Chapter 1: Orientation and Labeling in Obstetric and Gynecologic Imaging

Question 1

position of the fetus in utero

Answer 1

fetal lie

Question 2

left lateral decubitus position with the knees and thighs toward the chest

Answer 2

Sims position

Question 3

toward the head or cranium

Answer 3

cranial

Question 4

body in the erect position with the palms forward and feet pointed forward

Answer 4

anatomic position

Question 5

form, structure, and location of organs

Answer 5

morphology

Question 6

toward the back or spine

Answer 6

dorsal

Question 7

term used to describe which portion of the fetus will deliver first

Answer 7

fetal presentation

Question 8

toward the belly or front

Answer 8

ventral

Question 9

toward the feet or tail end

Answer 9

caudal

Question 10

The sagittal scan plane refers to a(n):

Answer 10

vertical plane dividing the fetal or female body into right or left sections

Question 11

The _____ view divides the patient body into anterior and posterior planes

Answer 11

coronal

Question 12

A transabdominal transducer provides a position indicater (i.e, notch, groove) comparable to an image marker such as an arrow or dot. The position indicator shoudl be toward the _____ for longitudinal imaging and toward the patient’s _____ in transverse imaging.

Answer 12

head, right

Question 13

A fetus positioned with the cranium in the superior uterus, rump in the inferior uterus, and spine at the maternal right uterus is labeled:

Answer 13

breech, left lateral

Question 14

Choose the position that is the same as a cephalic presentation:
a. Frank breech
b. oblique
c. transverse
d. vertex

Answer 14

d

Question 15

Minimal documentation on a technical impression worksheet should include:

Answer 15

examination date, patient name and identifiers, specific examination requested

Question 16

Select the appropriate statement for a sonographer’s technical impression.
a. Ruptured ectopic pregnancy
b. retroflexed uterus
c. posterior cul-de-sac free fluid
d. heterogeneous right ovary with a 2 x 4 mm echogenic shadowing focus

Answer 16

d

Question 17

Ipsilateral means:

Answer 17

located or affecting the same side of the body

Question 18

The aorta, IVC, and iliac vessels lie ____ to the female reproductve organs

Answer 18

deep

Question 19

Select the incorrect gynecologic abbreviation:
a. AF anteflexed
b. FHR fundal height requirement
c. OV ovary
d. CX cervix

Answer 19

b

Question 20

An endovaginal sagittal anteflexed or anteverted uterus image requires the transducer orientation marker to be placed at ____ o’clock.

Answer 20

12

Question 21

The LPO position needs a patient to lie on the ____ posterior surface with a _____ anterior surface.

Answer 21

left, right

Question 22

In obstetrics, RPOC means:

Answer 22

retains products of conception

Question 23

The _____ portion of the fallopian tubes attaches onto the lateral uterus

Answer 23

proximal

Question 24

The term _____ indicates that the fetal buttocks are toward the cervix

Answer 24

breech

Question 25

The term ____ indicates that the fetal cranium is positioned toward the cervix

Answer 25

vertex

Question 26

If the uterus does not lie in a true longitudinal or transverse position, it can be identified by ____, ______, or _____ the transducer to align it into an identifiable plane

Answer 26

rocking sliding angling

Question 27

The abdominal wall is _____ to the uterus

Answer 27

superficial

Question 28

TAH means:

Answer 28

total abdominal hysterectomy

Question 29

To direct fetal weight from the maternal great vessels use the ____, _____, and _____ position.

Answer 29

RLD LLD Sims

Question 30

LGA means:

Answer 30

large for gestational age

Question 31

To identify cranial anatomy in late pregnancy when the transabdominal approach is not adequate, use either a _____ or _____ approach.

Answer 31

translabial endovaginal

Question 32

Common interchangeable terms to describe the long axis of the uterus

Answer 32

sagittal, parasagittal, longitudinal

Question 33

Explain the correct direction to rotate the TA or EV transducer to obtain a transverse image

Answer 33

rotate transducer counterclockwise to place marker to patient's right

Question 34

3 common anatomic scanning plans

Answer 34

coronal sagittal transverse

Question 35

patient positions used for transabdominal approach

Answer 35

decubitus positions, sims position, supine or dorsal, lithotomy/modified lithotomy, left-right posterior oblique, reverse Trendelenburg

Question 36

The apex of a transvaginal/ endovaginal image corresponds to what part of the anatomy?

Answer 36

anatomy closest to the face of the transducer

Question 37

toward the head, anatomy or pathology closer to the head, the upper portion or locations of the body, organ, or pathology

Answer 37

superior (cranial, cephalic)

Question 38

toward the feet, anatomy or pathology closer to the feet, the lower portion or location of the body, organ, or pathology, posterior or back of head (brain)

Answer 38

inferior (caudal)

Question 39

toward the front, anatomy or pathology closer to the front, the frontal portion or location of the body, organ, or pathology

Answer 39

anterior (ventral)

Question 40

toward the back, anatomy or pathology closer to the back, the back portion or location of the body, organ, or pathology, describes the posterior section of the brain

Answer 40

posterior (caudal, dorsal)

Question 41

toward the middle of the body, anatomy, or pathology

Answer 41

medial

Question 42

away from the middle of the body, anatomy, or pathology

Answer 42

lateral

Question 43

located or affecting the same side of the body

Answer 43

ipsilateral

Question 44

located or affecting the opposite side of the body

Answer 44

contralateral

Question 45

closer to the attachment of an extremity to the trunk, the origin of a body part, pathology, or malformation

Answer 45

proximal

Question 46

further from the attachment of an extremity to the trunk, the origin of a body part, pathology, or malformation

Answer 46

distal

Question 47

toward the body surface or externally located

Answer 47

deep

Question 48

toward the nose or anterior of the head

Answer 48

rostral

Question 49

ABD

Answer 49

abdomen

Question 50

DX

Answer 50

diagnosis

Question 51

EMR

Answer 51

electronic medical records

Question 52

ERT

Answer 52

estrogen replacement therapy

Question 53

LMP

Answer 53

last menstrual period

Question 54

MP

Answer 54

midplane

Question 55

PHR

Answer 55

patient health records

Question 56

SAG

Answer 56

sagittal

Question 57

TRV

Answer 57

transverse

Question 58

AF

Answer 58

anteflexed

Question 59

AV

Answer 59

anteverted

Question 60

CX

Answer 60

cervix

Question 61

EV

Answer 61

endovaginal

Question 62

GYN

Answer 62

gynecology

Question 63

IUD/IUCD

Answer 63

intrauterine device/ intrauterine contraceptive device

Question 64

OV

Answer 64

ovary

Question 65

PAH

Answer 65

partial abdominal hysterectomy

Question 66

PCOD

Answer 66

Polycystic ovarian disorder

Question 67

PID

Answer 67

pelvic inflammatory disease

Question 68

RF

Answer 68

retroflexed

Question 69

RV

Answer 69

retroverted

Question 70

TA

Answer 70

transabdominal

Question 71

TAH

Answer 71

Total abdominal hysterectomy

Question 72

TL

Answer 72

tubal litigation

Question 73

TV

Answer 73

transvaginal

Question 74

TVH

Answer 74

total vaginal hysterectomy

Question 75

UT

Answer 75

uterus

Question 76

A

Answer 76

abortions/miscarriages (used before 24 wks)

Question 77

AFP

Answer 77

alfa feta protein

Question 78

CS or C/S

Answer 78

cesarean section

Question 79

EAB

Answer 79

elective abortion

Question 80

EDD/EDC

Answer 80

Estimated date of delivery/ estimated date of confinement

Question 81

EFD

Answer 81

early fetal demise (used after 24 wks)

Question 82

FHR

Answer 82

fetal heart rate

Question 83

G

Answer 83

gravida (number of pregnancies)

Question 84

GA

Answer 84

gestational age

Question 85

HR

Answer 85

heart rate

Question 86

IUD

Answer 86

intrauterine death

Question 87

L

Answer 87

living children

Question 88

LGA

Answer 88

large for gestational age

Question 89

MW

Answer 89

midwife

Question 90

OB

Answer 90

obstetric

Question 91

P

Answer 91

preterm births or Para (number of births)

Question 92

PPH

Answer 92

Postpartum hemorrhage

Question 93

Primip

Answer 93

primigravida

Question 94

RPOC

Answer 94

retains products of conception

Question 95

SGA

Answer 95

small for gestational age

Question 96

T

Answer 96

Term births

Question 97

VTZ

Answer 97

vertex