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OB Gyn class 2 > Study guide 60, 61, 62 > Flashcards

Study guide 60, 61, 62 Flashcards

1
Q
  1. Which anomalies, significant narrow chest diameter?
A

Asphyxiating thoracic dystrohpy

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2
Q
  1. Most important determinate for fetal viability
A

Pulmonary development

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3
Q

Marjority of the heart is positioned in the midline and left chest
Apex of the heart should be directed toward the spleen
*base of the heart lies horizontal to the diaphragm

A
  1. Sonographic evaluate of normal thorax. What should it include?
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4
Q
  1. Chest circumference are made in trans plane at the level
A

4 chamber view of the heart

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5
Q

Most prominent in the second and third trimesters
Mature fetus spends 1/3 of time breathing
*is present if the fetal chest of abdomen makes seesaw movements for 20 seconds

A
  1. Fetal breathing
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6
Q
  1. Cardiac accesses, know the degrees
A

45 degrees

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7
Q

Renal agenesis
Premature rupture of membranes
*Posterior urethral valve syndrome

A
  1. Known common abnormalities associated with pulmonary hyperplasia
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8
Q

Type 1: Single or multiple large cysts 2cm in diameter; good prognosis after rescetion of affected lung
Type 2: Multiple small cysts,

A
  1. Sonographic findings for CAM
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9
Q
  1. Diaphragmatic herniation, anteriomedial foramen
A

Morgagni

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10
Q
  1. Lung cyst is the most common
A

Bronchogenic cyst

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11
Q
  1. Severity of pulmonary hyperplasisa is determined by what
A

Depends.onwhen it occurred during pregnancy

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12
Q
  1. Supernumerary of the lobe is called what
A

Pulmonary sequestration

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13
Q

Ribs form the lateral margin of the chest. Clavicles form the upper margin of the chest *Thoracic cavity is symmetric and bell shaped

A
  1. Normal sonographic appearance of a fetal chest
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14
Q
  1. Appearance of fetal lung on ultrasound
A

Homogeneous with moderate echogenicity

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15
Q
  1. If you see pleural fluid, what should you be looking for
A

diaphragm

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16
Q

Echogenic solid mass resembling lung tissue
Rarely occurs below diaphragm
Associated with hydrops and polyhydramnios, diaphragmatic hernia, gastrointestinal anomalies
Normal intra-abdominal anatomy

A
  1. Pulmonary sequestration, sonographic findings-
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17
Q
  1. Congenital bronchial atresia, common location
A

left upper lobe

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18
Q
  1. Most common type of diagrammatic defect
A

Posterior-laterally throigh the foramen of bochdalek (p 1320 JNO)

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19
Q
  1. Mortality rate at birth for a diaphragmatic hernia
A

high (75%) p 1322

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20
Q
  1. Diaphragmatic hernia is frequently associated with
A

Talipes(pg 1321)
cardiac defect
*vertebral defect

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21
Q
  1. Pleural fluid, what could happen?
A

Look for mediastinal shift

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22
Q
  1. Rupture of amnion that leads to tangle or entrapment
A

Amniotic band syndrome

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23
Q
  1. Rupture of amnion that leads to tangle or entrapment
A

Amniotic band syndrome

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24
Q
  1. Defect in the lower abdominal wall of the bladder
A

Cloacal exstrophy

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25
Q
  1. Anomaly with large cranial and spatial….
A

Limb-body wall complex

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26
Q
  1. Abdominal right of the umbilical cord
A

Gastroschisis

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27
Q
  1. Omphalocele and sclerosis, you should consider
A

Limb-body wall complex

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28
Q

bladder or cloacal
Exstrophy
*spinda bifida

A
  1. Omphalocele is low, what other anomaly should you consider
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29
Q

Organmegaly
Macroglossia
*omphalocele

A
  1. Beckwidth weidamenn, what is all concludes
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30
Q
  1. Gastorschisis atrophy of what vessel
A

Right umbilical vein

31
Q

Omphalocele
Inguinal hernia
*undescended testes

A
  1. Lower abdominal wall in bladder extrophy
32
Q
  1. Abdominal wall defect is most common
A

Gastroschsis, umbilical hernia, and omphalocele

33
Q
  1. Critical process of closing the umbilical wall
A

folding

34
Q
  1. Normal embryonic herniation of the bowl permits what, why does it go back in
A

Development of the intrabdominal organs

35
Q

That contain only bowel might have a high risk for chromosomal abnormalities

A
  1. Omphalocele
36
Q
  1. 19w, elevated msafp, herniation free floating bowl loops
A

Gastroschisis

37
Q

Omphalocele, ectopic heart, distal sternum defect, diaphragmatic hernia, and diaphragmatic pericardium

A
  1. 5 defects of pentaology of pentroll
38
Q

Occurs more frequently in males
Located next to the normal cord insertion
*MSAFP levels are signaificantly elevated

A
  1. Ins and outs Gastroschisis
39
Q
  1. Prognosis for gastroschisis
A

excellent

40
Q
  1. Most dramatic finding in ectopic cordis
A

The heart outside of the thoracic cavity

41
Q
  1. High or super omphalocele is the primary finding in what condition
A

Pentalogy of cantrell

42
Q
  1. Limb body wall defect are more common on which side
A

On the left side than on the right

43
Q
  1. Common anomaly coexist with gastroschisis, TRICK
A

None of the above

44
Q
  1. Dilated loops suggest
A

Infraction

45
Q
  1. Herniation of omphalocele is covered with a membrane consist of
A

Amnion; Peritoneum

46
Q

Placenta
Body stalk
*evolving abdominal wall

A
  1. Umbilical vein drains
47
Q
  1. Hepatic bud is largest in what gestation
A

The seventh week

48
Q
  1. Fetus with partial situs inversus shows what
A

Stomach on the right and heart on left

49
Q
  1. Evidence of double bubble is trismy 21 is what condition
A

Duodenal atresia

50
Q

Meconium peritonitis
cystic fibrosis
*bowel obstruction

A
  1. Dilated loops of echogenic bowel should be evaluated for what
51
Q
  1. Where is the spleen visualized trans plane
A

Posterior and left of the stomach

52
Q
  1. Know what causes of echogenic in fetal abdomen
A

Peritoneal calcification, meconium peritonitis, hydrometrocolpos(pg. 1348 greenbox AL)

53
Q
  1. Cystic growth of common bile duct
A

choledochal cyst

54
Q
  1. Haustral Folds found in what structure
A

colon

55
Q
  1. A reminate yolk stalk is what of the follow
A

meckel diverticulum (pg 1338 AL)

56
Q
  1. Sonographic demonstration of normal esophagus of 2nd and 3rd trimester
A

multilayer-ed pattern

57
Q
  1. Malformation most common in midgut
A

meckel diverticulum

58
Q
  1. Early you can distinguish large and small bowel
A

as early as 20 weeks

59
Q

Most fetuses greater than 14-16 weeks demonstrate fluid in their stomach
Echogenic debris may be seen in the dependent portion of the stomach
*An esophageal anomaly is the most common cause of non visualization of the stomach

A
  1. Fetal stomach
60
Q
  1. Transposition of liver stomach absence of gb multiple spleen obstruction of the IVC
A

polysplenia

61
Q
  1. Sonolucent band identified around abdomen
A

pseudoascites

62
Q
  1. Most reliable criteria for dilated bowel loops
A

bowel diameter

63
Q

Veterbal defect
Renal anomalies
*cardiac defects

A
  1. Coexist are common with esophageal atresia
64
Q

Diaphragmatic hernia
Annular pancrea
*duodenal stenosis

A
  1. Causes for double bubble
65
Q

Veterbal defect
Renal anomalies
*cardiac defects

A
  1. Coexist are common with esophageal atresia
66
Q

Descending colon
sigmoid colon
*urethra

A
  1. Derivative of the hindgut
67
Q
  1. Normal diameter of fetal small bowel
A

5mm

68
Q

Close proximity of the cyst to the neck of the gallbladder
Ovoid right upper quadrant cyst with an entering bile duct
*absence of peristalsis within the cyst

A
  1. Know what the sonographic appearance for choloductal cyst
69
Q
  1. Peritoneal calcification 38w gestation
A

Meconium peritonitis

70
Q
  1. Situs inversus
A

Heart is on the right; liver on the left, and spleen on right

71
Q
  1. Vacterl is a group of anomalies assc with what anomaly
A

esophageal atresia (pg 1344-1345 AL)

72
Q

Large compared with other intra-abdominal organs
Hepatic veins and fissures are formed b the end of the first trimester
*occupies most of the upper abdomen

A
  1. Fetal liver
73
Q
  1. Situs inversus
A

Heart is on the right; liver on the left, and spleen on right

74
Q
  1. Complex disorder of bowl in genitourinary tract
A

Anorectal atresia

OB Gyn class 2 (20 decks)

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