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DMST 285 OBGYN 2 > Quiz 2 Review > Flashcards

Quiz 2 Review Flashcards

1
Q

Which of the following is an indication for performing umbilical artery doppler?

  1. LGA
  2. IUGR
  3. Lowe maternal blood pressure
  4. Concordant growth between twins
A

IUGR

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2
Q

The ratio of the pulsatility index of the MCA to the umbilical arteries should be less than which of the following values?

  1. 1:1
  2. 1:2
  3. 2:1
  4. 1:1.5
A

1:1

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3
Q

Which of the following statements is true of the umbilical vein?

  1. It takes oxygenated blood to the placenta
  2. It takes oxygenated blood to the fetal heart
  3. It takes deoxygenated blood to the placenta
  4. It takes deoxygenated blood to the fetal heart
A

It takes oxygenated blood to the fetal heart

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4
Q

Which of the following doppler characteristics would indicate the possibility of an endometrial polyp?

  1. Antegrade flow
  2. A feeding stalk artery
  3. Diffuse hypervascularity of the endometrium
  4. A defined echogenic lesion within the endometrial canal
A

A feeding stalk artery

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5
Q

Which aspect of the maternal blood is added to change the triple to quad screen?

  1. uE3
  2. B-hCG
  3. MS-AFP
  4. Inhibin A
A

Inhibin A

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6
Q

Transabdominal chorionic villi sampling can only be performed between 11 and 12.5 weeks gestation. T/F?

A

False

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7
Q

Which stage of labour involves the progressive effacement and dilation of the cervix?

  1. First stage
  2. Second stage
  3. Third stage
  4. This is not part of labour
A

First stage

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8
Q

Which type of placenta accreta involves the invasion into the myometrium but not including the uterine serosa?

  1. Creta
  2. Increta
  3. Accreta
  4. Percereta
A

Increta

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9
Q

The doppler ratios (PI, RI, and S/D) are higher at the placental end of the cord normally. T/F?

A

False

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10
Q

Which of the following features of an MCA waveform is a sign of IUGR of the fetus?

  1. Increased diastolic velocity
  2. Decreased diastolic velocity
  3. Increased peak systolic velocity
  4. Decreased peak systolic velocity
A

Increased diastolic velocity

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11
Q

It is normal for the ductus venosus to demonstrate aliasing with colour doppler due to its narrow lumen. T/F?

A

True

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12
Q

Which of the following is true regarding a pulsatile waveform in the umbilical vein?

  1. It is normal up to 13 weeks gestation
  2. It is normal up to 20 weeks gestation
  3. It is absent in chromosomally abnormal fetus
  4. It is normal if coupled with absent end diastolic flow in the umbilical artery
A

It is normal up to 13 weeks gestation

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13
Q

View the image. Ovarian doppler can be extremely challenging. What technical parameters can one utilize to better optimize an image of the ovary to get doppler flow?

A

Endovaginal ultrasound, zoomed over the ovary, power doppler sample box only the size of the ovary, and lower the doppler scale

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14
Q

Which marker(s) are increased in the quad screen when there is T21?

  1. B-hCG
  2. uE3 and MS-AFP
  3. B-hCG and inhibin A
  4. MS-AFP and inhibin A
A

B-hCG and inhibin A

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15
Q

Which of the following types of amniocenteses is used to measure to the bilirubin levels?

  1. L/S ratio
  2. Cytogenic
  3. Therapeutic
  4. Optical Density Determination
A

ODD

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16
Q

Which of the following terms describes a difficult birth?

  1. Atocia
  2. Eutocia
  3. Dystocia
  4. Oxytocia
17
Q

A postpartum patient presents to the department with a mild fever and pain in the pelvic region. Based on the image of the uterus, what is the most likely diagnosis?

  1. Infection
  2. C section scar
  3. Normal uterus
  4. Retained products
18
Q

What does this waveform of the umbilical artery indicate?

  1. This is a normal waveform
  2. There is possible hypertension
  3. The angle of insonation is not sufficient
  4. The sample was taken near the placenta
A

There is possible hypertension

19
Q

An MCA PSV measure 105 cm/s. What is the most likely reason for this value?

  1. The fetus has IUGR
  2. It is a normal pregnancy
  3. There is immune hydrops
  4. The angle of insonation is above 15 degrees
A

There is immune hydrops

20
Q

What term is used when A-wave of the ductus venosus waveform is nether absent or reversed.

  1. It Biphasic
  2. It is positive
  3. It is negative
  4. It is continuous
A

It is positive

21
Q

Which resistive index value listed is indicative of ovarian neoplasm?

  1. 0.3
  2. 0.4
  3. 0.5
  4. 0.6
22
Q

All three trisomy’s are associated with an increased nuchal fold and maternal age. What first trimester screen blood marker is also associated?

  1. Increased B-hCG
  2. Decreased B-hCG
  3. Increased PAPP-A
  4. Decreaesd PAPP-A
A

Decreased PAPP-A

23
Q

Which of the following are abbreviated by the term FISH?

A

Fluorescence in situ hybridization

24
Q

What is the black tarry substance in a neonates first bowel movement?

  1. PROM
  2. Feconium
  3. Syconium
  4. Meconium
25
Q

A postpartum patient presents to the department with a mild fever and pain in the pelvic region. Based on the image of the right ovary (marked with calipers) and surrounding vessels below, what is the most likely diagnosis?

  1. Hydroureter
  2. Thrombophlebitis
  3. Ectopic pregnancy
  4. Acute appendicitis
A

Thrombophlebitis

26
Q

Which trisomy is not predicted with the triple screen?

27
Q

When evaluating the umbilical arteries and the MCAs in the hypoxic fetus, what are the respective findings?

  1. Increased diastolic flow in umbilical artery and reversed diastolic flow in the MCA
  2. Increased diastolic flow in the umbilical artery and increased diastolic flow in the MCA
  3. Reversed diastolic flow in the umbilical artery and increased diastolic flow in the MCA
  4. Reversed diastolic flow in the umbilical artery and decreased diastolic flow in the MCA
A

Reversed diastolic flow in umbilical artery and increased diastolic flow in the MCA

28
Q

A hypoplastic nasal bone in a fetus measures less than 2.5mm

29
Q

What is the term used to describe the practice contractions that happen before labour in a pregnancy?

  1. Toni braxton
  2. Braxton hicks
  3. Braxton pierce
  4. Tamara braxton
A

Braxton hicks

DMST 285 OBGYN 2 (15 decks)

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