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WorksheetsOBGYN FINAL
Total questions: 112
Worksheet time: 57mins
AFV evaluation is an important component of antepartum testing with either the BPP or NST.
True
False
Maternal diabetes, either type l or ll, results in an increased incidence of fetal anomalies.
True
False
Although it is seen in 1 in 8,000 live births, 98% of ___ conceptions result in miscarriage.
noon an syndrome
potter sequence
monosomy X
pterygium syndrome
What is hemoglobin molecule in the blood responsible for?
producing antibodies
good WBC count
transporting deoxygenated blood into the body
transporting oxygen to the body
The most common acquired thrombophilia is
Antiphospholipid syndrome (APS)
Potter syndrome
Cleft foot
Sirenomelia
The effect of viral, bacterial, or parasitic infections on the fetus does not depend on gestational age of the fetus.
False
True
Multiple gestations in general are considered high-risk pregnancies, accounting for almost 10% of all perinatal morbidity and mortality.
True
False
Single in upper body and double in lower body, or joined by some body part is a classification of what type of conjoined twin?
Terata Anadidyma
Renal agenesis
Renal ectopic
The addition of genetic information to the chromosome, which occurs during meiosis is called:
Ectoderm
Insertion
Mesoderm
Mitosis
Although most cases are sporadic with normal karotypes, ____ to ____ are autosomal dominant in nature and demonstrates translocations, inversions, and/or duplications of chromosome 11.
5% 10%
10% 15%
15% 20%
Umbilical Doppler waveforms should be taken when:
Fetal breathing is seen
Fetal breathing is absent
Fetal tone is seen
Fetal movements are seen
Apert syndrome is characterized by:
Premature fusion of the skull bones
Rupture of the amnion
Fusion of the upper kidney poles
Incomplete development of ears and nose
Perinatal infections account for 2% to 3% of all congenital anomalies.
True
False
What is the acronym VACTERAL stand for?
Vertebral defects
Anorectal atresia
Cardiac anomalies
TE fistula
Renal Limb anomalies
What bacterial infection increases prematurity?
Chlamydia
STD
Gonorrhea
HIV
What 3 chromosomal abnormalities increases a fetus’s risk for IUGR?
Trisomy 13 (Patu syndrome)
Trisomy 18 (Edwards syndrome)
Trisomy 21 (Down syndrome)
Trisomy 13 (potter syndrome)
Preeclampsia is described as hypertension, and protein in the urine, occurring during pregnancy.
True
False
The most apparent ultrasound finding with Aicardi syndrome is ectopic cordis.
True
False
A common cause of IUGR is what?
Placental abnormalities
Maternal diseases
Tobacco
Alcohol
What is the transmission of the genetic code from parent to offspring?
DNA
Inheritance
blood type
A glucose tolerance test is normally performed between weeks 24 and 28.
True
False
What two categories can IUGR be classified in?
Bisymmetric
Asymmetric
Symmetric
Adverse effects of growth restrictions occur during both the prenatal and post natal life.
True
False
In what weeks should a woman undergo biochemical screening if it not done in the first trimester?
12 to 13 weeks
12 to 15 weeks
15 to 25 weeks
15 to 20 weeks
Macroglossia, anterior wall defects, hypoglycemia at birth, macrosmia, hemihyperplasia are findings of what syndrome?
Beckwith-Weidmann syndrome
TD
Potter syndrome
The most apparent ultrasound finding with Aicardi syndrome is agenesis of corpus callosum .
true
false
How are maternal infections passed to the fetus?
Genital Tract and reproductive system
Genital Tract and circulatory system
Genital Tract and respiratory system
Genital Tract and endocrine system
_____ Is done with fetal growth assessments, NST, BPP, Doppler, and amniotic fluid volume.
AFI
IUGR
Antenatal surveillance
Prenatal surveillance
What does XX means?
Girl
Boy
Who knows
Results in two cells with half the normal haploid number of chromosomes.
Mitosis
Meiosis
Exsosomes
Cyanotic heart disease results in premature birth, IUGR, and miscarriages, because?
Low oxygen
High cholesterol
Low BP
When there is a higher risk IUGR, ultrasound should be the primary modality used to screen for fetal growth abnormalities.
True
False
What does BPP stand for?
Biophysiological profile
Basophiles profile
Biophysical profile
Biophilic profile
Meckel-Gruber syndrome is rare and characterized by:
encephalocele
renal dysplasia
ectopic cordis
limb anomalies
An IUGR fetus is defined as a sonography EFW less than the ______ percentile for gestational age.
12th
10th
15th
11th
________ results in two cells with the normal haploid number of chromosomes.
Mitosis
Meiosis
_________ is a grouping of 5 maternal infections related to congenital anomalies
VACTERAL
IUGR
TORCH
PID
All of the following measurements calculate EFW except:
AFI
HC
FL
BPD
Holt-Oram Syndrome is characterized by:
Lower Limbs and Heart
Cranium and Abdomen
Upper limbs and Heart
Heart only
Toxemia of pregnancy is a second-trimester disease characterize by maternal edema, hypertension, proteinuria, and central nervous system irritability.
True
False
Heparin can have what effect on a fetus:
Microcephaly
Absence of thumbs
Cerebral hemorrhage
Oral cleft
Maternal hypertension in pregnancy is one of the leading causes of IUGR.
True
False
After 20 weeks of gestation, a fundal height difference greater than _____ cm is suspicious for growth restriction?
2
3
4
5
Absence of 1 of the two sex chromosomes is known as ________?
Turner syndrome
TD
Potter syndrome
IUGR
Triploidy is the Lack of an extra set of chromosomes?
True
False
The major physiologic function of the placenta is to exchange gas, nutients, love product between the maternal and fetal circulations.
True
False
The major physiologic function of the placenta is to exchange gas, nutrients, and waste between the maternal and fetal circulations.
True
False
A battledore placenta refers to the insertion of the umbilical cord ___________ of the placenta.
at the margin
at the center
at the superior portion
near the basal surface
A chorioangioma appears as a solid or complex circumscribed mass protruding from the fetal surface of the placenta.
True
False
The yolk sac has diminished to less than 5 mm in diameter by 9 weeks
True
False
Complications of placenta previa may include
premature delivery
postpartum hemorrhage
maternal hemorrhage
All of the above
Membranous insertion of the umbilical cord refers to:
velamentous placenta
battledore
cirmcumvallate
vasa previa
A paraumbilical defect (usually on the right) involving all layers of the abdominal wall is called gastrochisis.
True
False
If a single umbilical artery is seen, the sonographer should search for which one of the following?
Neural tube defect
Esophageal atresia
Genitourinary defect
Abdominal wall defect
Craniosynostosis may be defined as which one of the following?
Premature closure of the cranial sutures
Wide cranial sutures
Overlapping cranial sutures
Protrusion of the meninges outside the sutures
The most common neck mass is the cystic hygroma colli (lymphatic obstruction).
True
False
A vein of Galen aneurysm is a sporadic event, demonstrating an enlarged vein communicating with a normal artery.
True
False
Menigomyeloceles are associated with
Arnolda-Chiari syndrome
Club foot
Spina bifida
Omphalocele
Agenesis of the corpus callosum is associate with
Schizencephaly
Craniostenosis
Dandy-Walker malformation
absence of the cavum septi pellucidi
Arnold-Chiari malformation demonstrates a ______cerebellum and scalloping frontal bones producing a ______ head.
banana & lemon-shaped
barbell & strawberry-shaped
clover leaf & lemon-shaped
lemon & strawberry shaped
Renal agenesis means a virtual absence of one or both kidneys.
True
False
Out of the three types of holoprosencephaly, which is most severe?
semilobar
lobar
alobar
Meckel-Gruber syndrome is characterized by an encephalocele, polydactyly, and polycystic kidneys.
True
False
Herniation through the foramen of Bochdalek is usually found on which portion of the diaphragm?
Left
Right
Anterior
Medial
The supernumerary lobe of the lung is called which one of the following?
Pulmonary hypoplasia
Succenturiate lobe
Anomalous lobe
Pulmonary sequestration
The adequacy of pulmonary development is probably the single least important determination for fetal viability.
True
False
NIH is a group of conditions where hydrops is in the fetus but is not a result of fetomaternal blood incompatibility.
True
False
The arterial blood of one twin pumped into the venous system of the other twin is called:
twin-to-twin transfusion syndrome
vanishing twin
acardiac anomaly
semilobar holoprosencephaly
The division of a fertilized egg 4 to 8 days after fertilization demonstrates:
Dichorionic diamniotic twins
Monochorionic diamniotic twins
Dichorionic monoamniotic twins
Monochorionic monoamniotic singleton
_______ is a monochorionic twin pregnancy where one fetus develops w/o a heart or upper body?
Stuck twin
acardiac anomaly
Conjoined twins
Twin-to-twin transfusion
Predictors of discordance in the growth of twins include all except which one of the following?
Difference in estimated fetal weight greater than 20%
Difference in biparietal diameter of 10 mm or greater
Difference in abdominal circumference of 20 mm or greater
Difference in femur length of 5 mm or greater
U/S findings of fetal hydrops in an isoimmunized pregnancy include scalp edema, pleural effusion, & a thinning placenta
True
False
Uterine arteriovenous malformation (AVM):
usually involves the endometrium
requires D&C
usually involves the myometrium
is always acquired, never congenital
On ultrasound, the characteristics appearance of a degenerating leiomyoma is ___.
anechoic
homogenous
heterogenous
isoechoic
In which of the following structures would a Gartner's duct cyst be found?
vagina
fundus
body
cervix
In postmenopausal patients, an endometrial thickness of less than __mm reliably excludes an EM abnormality.
8
10
4
5
In a patient after a hysterectomy, the normal vaginal cuff should not exceed __ centimeters (cm).
3
5.1
2.1
1
Endometrial hypoplasia develops from which one of the following?
unopposed estrogen stimulation
unopposed progesterone stimulation
FSH
endometrial polyps
Complications in delivery may occur w/ pregnancy if a fibroid is located in/near which one of the following structures
pedunculated off the fundus
near the cervix
fundus
near the ovary
A benign invasion of endometrial tissue into the myometrium is known as which one of the following conditions?
adenomyosis
Pelvic inflammatory disease (PID)
Endomyosarcoma
Endometriosis
A 3-day postpartum woman c/o intense pelvic pain. Sonographically, the uterus appears hypoechoic w/ an irregular EM.
Degenerating submucosal leiomyoma
endometritis
adenomyosis
endometrial hyperplasia
Which one of the following sonographic characteristics is the most common finding in endometrial carcinoma?
Abnormal thinning of the EM, usually with irregular bleeding
Abnormal thickening of the EM, usually w/ irregular bleeding in peri/postmenopausal women
irregular bleeding
heavy bleeding with a thickening of the myometrium
Which one of the following is the most common site for a leiomyoma to occur?
submucosal
intramural
subserosal
pedunculated
The thickened of the endometrium should be measured in which of the following planes?
coronal
oblique
transverse
longitudinal
The size and shape of the normal uterus are related to all of the following except:
family history
age
parity
hormonal status
The most common cause of uterine calcification is which one of the following?
arcuate vessel calcification
myomas
adenomyosis
endometritis
Endometrial carcinoma is the most common gynecologic malignancy in North America.
True
False
Sirenomelia is an anomaly where fusion of the _______ occurs:
upper extremities
lower extremities
upper and lower jaw
cervical vertebrae
Which one of the following anomalies is caused by an alkaline phosphatase deficiency?
Achondrogenesis
Congenital hypophosphatasia
Diastrophic dysplasia
Thanatophoric dysplasia
__________demonstrates multiple fractures with hypomineralization of bone causing compression of the calvarium.
Achondrogenesis
Achondroplasia
Osteogenesis imperfecta
Thanatophoric dysplasia
Rhizomelia is a shortening of the proximal portion of the extremity.
True
False
_______ is associate with cloverleaf skull.
Achondroplasia
Congenital hypophosphatasia
Osteogenesis imperfecta
Thanatophoric dysplasia
Another name for talipes is _______.
clubfoot
cleftfoot
foot equinovarus
inversion deformity
Another name for Autosomal Recessive Polycystic kidney Disease is:
Renal duplication
Infantile polycystic disease
Multicystic renal dysplasia
Congenital hydronephrosis
Which one of the following conditions develops if the lumen of the allantois persists while the urachus forms?
Urachal sinus
Urachal fistula
Urachal cyst
Exstrophy of the bladder
Renal agenesis, oligohydramnios, pulmonary hypoplasia, and malformed hands & feet may be found in Potter's syndrome
True
False
_______demonstrates a “keyhole” appearance on ultrasound.
Posterior urethral valve obstruction
UVJ obstruction
UPJ obstruction
Reflux of the ureter into the bladder
A sonolucent band identified near the fetal anterior abdominal wall represents pseudoascites
True
False
VACTERL is a group of anomalies associated with which atresia?
duodenal
anorectal
jejunoileal
esophageal
"Double bubble" sign in Trisomy 21 fetus represents ___________.
MCKD
duodenal atresia
Meconium ileus
meningocele
Meckel diverticulum is a remnant of the proximal part of the yolk sac that fails to degenerate & disappear.
TRUE
FALSE
The most dramatic finding in ectopia cordis is the presence of the heart outside of the thoracic cavity.
TRUE
FALSE
The herniation of an omphalocele is covered by a membrane that consists of the __________ and __________.
amnion;chorion
amnion;peritoneum
chorion; Wharton's jelly
amnion; Wharton's jelly
Pentalogy of Cantrell has 5 defects: omphalocele,ectopia cordis,distal sternum defect,diaphragmatic hernia & pericardium
True
False
An anomaly w/ large cranial defects, facial cleft, large body-wall defects, and limb abnormalities is called:
Pentalogy of Cantrell
Beckwith-Wiedemann syndrome
Limb-body wall complex
Dandy-Walker malformation
Cloacal exstrophy is a defect in the lower abdominal wall and anterior wall of the urinary bladder.
True
False
A 19-week fetus with elevated MSAFP shows herniated, free-floating bowel loops, which most likely represent a(n)
omphalocele
gastroschisis
jejunoileal atresia
umbilical hernia
The normal fetal lungs appear on ultrasound as which one of the following?
heterogenous with moderate echogenicity
homogenous with moderate echogenicity
heterogenous and hypoechoic
homogenous and hyperechoic
Dandy-Walker malformation has post. fossa cyst, splaying of the cerebellar hemispheres, & agenesis of cerebellar vermis
true
false
Anencephaly is the most common open neural tube defect.
True
False
________ is the destruction of the cerebral hemispheres by the occlusion of the internal carotid arteries
agenesis of the corpus callosum
holoprosencephaly
hydrocephalus
hydranencephaly
______ are scars within the uterus, secondary to previous gynecologic surgery
uterine polyps
adenomyosis
amniotic bands
synechiae
