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Questions
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Answers
1
What measurement is abnormal for a yolk sac?
5mm
4mm
7mm
6mm
2
The corpus luteum cysts secretes what hormones? (Two answers)
hCG
Estrogen
PAPPa
Progesterone
3
Fetal tachycardia is a sustained FHR of
160
>160
<120
>170
4
Midgut herniation prior to 12 weeks is considered
Abnormal
Normal
5
TTTS, TAPS and TRAP are exclusively found in this type of pregnancy
Monochorionic/Monoamniotic
Dichorionic/Diamniotic
Monochorionic/Diamniotic
6
A malignant, non-metastasizing form of gestational trophoblastic disease is:
Choriocarcinoma
Invasive mole
Hydatidiform mole
Partial mole
7
What chromosomal abnormality the only affects females, and has a strong association with cystic hygromas?
Edwards Syndrome
Turners Syndrome
Patau Syndrome
Triploidy
8
Patient presents with bleeding and abdominal pain. The following image was seen on TVUS, that shows
Di/Di Twin pregnancy
Subchorionic hematoma
Placental abruption
Unfused amnion and chorion
9
Immune hydrops is a result of blood group isoimmunization.
False
True
10
A partial mole is a result of
One egg without a nucleus fertilized by one sperm
One egg fertilized by two sperm
11
What is the most common ovarian mass seen in the first trimester?
Theca lutein cysts
Hemorrhagic cyst
Corpus luteum cyst
Dermoid
12
Middle cerebral artery Doppler assessment is performed to assess the fetus for
LGA
Congenital heart block
Anemia
IUGR
13
Low beta hCG levels is found in all the following EXCEPT
Embryonic demise
Ectopic pregnancy
Incorrect dating
Gestational trophoblastic disease
14
Dating of a pregnancy is the most accurate in the first trimester.
True
False
15
Which diagnostic procedure is safe to be performed anytime after 14 weeks?
Amniocentesis
Cordocentesis
NIPT
CVS
16
You should expect to see FHT by the time the CRL measures how many mm?
3
7
4
6
17
At what stage is the conceptus when implantation occurs?
Blastocyst
Embryo
Morula
Zygote
18
Common findings in a pregnant woman with diabetes include all of the following EXCEPT
None of the above
Macrosomia
Polyhydramnios
Placentomegaly
19
The first structure to be visualized within the gestational sac is the primary yolk sac.
True
False
20
Limb buds are seen sonographically at about the _____ week of pregnancy.
11th
6th
5th
7th
21
Monochorionic/Diamniotic pregnancies have the highest risk of complications
False
True
22
What is the most common cause for early pregnancy loss?
Incompetent cervix
Molar pregnancy
Chromosomal abnormality
Subchorionic hemorrhage
23
What chromosomal abnormality is considered lethal, and associated with SEVERE brain abnormalities and facial defects?
T13
T18
T21
Turners Syndrome
24
Early detection of fetal anomalies is important for what reason?
All of the above
Delivery recommendations
Clinical management of the pregnancy
Prepare the patient and family with support and resources
25
Maternal causes of elevated MSAFP include all of the following EXCEPT
Pre-eclampsia
Cholestasis
Infections
Liver disease
26
If no FHTs are seen, at what CRL can a fetal demise be diagnosed?
7mm
8mm
6mm
5mm
27
Where is the normal place for fertilization to occur?
Uterus
Infundibular portion of the fallopian tube
Ampullary portion of the fallopian tube
Endometrium
28
A patient who is G2P0204 has had how many total pregnancies?
4
2
0
3
29
All of the following are potential findings of hydrops in the fetus EXCEPT
Pericardial effusion
Oligohydramnios
Skin edema
Pleural effusion
30
When a fertilized ovum divides between 4-8 days, how many chorions are present?
4
3
2
1
31
The following image shows all of the following except
Embryo
Placenta
Amnion
Yolk sac
32
What hormone can cause excessive growth of fibroids during pregnancy?
AFP
hCG
Progesterone
Estrogen
33
The white arrow is pointing to the yolk sac. This is a normal appearing yolk sac.
True
False
34
A diagnostic procedure allowing the assessment of fetal blood type and red blood cells for detection of fetal anemia
Cordocentesis
MCA PSV assessment
CVS
Amniocentesis
35
Where is the most common location for an ectopic pregnancy?
Ovary
Fallopian tube
Cornua
Cervix
36
Which molar pregnancy has fetal components?
Partial mole
All moles
Invasive mole
Complete mole
37
The following image shows a GS diagnostic of pregnancy failure. The MSD is at least:
20mm
2.5cm
20cm
25cm
38
Prominent structure seen in the first trimester fetal head, seen in the following image.
Rhombencephalon
Lateral ventricles
Choroid plexus
Cerebellum
39
When performing a CVS on a posterior placenta it should be performed transvaginally.
False
True
40
Fusion of the amnion and chorion occurs between
14-15 weeks
11-12 weeks
15-16 weeks
12-14 weeks
41
Bradycardia in the first trimester is a FHR of <90bpm.
True
False
42
Around week 9 the fetus is approximately ___% head.
25
50
75
10
43
Which is not a reason for greater than expected levels of Beta hCG?
Molar pregnancies
Incorrect dating
Multiple pregnancies
Ectopic pregnancies
44
An extrauterine and intrauterine pregancy is called
Molar pregnancy
Heterotopic pregnancy
Twin pregnancy
Ectopic pregnancy
45
Immune hydrops and non-immune hydrops have the same sonographic appearance.
True
False
46
What hormone released during oogenesis helps prepare the endometrium for implantation?
Luteinizing hormone
Estrogen
FSH
Progesterone
47
What is the largest CRL you can measure and NT?
7cm
8.5cm
80mm
45mm
48
Amniocentesis may be performed transabdominally or transvaginally.
True
False
49
The following image taken during a diagnostic procedure represents
a CVS
a cordocentesis
an amniocentesis
a PUBS
50
Trophoblastic cells form the
Embryo
Placenta
Yolk sac
Amnion
51
What is the most common chromosomal abnormality?
T18
Triploidy
T21
T13
52
Maternal/Fetal blood exchange occurs in the
Chorionic plate
Basal plate
Spiral arteries
Lacunae
53
A patient complains of "feeling faint" during a prolonged exam, this is a symptom of what?
Ectopic pregnancy
Pregnancy
IVC Syndrome
Supine Syndrome
54
Women with SSA/SSB antibodies found with certain autoimmune diseases are monitored for what fetal condition?
Congenital heart block
LGA
Tachycardia
IUGR
55
When a fertilized ovum divides between 4-8 days, how many amnions are present?
1
3
4
2
56
The arrows are pointing to what early first trimester structure?
Chorionic Sac
Gestational sac
Amniotic Sac
Yolk Sac
57
Preterm labor is defined as the onset of labor before 38 weeks of gestation
True
False
58
Advanced maternal age is a woman of how old?
40
30
35
45
59
Maternal condition that may cause IUGR, placental abruption, elevated umbilical cord Dopplers and even stillbirth
Maternal Diabetes
Maternal Hypertension
Placenta Previa
Vasa Previa
60
Falsely low MSAFP can be due to twin pregnancy.
False
True
61
No gestational sac in the uterus, with free fluid in the pelvis is suspicious for
Ectopic pregnancy
Pregnancy loss
Gestational trophoblastic disease
Heterotopic pregnancy
62
In TTTS the donor twin is usually normal in size, with polyhydramnios.
False
True
63
All the following increase the risk of an ectopic pregnancy EXCEPT
Tubal ligation
IVF
IUD
Previous miscarriage
64
C represents
Chorion Frondosum
Decidua Capsularis
Decidua Basalis
Decidual Parietalis
65
What is the most common fetal abnormality diagnosed in the first trimester?
Subchorionic hemorrhage
Cephalocele
Cystic hygroma
Omphalocele
66
At 5 weeks gestation, on TVUS, one would expect to see
A thin endometrium with FF in the cul-de-sac
An intrauterine gestational sac measuring 5-10mm
A gestational sac, with a CRL measuring 9mm
A thickened endometrium with no intrauterine gestational sac
67
Patient presents with a positive pregnancy test. Fetal pole measures 6w2d, with FHT of 75bpm. The heart rate is
Bradycardic
Normal
Tachycardic
68
The "double bleb sign" represents an amnion and chorion that are similar in size.
False
True
69
A fetus with hydrops exhibits fluid collections within at least how many body cavities?
4
2
3
1
70
The following image of a monozygotic twin pregnancy indicates that division of the ovum occurred at how many days?
4-8
0-4
After 13 days
After 8 days
71
What might be a reason for a woman to choose to have aneuploidy screening in her pregnancy?
All of the above
Advanced maternal age
Family history of a genetic condition
History of an abnormal pregnancy
72
Which type of molar pregnancy has a normal karyotype?
Complete mole
Partial mole
73
Through 10wks gestational age, the mean diameter of the gestational sac should grow approximately how much every day?
0.5cm
0.5mm
1mm
1cm
74
A patient who is G3P2103 has had how many living children?
3
2
1
0
75
A gestational sac should always be seen using TV sonography when the serum beta hCG levels reach:
1000 mIU/ml
500 mIU/ml
1300 mIU/ml
1500 mIU/ml
76
Implantation occurs how many days after fertilization?
12
10
14-15
4-5
77
The fetal period begins at week
8
10
11
9
78
Macrosomia in a diabetic mother is greater than
4500g
4000g
3000g
3500g
79
Dichorionic/Diamniotic twin pregnancies are always dizygotic pregnancies.
False
True
80
The following image of a twin gestation shows what sonographic "sign" associated with mono/di pregnancies?
Twin peak sign
T sign
Lambda sign
81
The following measurement of NT is >3mm. This is an abnormal finding.
False
True
82
GS in the lower uterine segment, in process of expulsion is termed
Concerning for early pregnancy loss
Early pregnancy loss in progress
Diagnostic of early pregnancy loss
Incomplete pregnancy loss
83
The morula consists of 16 cells
False
True
84
Gravidity refers to the number of pregnancies a patient has had, not including the current pregnancy.
False
True
85
B Represents
Decidua Basalis
Decidua Capsularis
Chorion Frondosum
Decidua Parietalis
86
A patient presents with persistent +hCG following early pregnancy loss, the following image was seen, this shows
Completed EPL
Normal endometrium
Concerning for EPL
Retained products of conception
87
The following M-mode image shows what fetal finding?
No cardiac activity
Normal cardiac rate
88
An example of a diagnostic test for chromosomal anomalies is
Ultrasound
Bloodwork
Amniocentesis
89
An hCG of 200,000 mmIU/ml is a common finding with
Molar pregnancies
Normal pregnancies
Twin pregnancies
Ectopic pregnancies
90
NIPT or cell free fetal DNA is the most accurate serum screening test.
True
False
91
The maternal portion of the placenta is the
Basal Plate
Basal Villi
Chorionic Plate
Chorionic Villi
92
The "stuck twin" in TTTS is usually the
Donor twin
Acardiac
Pump
Recipient twin
93
What is the first developmental structure we can see sonographically to suggest pregnancy?
Gestational sac
Yolk sac
Fetal pole
Blastocyst
94
What is the reason for the development of hydrops in the fetus affected by isoimmunization?
Fetal anemia
Fetal polycythemia
Polyhydramnios
Fetal tachycardia
95
The blastocyst has two layers: embryoblast and trophoblast.
True
False
96
A represents
Decidua Parietalis
Decidua Basalis
Decidua Capsularis
Chorion Frondosum
97
The "equal sign" observed when imaging the fetal profile represents
Nasal bone and Tip of the nose
Mandible
Nuchal Translucency
Nasal Bone and Skinline
98
What is the earliest CRL you can measure the NT?
84mm
40mm
80mm
45mm
99
A malignant, metastatic form of gestational trophoblastic disease is:
Partial mole
Choriocarcinoma
Invasive mole
Hydatidiform mole
100
The abnormality seen in the following image is caused by abnormal development of the
Brain
Umbilical cord
Endocrine system
Lymphatic system
101
Amnionicity refers to how many amnion are present.
False
True