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OB - fetal thorax

Total questions: 73

Worksheet time: 49mins

Name
Class
Date
1.

heart anomalies can cause secondary compression effects which can result in (a)  

2.

a fetus is considered nonviable before _____ weeks gestation

a)

24

b)

26

c)

18

d)

32

3.

the normal number of bronchi are formed during weeks _______ with a dramatic increase in air spaces and vascular structures

a)

16-20

b)

14-18

c)

18-22

d)

20-24

4.

flattening of the epithelial cells lining the airspaces, necessary for gas exchange after births happens after ___ wk

a)

24

b)

20

c)

16

d)

28

5.

the thoracic cavity it (a)   shaped

6.

lateral margins of the thoracic cavity

a)

ribs

b)

diaphragm

c)

clavicles

d)

heart

7.

upper margins of the thoracic cavity

a)

lungs

b)

clavicles

c)

diaphragm

d)

ribs

8.

lower margins of the thoracic cavity

a)

lungs

b)

heart

c)

clavicles

d)

diaphragm

9.

lungs are the lateral margins of the (a)  

10.

appears as a smooth hypoechoic muscular margin

(a)  

11.

the thoracic circumference and abdominal circumference ratio should be _______

a)

0.94 +/- 0.05

b)

0.97 +/- 0.1

c)

0.85 +/- 0.05

d)

0.75 +/- 0.1

12.

the thoracic circumference should be measured at the level of the (a)  

13.

significant narrow diameter of the chest in a fetus

a)

pulmonary hypoplasia

b)

asphyxiating thoracic dystrophy

c)

pleural effusion

d)

chylothorax

14.

central portion of chest is occupied by the (a)  

15.

T/F: apex of heart points to spleen and base lies vertical to the diaphragm

a)

true

b)

false

16.

the mature fetus will spend ____ of its time breathing in utero

a)

1/3

b)

2/3

c)

1/4

d)

1/2

17.

fetal breathing is observed as a seesaw movement in either abdomen or chest for at least ____ seconds

a)

20

b)

30

c)

15

d)

10

18.

fetal breathing movement is considered absent if not movement is observed in a _____ minute period

a)

20

b)

30

c)

60

d)

10

19.

the normal cardiac axis is ______ degrees, averaging at _____ degrees

a)

22-75, 45

b)

31-84, 50

c)

18-66, 41

d)

20-70. 44

20.

which lungs volume is slight greater than the other

a)

right

b)

left

21.

T/F: lungs mature properly even if oligohydramnios is present

a)

false

b)

true

22.

caused by a decrease in number of lung cells, airways, and alveoli

(a)  

23.

pulmonary hypoplasia results in a decreased organ _____ and ______

a)

size

b)

weight

c)

echogenicity

24.

causes for pulmonary hypoplasia can be attributed to

a)

oligo-

b)

IUGR

c)

structural / chromosomal anomaly

d)

microcardia

e)

PROM

25.

(a)   % of fetuses with pulmonary hypoplasia will die after birth

26.

if the thoracic circumference is below the ___ percentile, suggests possibility of pulmonary hypoplasia

a)

5th

b)

7th

c)

10th

d)

13th

27.

most common lung cyst detected prenatally

(a)  

28.

abnormal budding of the foregut and lack of communication between the trachea and the bronchial tree

a)

pulmonary hypoplasia

b)

pleural effusion

c)

bronchogenic cysts

d)

CCAM

29.

pleural effusion is also known as

(a)  

30.

accumulation of fluid in the pleural cavity, isolated lesions or secondary to multiple fetal anomalies

(a)  

31.

the most common cause for pleural effusion is _________ ; right-sided, unilateral secondary to malformation of the thoracic duct

a)

chylothorax

b)

pulmonary hypoplasia

c)

CCAM

d)

CDH

32.

chylothorax is often associated with hydramnios due to (a)   compression

33.

pleural effusion is also associated with

a)

immune hydrops

b)

non-immune hydrops

c)

trisomy 21

d)

lymphangiectasia

e)

trisomy 18

34.

dilation of a lymph node

a)

lymphangiectasia

b)

pulmonary sequestration

c)

pleural effusion

d)

pulmonary hypoplasia

35.

pleural effusion is rarely encounter before ____ weeks, except with trisomy 21 and Turner's syndrome

a)

14

b)

15

c)

12

d)

18

36.

mortality rate for pleural effusion is (a)   % and worse when associated with hydrops

37.

solid tumors of the thoracic cavity will appear

a)

anechoic, rounded

b)

echo-dense masses

c)

irregular boarders

d)

echo-free masses

38.

the supernumerary lobe of the lung separate from the normal tracheobronchial tree

a)

pulmonary effusion

b)

CCAM

c)

pulmonary sequestration

d)

CDH

39.

extra pulmonary tissue within the pleural lung sac is considered (a)   pulmonary sequestration

40.

pulmonary tissue connected to the inferior border of the lung with its own pleural sac is considered (a)   pulmonary sequestration

41.

T/F: the extra lung tissue seen with pulmonary sequestration is nonfunctioning

a)

true

b)

false

42.

pulmonary sequestration resembles

a)

echo dense, solid mass

b)

anechoic, cystic mass

c)

complex, mostly cystic mass

d)

echo dense, complex mass

43.

majority of pulmonary sequestration occurs on the ____ side

a)

right

b)

left

44.

intralobar pulmonary sequestration has a _______ appearance while extra lobar has a ______ appearance

a)

spherical, cone (triangular)

b)

spherical, oval

c)

cone (triangular), spherical

d)

cone (triangular) , oval

45.

intralobar pulmonary sequestration is more favorable as extra lobar is associated with

a)

hydrops

b)

pleural effusion

c)

IUGR

d)

CDH

46.

multi cystic mass within the lung consisting of primitive lung tissue, abnormal bronchial and bronchiolar like structures

a)

pulmonary sequestration

b)

CCAM

c)

CDH

d)

congenital bronchial atresia

47.

T/F: congenital cystic adenomatoid malformation is mostly unilateral without a favorite lung

a)

true

b)

false

48.

w/ CCAM type 1, one or more large cysts replace normal lung tissue (>2cm and up to 10 cm)

a)

macrocystic

b)

macrocystic with microcystic components

c)

microcystic

49.

w/ CCAM type 2, multiple small cysts (less than 1cm) , assoc. with fetal and chromosomal abnormalities in 25% of cases

a)

macrocystic

b)

macrocystic with microcystic components

c)

microcystic

50.

w/ CCMA type 3, bulky, large, non cystic lesions appearing as echodense masses of entire lung lobe

a)

macrocystic

b)

macrocystic with microcystic components

c)

microcystic

51.

T/F: type 1 CCMA has a poor prognosis while Type 2 and 3 have more favorable outcomes

a)

true

b)

false

52.

rare pulmonary anomaly that results from focal obliteration of segment of bronchial lumen

a)

congenital lobar emphysema

b)

congenital bronchial atresia

c)

laryngeal and tracheal atresia

d)

CDH

53.

congenital bronchial atresia most commonly occurs on the _____ and appears as an echogenic pulmonary mass

a)

left

b)

right

c)

superior pole

d)

inferior pole

54.

lobar overinflation of the lung without destruction of the alveolar septa

a)

congenital bronchial atresia

b)

CDH

c)

congenital lobar emphysema

d)

pulmonary hypoplasia

55.

congenital lobar emphysema appears as a large solid mass and is located at the ________ or middle lobe

a)

upper left

b)

lower left

c)

upper right

d)

lower right

56.

uncommon finding in utero, enlarged bilateral distended echogenic fetal lungs due to fluid distention of tiny airspaces within the lung tissue

a)

congenital bronchial atresia

b)

pleural effusion

c)

laryngeal nad tracheal atresia

d)

CDH

57.

herniation of abdominal viscera into the chest due to defect of fetal diaphragm, 1/2000 - 1/5000 births

(a)  

58.

the diaphragm is formed during the ______ weeks of gestation by fusion of 4 structures

a)

6-14

b)

8-16

c)

7-13

d)

12-20

59.

the normal diaphragm is intact by ___ weeks gestation

a)

8

b)

12

c)

20

d)

18

60.

CDH most commonly occurs

a)

posteriorly and laterally

b)

anteriorly and medially

61.

hernias are uasually found on the _____ side with the heart being shifted to the _______

a)

left, right

b)

right, left

c)

inferior, superior

d)

superior, inferior

62.

with a CDH occurring anterior, medial the heart may be positioned normally but surrounded by (a)  

63.

posterior, lateral CDH

a)

foramen of Bockdalek

b)

foramen of Morgagni

64.

anterior, medial CDH

a)

foramen of Bochdalek

b)

foramen of Morgagni

65.

thinning of the diaphragm with CDs, lungs may be compressed and become hypo-plastic

(a)  

66.

T/F: hydrops not usually present with left CDH unless associated malformations are present

a)

true

b)

false

67.

intrathoracic ______, occurs in 2/3 of cases and has a poorer outcome with left sided CDH

a)

liver

b)

stomach

c)

spleen

d)

kidney

68.

with ____ sided CDH, the liver is seen in the chest with the heart deviated far _____

a)

right, left

b)

left, right

c)

superior, inferior

d)

inferior, superior

69.

the primary cause of death with CDH is (a)  

70.

cardiac malformations are associated with CDH (a)   % of the time

71.

CNS malformations are associated with CDH (a)   % of the time

72.

CDH is associated with

a)

trisomy 21

b)

trisomy 18

c)

trisomy 13

d)

Turner's syndrome

73.

the mortality rate is (a)   % due to increased frequency of coexisting fetal congenital anomalies