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Exam 1 Study Guide

Total questions: 160

Worksheet time: 1hrs 20mins

Name
Class
Date
1.

Anencephaly is best described as which of the following?

a)

Failure of spinal cord closure with intact cranial vault

b)

Absence of cerebral hemispheres with missing skull and scalp

c)

Partial development of the cerebellum with normal cortex

d)

Herniation of meninges through the vertebral column

2.

Which statement most accurately identifies anencephaly among congenital disorders?

a)

It is the most common skeletal malformation

b)

It represents the most frequent congenital abnormality of the CNS

c)

It occurs less often than spina bifida worldwide

d)

It primarily affects the spinal canal rather than the cranium

3.

Anencephaly is most commonly found in areas where which condition is also most prevalent?

a)

Hydrocephalus

b)

Spina bifida

c)

Microcephaly

d)

Encephalocele

4.

Placenta previa is best defined as which of the following?

a)

Implantation of the placenta within the myometrium

b)

Placental tissue located near the uterine fundus

c)

Placenta partially or completely covering the internal cervical os

d)

Separation of the placenta from the uterine wall

5.

Placenta previa is the most common cause of which clinical finding in the third trimester?

a)

Painful uterine contractions

b)

Painless vaginal bleeding

c)

Decreased fetal movement

d)

Hypertensive crisis

6.

Which option correctly groups the recognized types of placenta previa?

a)

Total, partial (marginal), and low-lying

b)

Central, lateral, and posterior

c)

Complete, abrupt, and previa

d)

Marginal, velamentous, and fundal

7.

Hydranencephaly is best described as which of the following?

a)

Partial absence of the cerebellum with intact cortex

b)

Total or near-total absence of the cerebral hemispheres

c)

Failure of neural tube closure in the cranial vault

d)

Herniation of brain tissue through the skull

8.

In hydranencephaly, which intracranial structures are typically preserved?

a)

Cerebral cortex and lateral ventricles

b)

Midbrain, basal ganglia, thalamus, and cerebellum

c)

Brainstem only

d)

Cerebellum and frontal lobes

9.

Hydranencephaly is most commonly believed to result from which underlying mechanism?

a)

Failure of mesodermal migration

b)

Bilateral obstruction of the internal carotid arteries

c)

Incomplete separation of the hemispheres

d)

Abnormal neural crest cell development

10.

During the first trimester, the normal growth rate of the fetal pole is approximately:

a)

0.5 mm per day

b)

1 mm per day

c)

2 mm per day

d)

4 mm per day

11.

Organogenesis primarily occurs during which time period of pregnancy?

a)

First 5 weeks of gestation

b)

First 10 weeks of pregnancy

c)

Second trimester only

d)

After 12 weeks of gestation

12.

By approximately 9–10 weeks of gestation, which fetal structures can typically be visualized?

a)

Heart chambers and kidneys only

b)

Spine, head, and developing limbs

c)

Facial features and external genitalia

d)

Brain ventricles and diaphragm

13.

The umbilical cord is usually visualized at which stage of pregnancy?

a)

Early first trimester

b)

Mid second trimester

c)

Latter portion of the first trimester

d)

Third trimester only

14.

Inevitable abortion is best characterized by which of the following?

a)

Mild spotting with a closed cervix

b)

Profuse bleeding with the cervix beginning to open

c)

Absence of fetal cardiac activity without bleeding

d)

Passage of all fetal tissue with no cervical dilation

15.

Which placental grade shows no calcifications?

a)

Grade 0

b)

Grade 1

c)

Grade 2

d)

Grade 3

16.

Scattered calcifications in the placenta correspond to which grade?

a)

Grade 0

b)

Grade 1

c)

Grade 2

d)

Grade 3

17.

Basal calcifications in the placenta are characteristic of which grade?

a)

Grade 0

b)

Grade 1

c)

Grade 2

d)

Grade 3

18.

Which placental grade may show basal and interlobar septal calcifications outlining maternal cotyledons?

a)

Grade 0

b)

Grade 1

c)

Grade 2

d)

Grade 3

19.

Holoprosencephaly is caused by which of the following?

a)

Failure of the prosencephalon to divide into cerebral hemispheres

b)

Abnormal neural crest migration

c)

Agenesis of the cerebellum

d)

Spinal cord malformation

20.

The thalami in holoprosencephaly are typically:

a)

Separated

b)

Fused

c)

Absent

d)

Hypoplastic

21.

Holoprosencephaly is associated with which type of ventricular formation?

a)

Two separate lateral ventricles

b)

Single common ventricle (horseshoe shaped)

c)

Normal ventricular anatomy

d)

Multiple small cystic spaces

22.

Facial deformities associated with holoprosencephaly commonly involve:

a)

Eyes, nose, and upper lip

b)

Mandible only

c)

Ears and neck

d)

Lower limbs

23.

Which chromosomal abnormality is often associated with holoprosencephaly?

a)

Trisomy 13

b)

Trisomy 21

c)

Turner syndrome

d)

Klinefelter syndrome

24.

Alobar holoprosencephaly is characterized by all of the following EXCEPT:

a)

Single horseshoe-shaped ventricle

b)

Fused thalami

c)

Crescent-shaped frontal cortex

d)

Complete separation of cerebral hemispheres

25.

Craniofacial abnormalities associated with alobar holoprosencephaly include:

a)

Cyclopia, proboscis, median cleft lip, hypotelorism

b)

Micrognathia only

c)

Low-set ears

d)

Polydactyly

26.

Semilobar holoprosencephaly differs from alobar type in that it has:

a)

More cerebral tissue

b)

Fused thalami

c)

Crescent-shaped frontal cortex

d)

Cyclopia

27.

Semilobar holoprosencephaly is associated with which craniofacial anomalies?

a)

Cleft palate and lip

b)

Cyclopia

c)

Proboscis

d)

Median cleft lip

28.

Lobar holoprosencephaly is characterized by:

a)

Nearly complete separation of cerebral hemispheres

b)

Single horseshoe-shaped ventricle

c)

Fused thalami

d)

Crescent-shaped frontal cortex

29.

Lobar holoprosencephaly may be associated with all of the following EXCEPT:

a)

Dandy-Walker malformation

b)

Enlarged cisterna magna

c)

Arnold-Chiari malformation

d)

Cyclopia

30.

Which abnormal structure may be absent in lobar holoprosencephaly?

a)

Septum pellucidum

b)

Thalami

c)

Cerebellum

d)

Brainstem

31.

Ethmocephaly in holoprosencephaly refers to:

a)

A facial abnormality with hypotelorism

b)

Fused thalami

c)

Horseshoe-shaped ventricle

d)

Crescent-shaped frontal cortex

32.

Microcephaly can be associated with which types of holoprosencephaly?

a)

Alobar and semilobar

b)

Lobar only

c)

Ethmocephaly only

d)

None of the above

33.

Which type of holoprosencephaly shows incomplete fusion of the thalami and rudimentary occipital horns?

a)

Semilobar

b)

Alobar

c)

Lobar

d)

Ethmocephaly

34.

Velamentous placental cord insertion (PCI) is best described as:

a)

Umbilical cord inserting centrally into the placenta

b)

Umbilical cord inserting at the edge of the placenta, extending into the membranes

c)

Cord wrapped around the fetal neck

d)

Complete absence of the umbilical cord

35.

A major complication of velamentous PCI is:

a)

Polyhydramnios

b)

Vasa previa

c)

Placental abruption

d)

Fetal growth acceleration

36.

Why are the umbilical vessels at risk in velamentous PCI?

a)

They are unusually thick and prone to rupture

b)

They are not protected by Wharton's jelly, increasing risk of rupture or thrombosis

c)

They are always compressed by the placenta

d)

They have additional layers of smooth muscle

37.

IVC compression syndrome occurs due to:

a)

Compression of the inferior vena cava by the gravid uterus when supine

b)

Obstruction of the superior vena cava by the fetus

c)

Umbilical cord compression during labor

d)

Placental abruption

38.

Common symptoms of IVC compression syndrome include:

a)

Headache, blurred vision, and seizures

b)

Lightheadedness, fainting, vertigo, and nausea

c)

Abdominal pain and vaginal bleeding

d)

Hypertension and proteinuria

39.

The recommended treatment for IVC compression syndrome is:

a)

Continue examination and monitor vitals

b)

Administer IV fluids while patient remains supine

c)

Stop the examination and turn the patient onto her left side

d)

Immediate cesarean delivery

40.

The fetal heart is the first organ to function at approximately:

a)

15 days (3 weeks)

b)

23 days (5–5½ weeks)

c)

30 days (6 weeks)

d)

35 days (7 weeks)

41.

At 6 weeks of gestation, the fetal heart rate is typically:

a)

80 bpm

b)

110 bpm

c)

140 bpm

d)

175 bpm

42.

The fetal heart rate peaks at approximately 9 weeks of gestation at:

a)

110 bpm

b)

140 bpm

c)

175 bpm

d)

200 bpm

43.

During the second trimester, the normal fetal heart rate ranges between:

a)

90–110 bpm

b)

110–120 bpm

c)

160–170 bpm

d)

180–200 bpm

44.

In the third trimester, the typical fetal heart rate is:

a)

80–100 bpm

b)

110–160 bpm

c)

160–180 bpm

d)

175–200 bpm

45.

Correct femur length measurement involves which part of the bone?

a)

The ossified femoral diaphysis (shaft)

b)

The femoral head

c)

The epiphyseal cartilage

d)

The condyles

46.

When measuring femur length, which parts should be excluded?

a)

Ossified shaft

b)

Epiphyseal cartilage, femoral head, and condyles

c)

Midshaft only

d)

None, the entire bone is measured

47.

Measuring femur length is most accurate for which purpose?

a)

Dating early first trimester pregnancies

b)

Dating late pregnancy

c)

Detecting femoral fractures

d)

Measuring fetal weight only

48.

Which femur should be measured during ultrasound for the most accurate length?

a)

The femur farthest from the transducer

b)

Both femurs averaged

c)

The femur closest to the transducer

d)

Either femur, position does not matter

49.

Placenta accreta is best defined as:

a)

Chorionic villi invade beyond the uterine serosa

b)

Chorionic villi are in direct contact with the myometrium

c)

Chorionic villi invade the myometrium and extend into the serosa

d)

Placenta completely separates from the uterus

50.

Placenta increta is characterized by:

a)

Villi in direct contact with the myometrium

b)

Villi invading the myometrium and extending into the serosa

c)

Villi extending beyond the uterine serosa into adjacent organs

d)

Placenta previa only

51.

Placenta percreta occurs when:

a)

Villi are in contact with the myometrium

b)

Villi invade only the endometrium

c)

Villi extend beyond the uterine serosa, possibly involving bladder or bowel

d)

Placenta detaches prematurely

52.

The amnion is best described as:

a)

A small cavity developing from the embryonic disc

b)

A membrane surrounding the embryo that secretes fluid to form the amniotic cavity

c)

A projection of the hindgut

d)

The fourth membrane that encloses all other membranes

53.

The yolk sac is:

a)

A membrane forming the fetal portion of the placenta

b)

A small cavity developing from the embryonic disc

c)

A projection of the hindgut

d)

The fluid-filled cavity surrounding the embryo

54.

The allantois is:

a)

The membrane that surrounds the amniotic cavity

b)

A projection of the hindgut

c)

A small cavity developing from the embryonic disc

d)

The fourth membrane enclosing all others

55.

The chorion is:

a)

The membrane surrounding the embryo and secreting fluid

b)

A small cavity developing from the embryonic disc

c)

The fourth membrane enclosing the other three, developing from the trophoblast and forming the fetal portion of the placenta

d)

A projection of the hindgut

56.

Using transvaginal ultrasound (TV), the gestational sac is typically visible at:

a)

3 weeks LMP (500 mIU/ml)

b)

4½ weeks LMP (≈1025 mIU/ml)

c)

5 weeks LMP (1500 mIU/ml)

d)

6 weeks LMP (1800 mIU/ml)

57.

Using transabdominal ultrasound (TA), the gestational sac is typically visible at:

a)

4 weeks LMP (1000 mIU/ml)

b)

5 weeks LMP (1500 mIU/ml)

c)

6 weeks LMP (≈1800 mIU/ml)

d)

7 weeks LMP (2500 mIU/ml)

58.

Organogenesis primarily occurs during which period of pregnancy?

a)

First 4 weeks

b)

First 10 weeks

c)

Second trimester

d)

Third trimester

59.

During week 4 of fetal life, the foregut gives rise to which structures?

a)

Jejunum, ileum, cecum, ascending colon

b)

Esophagus, stomach, duodenum, liver, and pancreas

c)

Colon, sigmoid, and rectum

d)

Heart and lungs

60.

The midgut develops into:

a)

Esophagus, stomach, duodenum

b)

Jejunum, ileum, cecum, and ascending colon

c)

Colon, sigmoid, and rectum

d)

Liver and pancreas

61.

The hindgut forms which of the following structures?

a)

Esophagus, stomach, and duodenum

b)

Jejunum, ileum, cecum, and ascending colon

c)

Colon, sigmoid, and rectum

d)

Liver and pancreas

62.

The decidua basalis is best described as:

a)

The decidual lining of the uterus

b)

The portion of decidua at the point of attachment of the blastocyst

c)

The decidua projecting into the uterine lumen

d)

The outer layer of the chorion

63.

The decidua capsularis refers to:

a)

The portion superficial to the blastocyst projecting into the uterine lumen

b)

The lining of the uterus not involved in implantation

c)

The decidua at the point of blastocyst attachment

d)

The fetal portion of the placenta

64.

The decidua parietalis (vera) is:

a)

The decidual lining of the uterus away from the implantation site

b)

The portion projecting into the uterine lumen

c)

The point of attachment of the blastocyst

d)

The layer forming the fetal placenta

65.

The mean sac diameter (MSD) of the gestational sac is calculated by:

a)

Adding the length, width, and height, then dividing by 2

b)

Adding the length, width, and height, then dividing by 3

c)

Multiplying length × width × height

d)

Measuring only the longest diameter of the sac

66.

The biparietal diameter (BPD) is measured in which plane of the fetal head?

a)

Sagittal

b)

Coronal

c)

Axial

d)

Oblique

67.

BPD measurement is most accurate during which gestational period?

a)

8–12 weeks

b)

14–20 weeks

c)

22–28 weeks

d)

30–36 weeks

68.

The correct location for obtaining a BPD measurement is:

a)

15 degrees inferior to cathomedial and perpendicular to skull base

b)

15 degrees superior to cathomedial and parallel to skull base

c)

Midline only, without angulation

d)

At the posterior fontanelle

69.

Which of the following are the landmarks used for BPD measurement?

a)

Cerebellum and cisterna magna

b)

Paired hypoechoic thalami, cavum septum pellucidum, third ventricle, and midline falx cerebri

c)

Spine and diaphragm

d)

Fetal stomach and umbilical vein

70.

When measuring BPD, the calipers should be placed:

a)

From leading edge to leading edge (outer to inner) along the longest horizontal part

b)

From inner edge to inner edge along a vertical line

c)

From anterior to posterior fontanelle only

d)

Along the midline falx only

71.

The cephalic index is calculated by:

a)

OFD + BPD

b)

BPD ÷ OFD

c)

(BPD + OFD) ÷ 2

d)

BPD × OFD

72.

Normal cephalic index values range between:

a)

50–65%

b)

65–75%

c)

75–85%

d)

85–95%

73.

A cephalic index greater than 85–90% indicates:

a)

Dolichocephaly (head too long)

b)

Brachycephaly (head too wide)

c)

Microcephaly

d)

Normal head shape

74.

A cephalic index less than 75% indicates:

a)

Normal head shape

b)

Dolichocephaly (head too long)

c)

Brachycephaly (head too wide)

d)

Microcephaly

75.

A missed abortion is best defined as:

a)

A living embryo that is spontaneously expelled

b)

A dead embryo that has not been expelled, with no fetal heartbeat detected

c)

Vaginal bleeding with cervical dilation

d)

Partial separation of the placenta

76.

The umbilical cord normally contains how many vessels?

a)

1 artery and 2 veins

b)

2 arteries and 1 vein

c)

2 veins and 2 arteries

d)

1 artery and 1 vein

77.

Fetal weight is most heavily based on which measurement?

a)

BPD (Biparietal Diameter)

b)

AC (Abdominal Circumference)

c)

FL (Femur Length)

d)

OFD (Occipitofrontal Diameter)

78.

The AC is considered a standard measurement for dating the pregnancy at approximately:

a)

8–10 weeks

b)

12–15 weeks

c)

18–20 weeks

d)

22–24 weeks

79.

When evaluating the umbilical vein in an AC image, which finding indicates a persistent right umbilical vein?

a)

Umbilical vein arches away from the stomach

b)

Umbilical vein points toward the stomach

c)

Umbilical vein runs along the spine

d)

Umbilical vein is not visualized

80.

The principal cause of first trimester fetal demise is:

a)

Maternal hypertension

b)

Chromosomal abnormalities

c)

Cord accidents

d)

Infection

81.

Common clinical signs of first trimester fetal demise include all EXCEPT:

a)

Uterus small for dates

b)

Clinician cannot hear fetal heart tones

c)

Patient reports feeling “less pregnant”

d)

Increased fetal movement

82.

Second trimester fetal demise is often associated with which of the following factors?

a)

Chromosomal abnormalities only

b)

Uterine anomalies, incompetent cervix, placental abnormalities, and autoimmune diseases (e.g., lupus)

c)

Maternal hypotension

d)

Excessive fetal movement

83.

Ultrasound-specific signs of third trimester fetal demise include:

a)

Normal fetal movement

b)

Gas in fetal vasculature, overlapping cranial sutures (Spalding’s sign), fetal maceration

c)

Polyhydramnios

d)

Enlarged fetal heart

84.

Management of fetal demise in the second trimester (<14 weeks) typically involves:

a)

Expectant management only

b)

Dilation and curettage (D&C)

c)

Cesarean delivery

d)

Oxytocin infusion only

85.

Management considerations for third trimester fetal demise include:

a)

Maternal hemorrhage risk (hypofibrinogenemia), D&E, oxytocin, amnioinfusion with hypertonic solution, prostaglandins

b)

No intervention is needed

c)

Only cesarean section is appropriate

d)

Chromosomal testing only

86.

In early fetal life, the lungs appear on ultrasound as:

a)

Hyperechoic compared to the liver

b)

Isoechoic or slightly hypoechoic compared to the liver

c)

Anechoic

d)

Hyperechoic to bone

87.

Later in fetal life, the fetal lungs typically appear:

a)

Hypoechoic to the liver

b)

Isoechoic to the liver

c)

Hyperechoic to the liver

d)

Anechoic

88.

Which biochemical measurement is commonly used to assess fetal lung maturity?

a)

Bilirubin levels

b)

Lecithin–Sphingomyelin (L/S) ratio

c)

Alpha-fetoprotein

d)

Amniotic fluid glucose

89.

Wharton’s jelly is best described as:

a)

The amniotic membrane surrounding the fetus

b)

Mucoid substance that surrounds umbilical cord vessels, enclosed in the amnion

c)

The fetal portion of the placenta

d)

The chorionic villi connecting to the maternal decidua

90.

A cervical cerclage is:

a)

A loop placed in the cervix to hold it closed and help maintain pregnancy

b)

Surgical removal of the cervix

c)

A procedure to induce labor

d)

A diagnostic test for cervical length

91.

A threatened abortion is characterized by:

a)

Vaginal bleeding with an open cervix after 20 weeks

b)

Vaginal bleeding with a closed cervix prior to 20 weeks

c)

Complete expulsion of the fetus

d)

Absence of vaginal bleeding with a dilated cervix

92.

A zygote is:

a)

A multicellular embryo at day 5

b)

A single cell formed during fertilization containing all genetic material from mother and father

c)

The fetal portion of the placenta

d)

A fluid-filled cavity within the blastocyst

93.

The fetal stomach can usually be visualized on ultrasound by:

a)

12 weeks

b)

16 weeks

c)

20 weeks

d)

24 weeks

94.

The fetal stomach serves as an important landmark for:

a)

Biparietal diameter (BPD) measurement

b)

Femur length measurement

c)

Abdominal circumference (AC) measurement

d)

Placental grading

95.

Visualization of the fetal bladder on ultrasound indicates:

a)

Normal heart function

b)

The presence of at least one functioning kidney

c)

Normal lung development

d)

Correct fetal positioning

96.

A 2-vessel cord (single umbilical artery) is seen in approximately:

a)

0.1–0.2% of pregnancies

b)

0.5–1% of pregnancies

c)

2–3% of pregnancies

d)

5% of pregnancies

97.

A 2-vessel cord (SUA) consists of:

a)

2 umbilical veins and 1 umbilical artery

b)

1 umbilical vein and 1 umbilical artery

c)

1 umbilical vein only

d)

2 umbilical arteries only

98.

The fetal abdominal circumference (AC) primarily reflects the development of:

a)

Brain and cerebellum

b)

Liver, spleen, and subcutaneous fat

c)

Lungs and diaphragm

d)

Kidneys and bladder

99.

Landmarks for AC measurement include all of the following EXCEPT:

a)

Stomach

b)

Three ossification centers of the spine

c)

Umbilical vein (hockey stick sign)

d)

Cerebellum

100.

AC can also be calculated using TAD and APD by:

a)

Adding them together and multiplying by 1.57 (1/2 π)

b)

Adding them together and multiplying by 2

c)

Multiplying them together only

d)

Averaging them without multiplication

101.

One of the primary indications for a first trimester ultrasound is:

a)

Evaluating placental grading

b)

Predicting fetal viability (normal vs abnormal, including fetal heart motion)

c)

Measuring femur length in the third trimester

d)

Assessing fetal lung maturity

102.

First trimester ultrasound is used to accurately determine:

a)

Fetal weight in the third trimester

b)

Gestational age

c)

Cephalic index

d)

Placental insertion

103.

Conditions associated with hydrocephalus that can sometimes be detected in the first trimester include:

a)

Spina bifida (most common) and cephalocele (present in 80% of cases)

b)

Micrognathia and cleft lip

c)

Congenital diaphragmatic hernia only

d)

Limb-length discrepancies

104.

Arnold-Chiari malformation is a common type of hydrocephalus associated with:

a)

Microcephaly

b)

Spina bifida

c)

Holoprosencephaly

d)

Dandy-Walker malformation

105.

In Arnold-Chiari malformation, the spinal cord is:

a)

Normal and ends at L4

b)

Tethered and ends before L2

c)

Absent

d)

Fused with the brainstem

106.

A characteristic feature of Arnold-Chiari malformation is:

a)

Cerebellum pulled through the cisterna magna

b)

Cerebellum enlarged and in normal position

c)

Complete absence of the cerebellum

d)

Lateral ventricles completely collapsed

107.

The “banana sign” on ultrasound refers to:

a)

Shape of the cerebellum appearing curved like a banana instead of a dumbbell

b)

Shape of the lateral ventricles

c)

Appearance of the fetal bladder

d)

Shape of the stomach

108.

The “lemon sign” refers to:

a)

Narrowing of the posterior skull

b)

Narrowing of the anterior portion of the head

c)

Enlargement of the lateral ventricles

d)

Flattening of the cerebellum

109.

Dilation of the lateral ventricles in Arnold-Chiari malformation is typically:

a)

Unilateral and mild

b)

Bilateral and severe, called the “bat wing sign”

c)

Absent

d)

Only in the third trimester

110.

Dandy-Walker syndrome is best described as:

a)

A congenital brain malformation characterized by incomplete formation of the cerebellar vermis, dilation of the fourth ventricle, and enlargement of the posterior fossa

b)

A spinal cord malformation associated with tethered cord

c)

A form of holoprosencephaly

d)

A type of microcephaly

111.

The cause of Dandy-Walker syndrome is thought to be:

a)

Chromosomal trisomy 13

b)

Obstruction of the foramina of Luschka and Magendie

c)

Maternal infection only

d)

Umbilical cord malformation

112.

Key features of Dandy-Walker syndrome include all EXCEPT:

a)

Incomplete formation of the cerebellar vermis

b)

Dilation of the fourth ventricle

c)

Enlargement of the posterior fossa

d)

Pulled cerebellum through cisterna magna

113.

The “dangling choroid” sign on ultrasound refers to:

a)

Enlarged ventricles moving toward the dependent portion of the brain, typically seen in hydrocephalus

b)

Normal lateral ventricle anatomy

c)

Absence of the choroid plexus

d)

Pulled cerebellum through the cisterna magna

114.

Spina bifida is defined as:

a)

Overgrowth of vertebral arches

b)

A defect in the spine due to lack of fusion of the two halves of the vertebral arch

c)

Absence of the brainstem

d)

A type of hydrocephalus

115.

Which type of spina bifida involves only the meninges protruding?

a)

Meningocele

b)

Meningomyelocele

c)

Occult

d)

Arnold-Chiari

116.

Which type of spina bifida involves both meninges and spinal cord protrusion?

a)

Meningocele

b)

Meningomyelocele

c)

Occult

d)

Hydrocephalic

117.

Occult spina bifida is characterized by:

a)

Large protrusion of meninges

b)

Small defect with no protrusion of meninges or spinal cord

c)

Protrusion of spinal cord only

d)

Hydrocephalus

118.

The most common location for spina bifida is:

a)

Cervical

b)

Thoracic

c)

Lumbar-sacral

d)

Sacral only

119.

The second most common location for spina bifida is:

a)

Lumbar

b)

Cervical

c)

Thoracic

d)

Occipital

120.

Spina bifida has a high association with which malformation?

a)

Dandy-Walker

b)

Arnold-Chiari malformation

c)

Holoprosencephaly

d)

Microcephaly

121.

Turner’s Syndrome is caused by:

a)

Trisomy 21

b)

Total or partial loss of the second sex chromosome (46,X)

c)

Trisomy 18

d)

Mutation of the X and Y chromosomes

122.

Turner’s Syndrome is more common in:

a)

Males

b)

Females

c)

Equal in males and females

d)

Only in twins

123.

Turner’s Syndrome is commonly associated with:

a)

Cystic hygroma or increased AFP

b)

Microcephaly

c)

Spina bifida only

d)

Holoprosencephaly

124.

The “Batwing sign” is associated with which condition?

a)

Dandy-Walker syndrome

b)

Arnold-Chiari malformation

c)

Hydrocephalus due to aqueductal stenosis

d)

Turner’s syndrome

125.

The Batwing sign represents:

a)

Absence of cerebellar vermis

b)

Bilateral dilation of the frontal horns of the lateral ventricles

c)

Narrowing of the anterior portion of the head

d)

Overlapping cranial sutures

126.

The “Lemon sign” is associated with which condition?

a)

Dandy-Walker syndrome

b)

Arnold-Chiari malformation

c)

Hydrocephalus due to aqueductal stenosis

d)

Turner’s syndrome

127.

The Lemon sign refers to:

a)

Narrowing of the anterior portion of the head

b)

Bilateral dilation of the frontal horns of the lateral ventricles

c)

Absence of the cerebellar vermis

d)

Flattened occiput

128.

The cavum septi pellucidi (CSP) is an important landmark for measuring:

a)

Abdominal circumference (AC)

b)

Biparietal diameter (BPD)

c)

Femur length (FL)

d)

Nuchal translucency

129.

The CSP appears on ultrasound as:

a)

A thick, horizontal membrane between the thalami

b)

A thin, triangular, vertical membrane separating the anterior horns of the left and right lateral ventricles (thin parallel lines)

c)

A round cyst in the posterior fossa

d)

A fluid-filled cavity within the cerebellum

130.

Cystic hygroma is best described as:

a)

Malignant tumor of the brain

b)

Benign lesion with lymphatic origin

c)

Fluid collection in the fetal lungs

d)

Cyst in the fetal abdomen

131.

Approximately 80% of cystic hygromas originate from:

a)

Anterior portion of the neck

b)

Posterolateral portion of the neck

c)

Thoracic cavity

d)

Abdominal wall

132.

Cystic hygroma may be associated with which condition?

a)

Turner’s syndrome

b)

Dandy-Walker malformation

c)

Arnold-Chiari malformation

d)

Spina bifida

133.

A cephalocele is best described as:

a)

Fluid-filled mass in the posterolateral neck

b)

Complex paracranial mass with no bone coverage

c)

Fluid collection in the fetal abdomen

d)

Thickened nuchal fold

134.

Cephalocele may be associated with which of the following findings?

a)

Microcephaly and hydrocephalus

b)

Turner’s syndrome only

c)

Posterolateral neck cyst with septa

d)

Spina bifida

135.

Cystic hygroma is characterized by:

a)

Solid cranial mass

b)

Cystic mass with septa, usually located at the posterolateral neck

c)

Posterior fossa enlargement only

d)

Microcephaly without fluid

136.

In cystic hygroma, what forms the midline segment?

a)

Cavum septi pellucidi

b)

Nuchal ligament

c)

Cerebellar vermis

d)

Occipital bone

137.

The most common cause of first trimester fetal death is:

a)

Maternal infection

b)

Chromosomal abnormalities

c)

Placental abruption

d)

Turner’s syndrome

138.

The most common cause of painless vaginal bleeding in the third trimester is:

a)

Placental abruption

b)

Placenta previa

c)

Uterine rupture

d)

Preterm labor

139.

The most common cause of painful vaginal bleeding in the third trimester is:

a)

Placenta previa

b)

Placental abruption

c)

Cervical incompetence

d)

Uterine fibroids

140.

The most common benign tumor of the placenta is:

a)

Chorioangioma

b)

Teratoma

c)

Fibroma

d)

Lipoma

141.

The most common causes of oligohydramnios are:

a)

Maternal diabetes and hypertension

b)

PROM, IUGR, and fetal genitourinary abnormalities

c)

Polyhydramnios and maternal anemia

d)

Placenta previa and abruption

142.

The most common congenital abnormalities involve which system?

a)

Cardiovascular system

b)

Central nervous system (CNS)

c)

Musculoskeletal system

d)

Renal system

143.

The most common congenital anomaly of the CNS is:

a)

Hydrocephalus

b)

Spina bifida

c)

Anencephaly (neural tube defect)

d)

Dandy-Walker malformation

144.

The most common congenital anomaly of the face is:

a)

Micrognathia

b)

Facial clefts (associated with Trisomy 13)

c)

Cystic hygroma

d)

Cleft palate only

145.

The most common location for spina bifida is:

a)

Cervical

b)

Thoracic

c)

Lumbar-sacral (cervical 2nd most common)

d)

Sacral only

146.

The menses phase of the uterine cycle occurs during which days?

a)

1-5

b)

6-14

c)

15-28

d)

14-21

147.

During the menses phase, which of the following occurs?

a)

Endometrium regenerates

b)

Endometrium degenerates, sloughs off the myometrium, and is expelled as menses

c)

Corpus luteum secretes progesterone

d)

Ovulation occurs

148.

The proliferative phase of the uterine cycle occurs during which days?


a)

1-5

b)

6-14

c)

15-28

d)

14 only

149.

What hormone primarily drives the proliferative phase of the uterine cycle?

a)

Progesterone

b)

estrogen

c)

LH

d)

FSH

150.

The secretory phase of the uterine cycle is characterized by:

a)

Endometrial degeneration and shedding

b)

Glandular and vascular changes in the endometrium under the influence of progesterone

c)

Follicular growth in the ovary

d)

LH surge and ovulation

151.

6. During the ovarian cycle, FSH is responsible for:
A. Triggering ovulation
B. Making ovarian follicles grow
C. Degeneration of corpus luteum
D. Secretory phase of uterus

Correct answer: B


a)

Triggering ovualtion

b)

making ovarian follicles grow

c)

degeneration of corpus luteum

d)

secretory phase of uterus

152.

Ovulation occurs approximately on which day of the menstrual cycle?

a)

1

b)

7

c)

14

d)

28

153.

The luteal phase (days 14–28) is characterized by:

a)

Growth of ovarian follicles

b)

Corpus luteum formation and progesterone production


c)

sloughing of the endometrium

d)

follicular release of estrogen

154.

What triggers ovulation in the ovarian cycle?

a)

FSH surge

b)

Estrogen surge only

c)

LH surge

d)

Progesterone decline

155.

If fertilization does not occur, the corpus luteum:

a)

Continues to grow indefinitely

b)

Secretes increasing estrogen

c)

Declines, causing a drop in progesterone and menstruation

d)

Converts into a new follicle

156.

What is seen here?

a)

1 Vessel Cord

b)

2 Vessel SUA

c)

Normal 3 vessel cord

d)

Snake sign

157.

What is seen here?

a)

Batwing sign seen with Arnold Chiari

b)

Lemon Sign seen with Arnold Chiari

c)

Banana Sign seen with Arnold Chiari

d)

Dandy Walker Syndrome

158.

What anomaly is seen here

a)

Dandy Walker

b)

Hydrocephalus

c)

Dangling Choriod

d)

Spina Bifida

159.

What sign is seen here?

a)

Batwing Sign

b)

Banana Sign

c)

Lemon Sign

d)

Iceberg Sign

160.

What is seen here?

a)

Cephalocele

b)

Cystic Hygroma

c)

Turners syndrome

d)

Arnold Chiari