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WorksheetsOB - fetal thorax
Total questions: 73
Worksheet time: 49mins
heart anomalies can cause secondary compression effects which can result in (a)
a fetus is considered nonviable before _____ weeks gestation
24
26
18
32
the normal number of bronchi are formed during weeks _______ with a dramatic increase in air spaces and vascular structures
16-20
14-18
18-22
20-24
flattening of the epithelial cells lining the airspaces, necessary for gas exchange after births happens after ___ wk
24
20
16
28
the thoracic cavity it (a) shaped
lateral margins of the thoracic cavity
ribs
diaphragm
clavicles
heart
upper margins of the thoracic cavity
lungs
clavicles
diaphragm
ribs
lower margins of the thoracic cavity
lungs
heart
clavicles
diaphragm
lungs are the lateral margins of the (a)
appears as a smooth hypoechoic muscular margin
(a)
the thoracic circumference and abdominal circumference ratio should be _______
0.94 +/- 0.05
0.97 +/- 0.1
0.85 +/- 0.05
0.75 +/- 0.1
the thoracic circumference should be measured at the level of the (a)
significant narrow diameter of the chest in a fetus
pulmonary hypoplasia
asphyxiating thoracic dystrophy
pleural effusion
chylothorax
central portion of chest is occupied by the (a)
T/F: apex of heart points to spleen and base lies vertical to the diaphragm
true
false
the mature fetus will spend ____ of its time breathing in utero
1/3
2/3
1/4
1/2
fetal breathing is observed as a seesaw movement in either abdomen or chest for at least ____ seconds
20
30
15
10
fetal breathing movement is considered absent if not movement is observed in a _____ minute period
20
30
60
10
the normal cardiac axis is ______ degrees, averaging at _____ degrees
22-75, 45
31-84, 50
18-66, 41
20-70. 44
which lungs volume is slight greater than the other
right
left
T/F: lungs mature properly even if oligohydramnios is present
false
true
caused by a decrease in number of lung cells, airways, and alveoli
(a)
pulmonary hypoplasia results in a decreased organ _____ and ______
size
weight
echogenicity
causes for pulmonary hypoplasia can be attributed to
oligo-
IUGR
structural / chromosomal anomaly
microcardia
PROM
(a) % of fetuses with pulmonary hypoplasia will die after birth
if the thoracic circumference is below the ___ percentile, suggests possibility of pulmonary hypoplasia
5th
7th
10th
13th
most common lung cyst detected prenatally
(a)
abnormal budding of the foregut and lack of communication between the trachea and the bronchial tree
pulmonary hypoplasia
pleural effusion
bronchogenic cysts
CCAM
pleural effusion is also known as
(a)
accumulation of fluid in the pleural cavity, isolated lesions or secondary to multiple fetal anomalies
(a)
the most common cause for pleural effusion is _________ ; right-sided, unilateral secondary to malformation of the thoracic duct
chylothorax
pulmonary hypoplasia
CCAM
CDH
chylothorax is often associated with hydramnios due to (a) compression
pleural effusion is also associated with
immune hydrops
non-immune hydrops
trisomy 21
lymphangiectasia
trisomy 18
dilation of a lymph node
lymphangiectasia
pulmonary sequestration
pleural effusion
pulmonary hypoplasia
pleural effusion is rarely encounter before ____ weeks, except with trisomy 21 and Turner's syndrome
14
15
12
18
mortality rate for pleural effusion is (a) % and worse when associated with hydrops
solid tumors of the thoracic cavity will appear
anechoic, rounded
echo-dense masses
irregular boarders
echo-free masses
the supernumerary lobe of the lung separate from the normal tracheobronchial tree
pulmonary effusion
CCAM
pulmonary sequestration
CDH
extra pulmonary tissue within the pleural lung sac is considered (a) pulmonary sequestration
pulmonary tissue connected to the inferior border of the lung with its own pleural sac is considered (a) pulmonary sequestration
T/F: the extra lung tissue seen with pulmonary sequestration is nonfunctioning
true
false
pulmonary sequestration resembles
echo dense, solid mass
anechoic, cystic mass
complex, mostly cystic mass
echo dense, complex mass
majority of pulmonary sequestration occurs on the ____ side
right
left
intralobar pulmonary sequestration has a _______ appearance while extra lobar has a ______ appearance
spherical, cone (triangular)
spherical, oval
cone (triangular), spherical
cone (triangular) , oval
intralobar pulmonary sequestration is more favorable as extra lobar is associated with
hydrops
pleural effusion
IUGR
CDH
multi cystic mass within the lung consisting of primitive lung tissue, abnormal bronchial and bronchiolar like structures
pulmonary sequestration
CCAM
CDH
congenital bronchial atresia
T/F: congenital cystic adenomatoid malformation is mostly unilateral without a favorite lung
true
false
w/ CCAM type 1, one or more large cysts replace normal lung tissue (>2cm and up to 10 cm)
macrocystic
macrocystic with microcystic components
microcystic
w/ CCAM type 2, multiple small cysts (less than 1cm) , assoc. with fetal and chromosomal abnormalities in 25% of cases
macrocystic
macrocystic with microcystic components
microcystic
w/ CCMA type 3, bulky, large, non cystic lesions appearing as echodense masses of entire lung lobe
macrocystic
macrocystic with microcystic components
microcystic
T/F: type 1 CCMA has a poor prognosis while Type 2 and 3 have more favorable outcomes
true
false
rare pulmonary anomaly that results from focal obliteration of segment of bronchial lumen
congenital lobar emphysema
congenital bronchial atresia
laryngeal and tracheal atresia
CDH
congenital bronchial atresia most commonly occurs on the _____ and appears as an echogenic pulmonary mass
left
right
superior pole
inferior pole
lobar overinflation of the lung without destruction of the alveolar septa
congenital bronchial atresia
CDH
congenital lobar emphysema
pulmonary hypoplasia
congenital lobar emphysema appears as a large solid mass and is located at the ________ or middle lobe
upper left
lower left
upper right
lower right
uncommon finding in utero, enlarged bilateral distended echogenic fetal lungs due to fluid distention of tiny airspaces within the lung tissue
congenital bronchial atresia
pleural effusion
laryngeal nad tracheal atresia
CDH
herniation of abdominal viscera into the chest due to defect of fetal diaphragm, 1/2000 - 1/5000 births
(a)
the diaphragm is formed during the ______ weeks of gestation by fusion of 4 structures
6-14
8-16
7-13
12-20
the normal diaphragm is intact by ___ weeks gestation
8
12
20
18
CDH most commonly occurs
posteriorly and laterally
anteriorly and medially
hernias are uasually found on the _____ side with the heart being shifted to the _______
left, right
right, left
inferior, superior
superior, inferior
with a CDH occurring anterior, medial the heart may be positioned normally but surrounded by (a)
posterior, lateral CDH
foramen of Bockdalek
foramen of Morgagni
anterior, medial CDH
foramen of Bochdalek
foramen of Morgagni
thinning of the diaphragm with CDs, lungs may be compressed and become hypo-plastic
(a)
T/F: hydrops not usually present with left CDH unless associated malformations are present
true
false
intrathoracic ______, occurs in 2/3 of cases and has a poorer outcome with left sided CDH
liver
stomach
spleen
kidney
with ____ sided CDH, the liver is seen in the chest with the heart deviated far _____
right, left
left, right
superior, inferior
inferior, superior
the primary cause of death with CDH is (a)
cardiac malformations are associated with CDH (a) % of the time
CNS malformations are associated with CDH (a) % of the time
CDH is associated with
trisomy 21
trisomy 18
trisomy 13
Turner's syndrome
the mortality rate is (a) % due to increased frequency of coexisting fetal congenital anomalies
