ch 36 ob

Question 1

Early sampling of the exocoelomic cavity fluid via placenta free areas

Answer 1

coelocentesis

Question 2

Round dish used to culture fetal tissue or cells

Answer 2

petri dish

Question 3

Sampling of amniotic fluid

Answer 3

amniocentesis

Question 4

Through the cervix

Answer 4

transcervical

Question 5

more than one fetus

Answer 5

multifetal

Question 6

Woman 35 years of age or older

Answer 6

advanced maternal age (AMA)

Question 7

Aspiration of peritoneal fluid from the posterior cul-de-sac

Answer 7

culdocentesis

Question 8

Removal of the infected fluid

Answer 8

abscess drainage

Question 9

procedure to remove a piece of tissue or a sample of cells

Answer 9

biopsy

Question 10

Procedure in which oocytes are aspirated from the ovaries

Answer 10

oocyte retrieval

Question 11

noninvasive us exam performed with a transducer inserted into the vagina

Answer 11

endovaginal us

Question 12

sampling of chorionic villus of the placenta

Answer 12

chorionic villus sampling (CVS)

Question 13

sampling of fetal blood via the umbilical cord

Answer 13

percutaneous umbilical cord sampling (PUBS) (cordocentesis)

Question 14

Cordocentesis is also known as

Answer 14

PUBS

Question 15

a MSAFP value over ___ times the mean for a particular gestational age is suspect for ____ , ____ and many other fetal abnormalities

Answer 15

25 / multiple pregnancies / fetal demise

Question 16

The optimal timing for a CVS is between the ___ weeks after the last menstrual period

Answer 16

9 - 12

Question 17

____ is a serum protein found normally in the fetal circulatory system and produced by the fetal ____

Answer 17

Alpha feta protein / liver

Question 18

Performing amniocentesis to determine the lecithin to sphingomyelin ratio is used to determine the risk of delivering an infant with _____ usually after ___ weeks gestation

Answer 18

respiratory distress syndrome / 32

Question 19

Studies suggest that ___- is the safest and most accurate of the 3 procedures- transcervial cvs, transabdominal cvs, and amniocentesis

Answer 19

amniocentesis

Question 20

During amniocentesis of twins, an ____ injection into the first sac/ twin after sampling ensures the second saC was entered for twin B

Answer 20

indigo carmine dye

Question 21

coelocentesis is a technique that involves the us guided insertion of the needle into the ____ cavity through the vagina

Answer 21

extreme amniotic

Question 22

When sampling fetal blood, the anterior placenta requires ____ cordocentesis whereas the posterior placenta allows sampling of the cord approx ____ from the placental umbilical cord insertion

Answer 22

transplacental / 1 cm

Question 23

Tubal catheterization is a diagnostic and _______ technique in diagnosing tubal patency via injecting and observing fluid passage into the pelvis

Answer 23

therapeutic

Question 24

Antibiotic prophylaxis is recommended in patients witha postive history of ____ prior to hysterosonography or hysterisonosalpingography

Answer 24

PID

Question 25

The goal of radiotherapy is to deliver the ___ possible radiation dose to the malignant tissue and ____ the damage to the adjacent normal tissue

Answer 25

highest ___ minimize

Question 26

advantages of CVS are ___ and _____

Answer 26

accuracy and early genetic diagnosis

Question 27

multifetal reduction procedures have increasing owing to ____ inducing drug use

Answer 27

ovulation

Question 28

Indigo carmine dye is ___ in color

Answer 28

blue

Question 29

Fetal therapy often requires access to fetal ___

Answer 29

circulation

Question 30

fetal blood sampling occurs at the ___ cord insertion site

Answer 30

venous

Question 31

Removal of a small amount of fluid surrounding the fetus via the maternal abdomen, for testing is called

Answer 31

amniocentesis

Question 32

Transabdominal mutlipfetal reducation is preferred between _____ weeks gestation and endovaginal redcution is successful between ___ weeks gestation

Answer 32

10-12 / 8-10

Question 33

misdiagnosis of tubal occlusion owing to tubal spasm is a disadvantage of the _______ procedure

Answer 33

hysterosonosalpingography

Question 34

A common clinical technique for retrieving living fetal cells/cell products from the pregnancy uterus is a- PUBS b- amniotic villus sampling c- amniocentesis d- culdocentesis

Answer 34

amniocentesis

Question 35

An us procedure that obtains fetal blood via a needle inserted into the maternal abdomen is a- fetal transfusion b- reduction c- fetal rapid blood culture d- PUBS

Answer 35

PUBS

Question 36

Amniocentesis testing is recommended at a- 6-8 weeks b- 8-14 weeks c- 14 - 20 weeks d- 20-30 weeks

Answer 36

14 to 20 weeks

Question 37

fetal blood sampling occurs at the a- venous cord insertion site b- arterial cord insertion site c- intrahepatic umbilical vein d- intrahepatic umbilical artery

Answer 37

venous cord insertion site

Question 38

vaginal coelocentesis can provide a sample of extra amniotic fluid as early as a- 8 weeks b- 12 weeks c- 10 weeks d- 6 weeks

Answer 38

6 weeks

Question 39

women whose materal serum alpa-fetaprotein (MSAFP) screening results reveal a value nelow the mean levels for a given gestational age have been associated with an increased risk for a- trisomy b- spina bifida c- cardiac malformation d- anencephaly

Answer 39

trisomy

Question 40

indications for using an endovaginal transducer are all except a- ovarian cyst aspiration b- embryo transfer c- hemoglobinopathies d- IUCD position

Answer 40

Hemoglobinopathies

Question 41

The main purpose of a multifetal pregnancy reduction is to a- limit the number of children a couple chooses to produce b- reduce the number of embryos to improve survival for the remaining ones c- decrease the physician liability in a multiple pregnancy d- decrease the financial burden of multiples

Answer 41

reduce the number of embryos to improve survival for the remaining ones

Question 42

Hysterosonosalpingography should alwayes be performed during the ___ of the menstrual cycles a- early follicular phase b- late proliferative phase c- secretory phase d- menstrual phase

Answer 42

early follicular phase

Question 43

Select the most common endovaginal us puncture procedure a- percutaneous pelvic mass biopsy b- embryo transfer c- radiotherapy planning and monitoring d- oocyte retrieval

Answer 43

oocyte retrieval

Question 44

Culdocentesis is performed to: a- collect a sampling of the exocoelomic cavity fluid b- acquire fluid posterior to the lower uterus c- place a pelvic draining catheter d- diagnose inflammatory intestinal wall

Answer 44

acquire fluid posterior to the lower uterus

Question 45

Ultrasound is used to guide local treatment of the drug ___ for ectopic pregnancy resolution a-methotrexate b- reprotox c- methohexital d- repronex

Answer 45

Methotrexate

Question 46

Which imaging modality is most useful in diagnosing ectopic pregnancy a- sprectral doppler us b- MRI with contrast c- color doppler us d- TCD

Answer 46

color doppler us

Question 47

The gold standard procedure for establishing tubal condition is a- sonohysterosalpingography b- laparoscopy c- HSG d- hysteroscopy

Answer 47

laparoscopy

Question 48

3D endovaginal us is useful in the detection of all except a- IUCD postion b- IUCD shaft and branch orientation c- detection of IUCD d- IUCD hormone level

Answer 48

IUCD hormone level

Question 49

Choose a disadvantage of CVS a- accuracy b- early genetic diagnosis c- false positive result d- ability to obtain living fetal cells or products of them

Answer 49

false positive result

Question 50

The legal limit for elective termination of pregnancy is the us is determined by a- country guidelines b- state laws c- findings.lab results and fetal gest age d- health/welfare

Answer 50

state laws

Question 51

Counseling that provides communication regarding the occurrence and risk of occurrence of familial disorder is a- perinatology counseling b- genetic counseling c- ob counseling d- preg counseling

Answer 51

genetic counseling

Question 52

Maternal age-related chromosome abnormality risk increases after the age of a- 35 b- 32 c- 45 d- 40

Answer 52

35

Question 53

Hysterosonography and hysterosomosalpingographt may be frequently preferable to laparoscopy bc a- general anesthesia is required b- the us procedures are more affordable c- surgical complications may occur d- recovery time is longer

Answer 53

the us procedures are more affordable

Question 54

2 types of amniocentesis

Answer 54

genetic and lung maturity

Question 55

A genetic amniocentesis is usually performed around

Answer 55

14-20 weeks

Question 56

Chorionic villi sampling samples ___ tissue

Answer 56

trophoblastic