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SONOCAN OB Review > Complications In Pregnancy > Flashcards

Complications In Pregnancy Flashcards

1
Q

A clenched fetal fist is commonly associated with which of the following syndromes?
a. Patau
b. Down
c. Edward
d. Eagle-Barrett

A

C. Edward

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2
Q

Anasarca is a condition often seen in cases of:
a. triploidy
b. macrosomia
c. fetal hydrops
d. amniotic band syndrome

A

C, fetal hydrops

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3
Q

Which of the following is a sonographic finding associated with Beckwith-Wiedemann syndrome?
a. megaureter
b. micrognathia
c. macroglossia
d. cystic hygroma

A

C. Macroglossia

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4
Q

Megaureter and oligohydramnios are sonographic findings associated with which fetal syndrome?
a. Trisomy 18
b. Eagle-Barrett
c. Meckel-Gruber
d. Beckwith-Wiedemann

A

B. Eagle- Barrett

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5
Q

Twin–twin transfusion syndrome generally demonstrates:
a. fetal hydrops in the donor twin
b. polyhydramnios in the amniotic cavity of the donor twin
c. a minimum fetal weight discordance of 20%
d. oligohydramnios in the amniotic cavity of the receiving twin

A

C. A minimum fetal weight discordance of 20%

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6
Q

Duodenal atresia is typically documented in one third of cases of:
a. fetal hydrops
b. Down syndrome
c. Edward syndrome
d. Eagle-Barrett syndrome

A

B. Down syndrome

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7
Q

Fetal papyraceus is a term used to describe:
a. Rh disease
b. twin–twin transfusion syndrome
c. vanishing twin phenomenon
d. demise of a twin too large to resolve

A

D. Demise of a twin too larger to resolve

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8
Q

Which of the following most accurately describes twin–twin transfusion syndrome?
a. venous blood from the donor twin is pumped into the arterial system of the receiving twin
b. arterial blood from the donor twin is pumped into the arterial blood of the receiving twin
c. venous blood of the receiving twin is pumped into the venous system of the donor twin
d. arterial blood from the donor twin is pumped into the venous system of the receiving twin

A

D. Arterial blood from the donor twin is pumped into the venous system of the receiving twin

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9
Q

Fusion of the fingers or toes is termed:
a. talipes
b. syndactyly
c. polydactyly
d. clinodactyly

A

B. Syndactyly

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10
Q

Which of the following sonographic findings is not associated with Meckel-Gruber syndrome?
a. polydactyly
b. anencephaly
c. oligohydramnios
d. infantile polycystic disease

A

B. Anecephaly

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11
Q

The most common cause of discordant growth in dichorionic multifetal gestation is:
a. intrauterine growth restriction
b. chromosomal abnormality
c. twin–twin transfusion syndrome
d. twin reversal arterial profusion

A

A. IUGR

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12
Q

VACTERL is associated with:
a. Trisomy 21
b. maternal diabetes
c. Pentalogy of Cantrell
d. maternal hypertension

A

B. Maternal diabetes

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13
Q

Which of the following syndromes is more commonly associated with clinodactyly?
a. Patau
b. Down
c. Turner
d. Edward

A

B. Down

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14
Q

VATER demonstrates which of the following complex anomalies?
a. ventriculomegaly, anal atresia, tranesophageal fistula, renal anomalies
b. vertebral defects, anal atresia, transesophageal fistula, and renal anomalies
c. vertebral defects, anal atresia, tracheosesophageal fistula, and renal anomalies
d. ventriculomegaly, adrenal hemorrhage, tracheoesophageal fistula, radial agenesis

A

C. Vertebral defects, anal atresia, tracheosesphageal fistula, and renal anomalies

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15
Q

Trisomy 13 is also known as:
a. Patau syndrome
b. Down syndrome
c. Turner syndrome
d. Edward syndrome

A

D. Patau syndrome

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16
Q

What is the most likely abnormality noted in this viable second trimester twin gestation?
a. fetus papyraceous
b. Pentalogy of Cantrell
c. acardiac twin pregnancy
d. twin–twin transfusion syndrome

A

C. Acardiac twin pregnancy

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17
Q

A plantar image of the fetal foot shows a sonographic finding termed:
a. sandal toe
b. thumb toe
c. rocker foot
d. hammer toe

A

A. Sandal toe

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18
Q

This sonographic finding is associated with:
a. Trisomy 13
b. Trisomy 18
c. Trisomy 21
d. Eagle-Barrett syndrome

A

C. T21

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19
Q

A second-trimester fetus is demonstrating which of the following abnormalities?
a. holoprosencephaly
b. Dandy-Walker cysts
c. bilateral hydrocephalus
d. bilateral choroid plexus cysts

A

D. Bilateral choroid plexus cyst

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20
Q

This can be associated with which of the following?
a. Trisomy 13
b. Trisomy 18
c. Trisomy 21
d. Meckel-Gruber syndrome

A

B. T18

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21
Q

A cross-sectional sonogram at the level of the fetal neck/upper chest documents which of the following abnormalities?
a. encephalocele
b. fetal hydrops
c. nuchal edema
d. cystic hygroma

A

D. Cystic hygroma

22
Q

This is a common sonographic finding associated with which chromosomal abnormality?
a. trisomy 13
b. Turner syndrome
c. Edward syndrome
d. Meckel-Gruber syndrome

A

B. Turner syndrome

23
Q
A

C. Fetal hydrops

24
Q

A patient presents for an early second-trimester sonogram. A cross-sectional image shows two fetal abdomens. This image is most suspicious for:
a. acardiac twin
b. vanishing twin
c. conjoined twins
d. twin–twin transfusion syndrome

A

C. Conjoined twins

25
Q

A first-trimester sonogram demonstrates:
a. diamniotic twins
b. dichorionic twins
c. monoamniotic twins
d. monochorionic twins

A

A. Diamniotic twins

26
Q

The abnormality present in this 18-week gestation is most suspicious for which chromosomal anomaly?
a. triploidy
b. Trisomy 13
c. Trisomy 18
d. Trisomy 21

A

D. T21

27
Q

Which of the following abnormalities is associated with this syndrome?
a. omphalocele
b. microcephaly
c. cystic hygroma
d. duodenal atresia

A

D. Duodenal atresia

28
Q

What is the most likely chromosomal anomaly associated with this second-trimester fetus?
a. triploidy
b. Trisomy 13
c. Trisomy 18
d. Trisomy 21

A

B. T13

29
Q

Which of the following extremity malformations is associated with this condition?
a. rocker bottom feet
b. long bone fractures
c. hypomineralization
d. sandal toe deformity

A

A. Rocker bottom feet

30
Q

Preeclampsia is a complication of pregnancy demonstrating:
a. fetal ascites, pleural effusion, and scalp edema
b. maternal hypertension, proteinuria, and edema
c. gestational diabetes, hematuria, and hypertension
d. maternal hypertension, grand mal seizures, and coma

A

B. Maternal hypertension, Proteinuria, and edema

31
Q

Preterm labor is defined as the onset of labor before:
a. estimated due date
b. 40 weeks’ gestation
c. 38 weeks’ gestation
d. 37 weeks’ gestation

A

D. 37 week’s gestation

32
Q

Which of the following is likely to occur if a single zygote divides 7 days after fertilization?
a. one amnion and one chorion
b. two amnion and two chorion
c. one amnion and two chorion
d. two amnion and one chorion

A

D. Two amnion and one chorion

33
Q

Arteriovenous shunting within the placenta occurs with:
a. vanishing twin
b. fetal papyraceus
c. twin–twin transfusion syndrome
d. acardiac twin pregnancy

A

C. Twin-twin transfusion syndrome

34
Q

With twin–twin transfusion syndrome, the recipient twin is likely to acquire:
a. macrosomia
b. hydrops fetalis
c. placentomalacia
d. skeletal dysplasia

A

B. Hydrops fetalis

35
Q

What sonographic finding confirms the presence of a diamniotic pregnancy?
a. two yolk sacs
b. two placentas
c. two allantoic ducts
d. two gestational sacs

A

D. Two gestational sacs

36
Q

Which of the following is not a sonographic finding in fetal hydrops?
a. anasarca
b. scalp edema
c. pleural effusion
d. umbilical vein varix

A

D. Umbilical vein varix

37
Q

Fetal hydrops resulting from fetal tachycardia most commonly demonstrates a fetal heart rate of:
a. 120 to 200 beats per minute
b. 160 to 180 beats per minute
c. 200 to 240 beats per minute
d. 250 to 300 beats per minute

A

C. 200 to 240 beats per minute

38
Q

Twin gestation arising from two separate fertilized ova is termed:
a. zygotic twins
b. identical twins
c. dizygotic twins
d. diamniotic twins

A

C. Dizygotic twins

39
Q

Which of the following abnormalities increases the risk of fetal injury?
a. uterine shelf
b. amniotic bands
c. amniotic sheets
d. amniochorionic separation

A

B. Amniotic bands

40
Q

Amniotic band syndrome may result in:
a. polyhydramnios
b. placenta accreta
c. an acardiac twin
d. fetal amputation

A

D. Fetal amputation

41
Q

Which of the following syndromes demonstrates a normal karyotype and is associated with hemihypertrophy?
a. Turner syndrome
b. Eagle-Barrett syndrome
c. Meckel-Gruber syndrome
d. Beckwith-Wiedemann syndrome

A

D. Beckwidth- wiedemann syndrome

42
Q

A dizygotic gestation is expected to be:
a. dichorionic/diamniotic
b. monochorionic/diamniotic
c. dichorionic/monoamniotic
d. monochorionic/monoamniotic

A

A. Dichorionic/ diamniotic

43
Q

The gravest form of pregnancy-induced maternal hypertension is termed:
a. anasarca
b. eclampsia
c. preeclampsia
d. gestational hypertension

A

B. Eclampsia

44
Q

Leakage of part or all of the amniotic fluid in a 32-week gestation is termed:
a. TTS
b. IUGR
c. PROM
d. TARP

A

C. PROM

45
Q

A monochorionic twin pregnancy in which one develops without an upper body is termed:
a. acardiac twin
b. vanishing twin
c. conjoined twin
d. ectopia cordis

A

A. Acardiac twin

46
Q

Which of the following syndromes is manifested by dilatation of the renal collecting system?
a. Patau syndrome
b. Pentalogy of Cantrell
c. Eagle-Barrett syndrome
d. Meckel-Gruber syndrome

A

C. Eagle- Barrett syndrome

47
Q

Which of the following twin abnormalities demonstrates a venous-to-venous anastomosis?
a. acardiac twin
b. conjoined twin
c. vanishing twin
d. twin–twin transfusion syndrome

A

A. Acardiac twin

48
Q

Which of the following is a common abnormality associated with Trisomy 13?
a. clinodactyly
b. macrocephaly
c. holoprosencephaly
d. hyperechoic bowel

A

C. Holoprosencephaly

49
Q

Which of the following conditions displays ectopia cordis and gastroschisis?
a. Patau syndrome
b. Pentalogy of Cantrell
c. Meckel-Gruber syndrome
e. Beckwith-Wiedemann syndrome

A

B. Pentalogy of Cantrell

50
Q

Inward curving of the fifth finger is a clinical finding associated with:
a. Patau syndrome
b. Down syndrome
c. Pentalogy of Cantrell
d. Meckel-Gruber syndrome

A

B. Down syndrome

SONOCAN OB Review (11 decks)

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