fluid is produced by the placenta.
c. The fluid decreases in volume until the 34 weeks gestation.
d. The fetus gains two thirds of its weight during the first two trimesters.

A

b. In the first trimester, fluid is produced by the placenta. Correctx

44
Q

Which one of the following statements about the embryo heart rate is false?
Select one:
a. Early in the developmental phase, the heart rate is greater than 190 bpm).
b. Early in the developmental phase, the heart rate is 90 bpm.
c. The rate may increase to 170 bpm in the middle of the first trimester.
d. The rate is 120 to 140 bpm in the second and third trimesters

A

a. Early in the developmental phase, the heart rate is greater than 190 bpm). Correctx

45
Q

Which one of the following statements about the gestational sac is false?
Select one:
a. The earliest structure observed with the sac is the yolk sac.
b. The embryo may be seen at 4 weeks with transvaginal ultrasound.
c. Blood tests should be positive 7 to 10 hours after conception.
d. The placenta is seen as a thickened density along part of the margin of the gestational sac.

A

c. Blood tests should be positive 7 to 10 hours after conception. Correctx

46
Q

Which one of the following statements about ultrasound safety is true?
Select one:
a. No potential biological effects exist.
b. The energy produced by ultrasound machines today is lower than that produced by earlier equipment.
c. Continual research on the bioeffects of ultrasound is no longer necessary.
d. Studies on the bioeffects of ultrasound are not definitive.

A

d. Studies on the bioeffects of ultrasound are not definitive.

47
Q
Which one of the following terms describes the kind of person we should become and the virtues we should cultivate in doing so?
Select one:
a. Ethics
b. Integrity
c. Morality
d. Autonomy
A

c. Morality Correctx

48
Q
Which one of the following terms means matters that concern right and wrong conduct?
Select one:
a. Morality 
b. Ethics
c. Integrity
d. Beneficence
A

a. Morality Correctx

49
Q
Which one of the following terms refers to a person's capacity to formulate, express, and carry out value-based preferences?
Select one:
a. Primum non-nocere
b. Beneficence
c. Nonmaleficence
d. Autonomy
A

d. Autonomy

50
Q
Which one of the following terms refers to honesty?
Select one:
a. Ethics
b. Morality
c. Integrity
d. Autonomy
A

c. Integrity Correctx