OBGYN Board Exam "Wrong Questions"
The nuchal fold measurement is typically obtained between _______ and ________ weeks
15 and 21
The cervix should measure at least ______ in length
3 cm
Normal Diploid cells have ________ Chromosomes
46
An asymptomatic 65 year old presents with pelvic pain but no bleeding, endo thickness should not exceed _________
8 mm
All of the following are associated with omphalocele except: A. normal cord insertion B. Multiple chromosomal abnormalities C. Elevated MSAFP D. Periumbilical mass
A
Causes of postmenopausal bleeding include all of the following except: A. Asherman syndrome B. Endometrial atrophy C. Endometrial hyperplasia D. Intracavitary fibroids
A
The ovarian tumor associated with an elevated serum lactate dehydrogenase is the: A) Dysgerminoma B) Sertoli-Leydig cell tumor C) Androblastoma D) Mucinous cystadenocarcinoma
A
The right ovarian artery branches off of the: A. Aorta B. Right renal artery C. Uterine artery D. Internal iliac artery
A
The artifact seen posterior to solid structures such as fetal bone is referred to as what?
Acoustic shadowing
Which of the following best describes hypospadias?
An abnormal ventral curvature of the penis
Which of the following is considered to be the most common type of colonic atresia?
Anorectal atresia
the fourth ventricle is located _________ to the cerebellar __________
Anterior Vermis
Which of the following is a genetic disorder that includes craniosynostosis, midline facial hypoplasia, and syndactyly?
Apert Syndrome
What abnormality results in limitation of the fetal limbs as a result of joint contractures?
Arthrogryposis
The form of inheritance in which at least one parent has to be a carrier of an abnormal gene for it to be passed on to the fetus is known as:
Autosomal dominant
A patient presents to the sonography department with a fever, chills, and vaginal discharge. Sonographically, what findings would you most likely not encounter? A. cul de Sac fluid B. uterine adhesions C. Dilated uterine tubes D. Ill defined uterine border
B
All of the following are sonographic features of pentalogy of Centrell except: A. omphalocele B. Gastroschisis C. Cleft sternum D. Diaphragmatic hernia
B
The pelvic ligament that provides support to the ovary and extends from the ovary to the lateral surface of the uterus is the: A) Cardinal ligament B) Ovarian ligament C) Broad ligament D) Suspensory ligament of the ovary
B
What is the stage of conceptus that implants within the decidualized endometrium?
Blastocyst
After the graafian follicle ruptures, the remaining structure is termed the: A) Graafian follicle B) Corpus albicans C) Corpus luteum D) Theca lutein cyst
C
All of the following are associated with a thin placenta except: A. Preeclampsia B. IUGR C. Fetal Hydrops D. Long standing diabetes
C
All of the following are characteristic sonographic findings of achondrogenesis except: A. Micromelia B. Absent mineralization of the pelvis C. Multiple dislocated joints D. Polyhydramnios
C
All of the following are sonographic signs of Ebstein Anomaly except: A. enlarged right atrium B. Fetal hydrops C. Narrowing of the aortic arch D. Malpositioned tricuspid valve
C
An endometrioma most likely appears as a : a) simple, anechoic mass with through transmission b) complex mass with internal shadowing components c) mostly cystic mass with low level echoes d) solid, hyperechoic shadowing mass
C
Tamoxifen has been linked with all of the following except: a. Endometrial polyps b. Endometrial hyperplasia c. Endometrial leiomyoma d. Endometrial carcinoma
C
With what ovarian tumor is Meigs syndrome most likely associated? a) dysgerminoma b) cystic teratoma c) fibroma d) yolk sac tumor
C
Which of the following will also typically be absent with agenesis of the corpus callosum?
CSP
In VACTERL association the letter C stands for what?
Cardiac
All of the following are associated with oligohydramnios except: A. Bilateral renal agenesis B. Infantile PCD C. Premature rupture of membranes D. Duodenal Atresia
D
All of the following are associated with polyhydramnios except: A. Omphalocele B. Gastroschisis C. Esophageal Atresia D. Bilateral MCDK Disease
D
All of the following are clinical features of an ectopic pregnancy except: A. Pain B. vaginal bleeding C. Shoulder pain D. Adnexal ring
D
All of the following are considered high risk factors for PID except: A. IUD B. multiple sexual partners C. Post childbirth D. uterine leiomyoma
D
All of the following as associated with esophageal atresia except: A. down syndrome B. VACTERL C. Edwards syndrome D. Oligohydramnios
D
All of the following may be sonographic findings in the presence of an ectopic pregnancy except: A. pseudogestational sac B. Corpus luteum cyst C. Adnexal ring D. Low beta HCG
D
All of the following may be visualized at the correct level of the HC except: A. 3rd ventricle B. thalamus C. CSP D. falx cerebelli
D
LH is produced by the: A) Ovary B) Endometrium C) Hypothalamus D) Anterior pituitary gland
D
Which of the following is not a potential cause of PID: A. Intrauterine contraception use B. postabortion C. Chlamydia D. Pyelonephritis
D
Which of the following is not associated with endometrial hyperplasia? A. Tamoxifen therapy B. PCOS C. ovarian thecoma D. Asherman syndrome
D
The condition in which there is no nose and a proboscis separating two close set orbits is known as what?
Ethmocephaly
what hormone of the pituitary gland stimulates follicular development of the ovary?
FSH
Sonographically, which of the following would most likely be confused for a pendunculated fibroid tumor because of its solid appearing structure?
Fibroma
Which of the following ovarian tumors would be most likely to cause postmenopausal bleeding?
Fibroma
With what structure does the posterior fossa cyst associated with DWM communicate?
Fourth Ventricle
Evidence of Polyhdramnios should warrant a careful investigation of the fetal __________ system
Gastrointestinal
Endovaginal transducers may be cleaned by submerging in a(n) ____-based solution
Glutaraldehyde
The hormone produced by the hypothalamus that controls the release of hormones for mesntruation by the anterior pituitary gland is what?
GnRH
The sonographic finding of a fluid filled carnium with absence of cerebral tissue is consistent with what?
Hydranencephaly
What ovarian tumor will most likely have a moth eaten appearance?
Kurukenberg tumor
the two hormones are produced by the anterior pituitary gland that impact the menstrual cycle are ________ and ________
LH and FSH
the lack of sulci within the fetal cerebrum is a reliable indicator of
Lissencephaly
Which of the following is the most likely metastatic location for GTD?
Lungs
Abnormally heavy and prolonged mesntrual flow between periods is termed?
Menometrorrhagia
Which of the following would be best defined as abnormally heavy menstrual flow?
Menorrhagia
What fetal suture is located within the frontal bone along the mid line of the forehead?
Metopic suture
Which of the following could also be described as intermenstrual bleeding?
Metrorrhagia
Which of the following is intermenstational bleeding?
Metrorrhagia
A female patient presents to the US department with a Hx of Clomid treatment. She is complaining of nausea, vomiting, and abdominal distension. What circumstance is most likely causing her symptoms?
OHS
A bell-shaped chest and multiple fetal fractures are indicative of:
Osteogenesis Imperfecta
Upon sonographic interrogation of a 28-week pregnancy, you note that when pressure is applied to the fetal skull, the skull can be easily distorted. This is sonographic evidence of:
Osteogenesis Imperfecta
Which of the following most often leads to an elevation of CA-125
Ovarian carcinoma
Which of the following is said to be a common cause of DUB?
PCOS
Which of the following is also referred to as trisomy 13?
Patau syndrome
Absent long bones with the hands and feet arising from the shoulders and hips describes:
Phocomelia
What hormone is released by the ovary during the second half of the menstrual cycle?
Progesterone
Complex-appearing fluid within the fallopian tubes seen with PID is most likely:
Pyosalpinx
What is another term for the space of retzius?
Retropubic space
What ovarian mass is associated with virilization?
Sertoli-Leydig cell tumor
A cloverleaf skull is related to what?
Thanatophoric Dysplasia
Twins having two placentas and one amniotic sac are referred to as:
This does not occur
A strawberry shaped skull is common with what trisomy?
Trisomy 18
A 22 week fetus with clinodactyly an echogenic intracardiac focus and hyperechoic bowel is noted during a screening US. These findings are associated with what?
Trisomy 21
What chromosomal abnormality is associated with echogenic bowel?
Trisomy 21
All of the following are associated with duodenal atresia except: A. trisomy 21 B. esophageal atresia C. VACTERL association D. Turner syndrome
Turner Syndrome
Which of the following would most likely involve the development of cystic hygroma? A. hydranencephaly B. Turner Syndrome C. Beckwidth Wideman D. Klinefelter
Turner Syndrome
What is an opening within the septum that separates the right and the left ventricles?
VSD
Peritoneal spaces located posterior to the broad ligament are referred to as the:
adnexa
Which statement is true concerning fetal outflow tracts? The normal pulmonary artery should be positioned ___________ to the aorta and should be seen crossing __________ it
anterior over
FSH is produced by the __________________
anterior pituitary gland
For the normal biophysical profile, the amniotic fluid pocket should measure:
at least 1 cm in two perpendicular planes
Placenta Accrete denotes the abnormal ____________ of the placenta to the...
attachment ...myometrium
OEIS complex is also referred to as __________ exstrophy
cloacal
The band of tissue that allows communication between the right and left cerebral hemispheres is the:
corpus callosum
the temporary endocrine gland that results from the rupture of graafian follicle is the _________ __________
corpus luteum
A 34 year old female: intermenstruational bleeding, on US you see a focal irregularity and enlargement of one area of the endometrium. The most likely diagnosis is _____________ _________
endometrial polyps
Prune belly syndrome is caused by an _________ __________
enlarged bladder
What is the typical US appearance of the endo during the secretory phase?
hyperechoic and thick
In the 3 line sign of the endo, the functional layer of the endometrium typically appears?
hypoechoic
the most distal portion of the fallopian tube
infundibulum
The blood returning from the lungs through the pulmonary veins enters into the ___________ ____________
left atrium
Prolpase of the pelvic organs most often invloves the _______________ and ___________ muscles
levator ani Coccygeus
What is the term for a smaller than normal ear?
microtia
A 31 year old patient presents for a saline infusion sonohysteogram complaining of bleeding and infertility. On US a mass is demonstrated emanating from the myometrium and distorting the endometrial cavity. What is the most likely diagnosis?
mubmucosal leiomyoma
The anechoic space along the posterior aspect of the fetal neck is the __________ ________________
nuchal translucency
Which of the following artifacts is caused by attenuation of the sound beam?
posterior shadowing
What substance does hysterosalingography utilize for the visualization of the uterine cavity and fallopian tubes?
radiographic contrast
Optimal scan plane to visualize micrognathia?
sagittal
When the ovary is in the luteal phase, the endometrium is in the __________ phase
secretory
the pelvic ligament that provides support to the ovary to the pelvic side wall is the...
suspensory ligament of the ovary
the sonographic findings of an endometrial polyp may include: diffuse _____________ of the endometrium
thickening
An EIF would most likely be associated with what trisomy?
trisomy 21