CH 23

Question 1

What is the name of the dominant follicle prior to ovulation?

Answer 1

Graafian

Question 2

Fertilization typically occurs within how many hours after ovulation?

Answer 2

24 hours

Question 3

The most common site of fertilization is within the:

Answer 3

Ampulla of the uterine tube

Question 4

The structure created by the union of sperm and egg is the:

Answer 4

Zygote

Question 5

The trophoblastic cells produce:

Answer 5

Hcg

Question 6

What is the stage of the conceptus that implants within the decidualized endometrium?

Answer 6

Blastocyst

Question 7

Another name for the chorionic sac is the:

Answer 7

Gestational sac

Question 8

What structure lies within the extra embryonic coelom?

Answer 8

Yolk sac

Question 9

What hormone, produced by the corpus luteum, maintains the thickened endometrium?

Answer 9

Progesterone

Question 10

In the first trimester, normal hCG levels will:

Answer 10

Double every 48 hours

Question 11

Compared with a normal IUP, the ectopic pregnancy will have a:

Answer 11

Low hCG

Question 12

The first sonographically identifiable sign of pregnancy is the:

Answer 12

Decidual reaction

Question 13

The first definitive sonographic sign of an IUP is the recognition of a/an:

Answer 13

Gestational sac

Question 14

The normal gestational sac will grow:

Answer 14

1 mm per day

Question 15

During a first-trimester ultrasound examination, you note a cystic structure within the fetal head. This most likely represents:

Answer 15

Rhombencephalon

Question 16

The herniation of the embryologic bowel into the base of the umbilical cord at 9 weeks is referred to as:

Answer 16

Physiologic bowel herniation

Question 17

The most common pelvic mass associated with pregnancy is the:

Answer 17

Corpus luteum cyst

Question 18

All of the following are associated with an abnormal nuchal translucency except:

• trisomy 21
• trisomy 16
• trisomy 18
• turner syndrome

Answer 18

Trisomy 16

Question 19

The most common cause of pelvic pain with pregnancy is:

Answer 19

Ectopic pregnancy

Question 20

The most common location of an ectopic pregnancy is the:

Answer 20

Ampullary portion of the uterine tube

Question 21

All of he following are contributing factors for an ectopic pregnancy except:

• PID
• reproductive therapy
• contraceptive devise
• advanced paternal age

Answer 21

Advanced paternal age

Question 22

All of the following are clinical features of an ectopic pregnancy except:

• pain
• vag bleeding
• shulder pain
• adnexal ring

Answer 22

Adnexal ring

Question 23

All of the following are sonographic findings consistent with ectopic pregnancy except:

• decidual thickening
• complex free fluid within pelvis
• Bilateral, multiloculated ovarian cysts
• complex adrenal mass separate from ipsilateral ovary

Answer 23

Bilateral, multiloculated ovarian cysts

Question 24

All of the following are consistent with a hydatidiform mole except:

• heterogenous mass within the endometrium
• bilateral theca lutein cysts
• hyperemesis gravidarum
• low hCG

Answer 24

low hCG

Question 25

The most malignant form of gestational trophoblastic disease is:

Answer 25

Choriocarcinoma

Question 26

A sonographic examination was performed on a pregnancy patient who complained of vaginal bleeding. Sonographically, a crescent-shaped anechoic area is noted adjacent to the gestational sac. The gestational sac contained a 6-week single live intrauterine pregnancy. What is the most likely diagnosis?

Answer 26

Subchorionic hemorrhage

Question 27

All of the following would be associated with a lower-than-normal human chorionic gonadotropin level except: - ectopic pregnancy - molar pregnancy - blighted ovum - spontaneous abortion

Answer 27

Molar pregnancy

Question 28

All of the following are clinical findings consistent with a molar pregnancy except? - vaginal bleeding - hypertension - uterine enlargement - small for dates

Answer 28

Small for dates

Question 29

which of the following locations is most likely with metastatic gestation trophoblastic disease?

Answer 29

Lungs

Question 30

``` All of the following may be sonographic findings in the presence of an ectopic pregnancy except: -pseudogestational sac -corpus luteum cyst --adnexal ring double sac sign ```

Answer 30

Double sac sign