More OB/Gyn Quizzes/Modules
What is the importance of amniotic fluid? (choose all that apply) -protection from trauma/ infection -temperature maintenance -electrolyte regulation -lung development -allows fetal movement
-protection from trauma/ infection -temperature maintenance -electrolyte regulation -lung development -allows fetal movement
The fetal heart should occupy ____ of the fetal chest. -1/2 -1/3 -1/4 -1/5
1/3
Fetal intestines should not be seen outside of the fetal abdomen after _________ weeks gestation. -6 -8 -10 -12
12
Fetal kidneys should be routinely visualized after: -10 weeks -12 weeks -14 weeks -16 weeks
16 weeks
With a normal intrauterine pregnancy, hCG should double every: -12 hours -24 hours -48 hours -36 hours
48 hours
Where is the fibroid located in the image? -Body of uterus -Anterior -Posterior -Fundus of uterus -A and C -A and B
A and C
In this transvaginal image, what is the position of this uterus? -Anteverted -Anteflexed -Retroverted -Retroflexed
Anteflexed
What is the location of this placenta? -Posterior -Right lateral wrap -Inferior -Anterior
Anterior
What congenital abnormality is seen in this coronal transvaginal image? -Bicornis UT -Normal UT -Arcuatus Uterus -Unicornis UT
Arcuatus Uterus
What congenital abnormality is seen in this transvaginal image? -Arcuatus Uterus -Normal Uterus -Unicornis Uterus -Bicornis Uterus
Bicornis Uterus
What is the red arrow pointing to? -Bladder -Stomach -Gallbladder -Kidney
Bladder
Which part of the spine is being demonstrated in this image? -T-Spine -C- Spine -L-Spine -S-Spine
C- Spine
What is the dark RED arrow pointing to in this image? -Falx -Cavum Septum Pellucidum -Sylvian Fissure -Lateral Ventricle -Thalami
Cavum Septum Pellucidum
What brain anatomy is being measured by the BLUE 'X' calipers? -Nuchal Fold -Cerebellum -Cisterna Magna -Nuchal Translucency
Cerebellum
What is being measure in this image? -Uterus -Cervix -Endometrium -None of the above
Cervix
What is being shown in this image? -Fundus of the Uterus -Cervix -Endometrium
Cervix
What is the arrow pointing to? -Vagina -Cervix -Fundus -Isthmus
Cervix
What is being measured by the GREEN * calipers in this image? -Nuchal Fold -Cerebellum -Vermis -Cisterna Magna
Cisterna Magna **The cisterna magna is the space in between the cerebellum and the fetal skull. This is in the area of the 4th ventricle. The cisterna magna measurement should not be greater than 10mm.
What is seen on this ultrasound image of the ovary? -Cumulous Oopherus -Cyst -Normal Follicles -Cystadenoma
Cumulous Oopherus
All of the following are associated with polyhydramnios except.. -Skeletal dysplasia -Neural Tube defects -DRIP -Hydrops
DRIP
What is the ORANGEarrow pointing to in this image? -3rd Ventricle -Cavum Septum Pellucidum -Sylvian Fissure -Thalami -Falx
Falx **We can see the falx at many levels in the fetal brain. It will run from the front of the fetal head to the back of the fetal head, dividing the brain into halves.
In this transverse image of the fetal chest, if you angle inferior within the fetus, the first thing you will see is the ____________. -Cord Insertion -Fetal Adrenals -Fetal Kidneys -Fetal Stomach
Fetal Stomach
A 24 year old female patient presents to the US department for a pelvic ultrasound with indication of pelvic pain. Upon scanning, the sonographer notes an anechoic mass in the vaginal canal. This mass most likely represents a: -Nabothian cyst -Gartner duct cyst -Dandy Walker cyst -Ovarian cyst
Gartner duct cyst
Which image is at the correct level of the brain to take your HC measurement? -Image 2 -Image 1
Image 1 **Image 1 is taken through the level of the thalami where we need to take the BPD and HC measurements. Image 2 is taken at the level of the peduncles and the cerebellum.
Which femur measurement would be the most accurate? ? -Image 1 -Image 2
Image 1 **Image 1 shows a good femur to measure. The femur is stretched out straight across the screen, it is not diving or angled. Image 2 shows a femur that is pointed downwards....when you image the femur like this, you need to try your best to get the femur stretched out straight across the screen like it is in image number 1. When the femur is diving like in image number 2, because of scanning artifacts, this angle can falsely elongate the femur to where your measurements are not as accurate.
At this level in the fetal brain, which way would you angle in order to image the choroid plexus? -Lateral -Superior -You would not angle at all. -Inferior
Inferior **We are at the level of the periventricular lines in this image. In order to see the choroid plexus at the level, we would need to angle down or inferior.
At this point in the fetal brain, which way would you angle to image the anatomy to take your BPD and HC measurements? -Superior -Medial -Inferior -You would not angle at all.
Inferior **When we are imaging the choroid plexus and lateral ventricles, we should angle inferior to see the thalami, where we will take our BPD and HC measurements.
What anatomical structures are the red arrows pointing to? -Spine -Kidneys -Adrenal Glands -Liver
Kidneys
At this level in the fetal brain, which way would you angle to image the atria of the lateral ventricles? -More Superior -There would be no need to angle the transducer at this level. -More Caudal -More Inferior
More Superior **When we are at the level of the thalami, we need to angle up or more superior to see the atria of the lateral ventricles and the choroid plexus.
A 38 year old female patient present to the US department for a pelvic sonogram with an indication of pelvic pain. Scanning the patient, the sonographer notes anechoic masses within the cervix. These masses most likely represent: -Nabothian cyst -Benign follicular cyst -Dermoid cyst -Gartner duct cyst
Nabothian cyst
What is seen in the cervix? -Gartner's Duct cysts -fibroid -normal -Nabothian cysts
Nabothian cysts
Where is the free fluid located?
Posterior Cul de sac
What is the green arrow pointing to in the transverse image of the fetal abdomen? -Stomach -Right adrenal -Heart
Stomach
What is the anechoic structure that is anterior to the organ pointed out by the ORANGE arrow? -Stomach -Left Kidney -Right Kidney -None of the above
Stomach **If you wrote left kidney, you need to practice reading the questions before you answer them. The question asked what the anechoic structure was that is anterior to the organ that is pointed out with the orange arrow. The stomach is anterior to the left kidney in this image. You have to READ the questions before answering.
Which way would you angle on the fetus to image the stomach? -Inferior -Anterior -Superior -Posterior
Superior
What is the YELLOW arrow pointing to in this image? -3rd Ventricle -Falx -Sylvian Fissure -Cavum Septum Pellucidum -Thalami
Sylvian Fissure
What part of the spine is being demonstrated in this image? -T-Spine -C-Spine -S-Spine
T-Spine
The PURPLE arrow is pointing to what? -Cavum Septum Pellucidum -3rd Ventricle -Thalami -Falx -Sylvian Fissure
Thalami
The arrows in this image are pointing to what thin hyperechoic linear structures in this fetal head? -The anterior horns of the lateral ventricles -The atria of the lateral ventricles -The choroid plexus
The atria of the lateral ventricles ** The choroid plexus is within the lateral ventricles. When there is hydro and the lateral ventricles are enlarged, the choroid plexus may appear to 'dangle'. You will need to measure the posterior lateral ventricle on every 2nd 3rd trimester OB scan to assess size.
Hyperstimulation of the ovaries will likely result in: -Theca lutein cysts -Polycystic disease -Corpus luteal cysts -Hemorrhagic cysts
Theca lutein cysts
Which of the following statements is NOT true of the umbilical cord? -the vein carries oxygenated blood. -There are two veins and one artery. -There are two arteries and one vein. -It inserts superior to the bladder.
There are two veins and one artery.
In what plane is this image taken?
Transverse
What is the arrow pointing to in this image? -Cervix -Vagina -Uterus -Bowel
Vagina
In the image above, the invasion of endometrial tissue into the myometrium of the uterus is referred to as: -amonorrhea -adenomyosis -endometriosis -adenomyomatosis
adenomyosis PIC- not downloading
What are the effects of oligohydramnios? -facial deformities ( Potter facies) -limb/skeletal deformities -pulmonary hypoplasia -cord compression -all of the above
all
Which of the following correctly measures endometrial thickness? -anterior-posterior dimension in the coronal plane -transverse dimension in the coronal plane -anterior-posterior dimension in the sagittal plane -anterior-posterior diameter in the transverse plane
anterior-posterior dimension in the sagittal plane
A 30 year old patient presents with a history of dysmenorrhea. The color in the sonogram are most likely identifying: -leiomyomas -adenomyosis -adenomyosis -arcuate vessels
arcuate vessels PIC- not downloading
A patient presents with a history of multiple miscarriages. Her last menstrual period was 3 weeks earlier. On the basis of this clinical history, the sonogram is most suspicious for a(n): -arcuate uterus -septae uterus -uterine didelphys -bicornuate uterus
bicornuate uterus
Which of the following cranial structures is situated toward the anterior aspect of the head? -cavum septi pellucidi -cerebral thalami -cerebellum -cisterna magna
cavum septi pellucidi
Hairlike projections within the fallopian tube are called: -interstitia -fimbria -cilia -peristalsis
cilia
In the image above, what is the biggest concern? -cord compression -fetal movement -fetal polyhydramnios -fetal weight
cord compression
A hyperechoic focus within a mature follicle most likely represents a: -morula -cumulus -blastocyst -corpus albican
cumulus
What is seen in the endometrium? -Polyp -cysts -fibroid -endometrial carcinoma
cysts
Which of the following endometrial phases demonstrates the thinnest dimension? -early menstrual -early secretory -late proliferation -early proliferation
early proliferation
What is the arrow pointing to in this image? -endometrium -Cervix -Fundus of the uterus -fluid
endometrium
T/F? Oligohydramnios refers to too much amniotic fluid.
false
T/F? Polyhydramnios refers to low amniotic fluid.
false
T/F? The endometrium is thickest during the endometrial phase.
false
True or False: The bladder is filled properly for a trans-abdominal study.
false
True or False: This image is not WNL.
false
T/F? The abdominal circumference is taken at the level of the cord insertion into the fetal abdomen.
false **A/C measurement should be taken at the level of the fetal stomach and the umbilical vein. If you are at the level of the cord insertion, you are too low.
T/F? The fetal heart sits at a 45 degree angle to the right.
false **The fetal heart should always point to the left in the fetal heart.
T/F? In visualizing the fetal spine transversely, one should see two anterior and one posterior ossification center.
false **Transverse fetal spine will appear like a birdhouse. "Roof over the house"
T/F? You should never use color when measuring a pocket of amniotic fluid.
false **You should use color when measuring pockets of fluid to ensure you are not including the umbilical cord in your measurement.
The image above represents: -fetal hypoxia -hemorrhage -cleft defects -fetal breathing
fetal breathing
Which of the following hormones reflects the activity of the ovaries? -estradiol -progesterone -luteinizing hormone -follicle stimulating hormone
follicle stimulating hormone
The space seen between the two atria of the fetal heart is called: -foramen ovale -ductus arteriosus -ductus venosus -tricuspid valve
foramen ovale
The recesses of the vagina are the: -cornu -isthmi -fornices -parity
fornices
What does gravida mean? -how many live births -how many times pregnant -how many abortions -large for gestational age
how many times pregnant
The sonographer is scanning a 25 year old patient with infertility issues. The image above most likely represents: -postmenopausal uterus -arcuate uterus -infantile uterus -none of the above
infantile uterus
The amniotic fluid is produced by the fetal: -liver -interstines -kidneys -urachus
kidneys
In this transvaginal image, Is the IUD in the correct place?
no
Mittelschmerz is associated with: -pregnancy -ovulation -hemorrhage -menstruation
ovulation
In the image above, this image of the ovary most likely represents: -normal ovary -multicystic ovary -polycystic ovary -can't tell from this image alone
polycystic ovary
In this transvaginal image, what is the position of the uterus? -retroverted -anteverted -anteflexed -retroflexed
retroflexed
Which uterine anomaly most likely demonstrates a small dimple in the fundus? -subseptae -didelphys -bicornuate -unicornuate
subseptae
A pregnant patient who becomes faint and nauseous during the sonogram is experiencing: -hyperemesis gravidarum -pregnancy induced hypertension -normal morning sickness -supine hypotensive syndrome
supine hypotensive syndrome
If you are scanning the pelvis and you see ovaries that have this appearance bilaterally one would assume this diagnosis: -polycystic disease -theca lutein cysts -ovarian torsion -none of the above
theca lutein cysts
Is this a transabdominal or transvaginal image?
transabdominal
Is this a transabdominal or transvaginal image of the uterus?
transvaginal
What endometrial appearance does this endometrium have? -proliferative -menstrual -trilaminar -none of the above
trilaminar
T/F? Amniotic fluid volume that falls below normal levels for gestational age is termed oligohydramnios.
true
T/F? Fetal gender can't be, reliably with ultrasound, differentiated until after 16 weeks.
true
T/F? The BPD & head circumference should be taken at the level of the thalami.
true
T/F? The image above represents the quadrants measured for an AFI?
true
T/F? This image above represents proper AFI measurements.
true
T/F? This image of a 14 week fetus shows adequate amniotic fluid?
true
True or False: This is the most common congenital abnormality of the uterus.
true
Oxygenated blood is carried to the fetus via the: -spiral arteries -umbilical arteries -umbilical vein -uterine arteries
umbilical vein
Amniotic fluid is composed primarily of: -albumen -alphafetoprotein -water -urea
urea
Partial fusion of the caudal mullerian ducts will most likely result in an anomaly of the: -uterus -ovary -vagina -fallopian tube
uterus
The choroid plexus of the brain sits inside the: -ventricles -thalami -cisterna magna -peduncles
ventricles
Does the ovary appear to be WNL?
yes
Is this a required image in a fetal anatomical survey?
yes
Is this the correct level in the fetal brain to take BPD and HC measurements?
yes