the first trimester PRACTICE QUIZ

The most common cause of pelvic pain with pregnancy is: a. ectopic pregnancy b. heterotopic pregnancy c. missed abortion d. molar pregnancy

a

What is the most common form of GTD? a. complete molar pregnancy b. partial molar pregnancy c. invasive mole d. choriocarcinoma

a

What structure connects the embryo to the yolk sac? a. vitelline duct b. yolk stalk c. amnion d. chorionic stalk

a

a malignant form of GTD is: a. choriocarcinoma b. hydatidform mole c. anembryonic d. hydropic villi

a

in the early gestation where is the secondary yolk sac located? a. chorionic cavity b. base of the umbilical cord c.embryonic cranium d. amniotic cavity

a

in the first trimester, normal hCG levels will: a. doubles every 48 hours b. triple every 24 hours c. double every 24 hours d. double every 12 hours

a

the first structure noted within the gestational sac is the: a. yolk sac b. embryo c. decidual reaction d. chorionic sac

a

the migration of the embryologic bowel into the base on the umbilical cord at 9 week is referred to as: a. physiologic bowel herniation b. pseudo-omphalocele c. omphalocele d. gastroschisis

a

what is the name of the dominant follicle prior to ovulation? a. graafian b. corpus luteum c. morula d. corpus albicans

a

what is the stage of the conceptus that implants within the decidualized endometrium? a. blastocyst b. morula c. zygote d. ovum

a

Sonographically, a normal appearing 7 week IUP is identified. Within the adenxa, an ovarian cystic structure with a thick, hyperechoic rim is also discovered. What does this ovarian mass most likely represent? a. theca lutein cyst b. corpus luteum cyst c. corpus albicans d. ectopic pregnancy

b

all of the following are associated with an abnormal NT except: a. Trisomy 21 b. Trisomy 16 c. Trisomy 18 d. Turner syndrome

b

all of the following would be associated with a lower-than-normal hCG level except: a. ectopic pregnancy b. molar pregnancy c. uterine enlargement d. spontaneous abortion

b

compared with a normal IUP, the ectopic pregnancy will have a: a. High hCG b. Low hCG c. Markedly elevated hCG d. High AFP

b

the structure created by the union of sperm and egg is the: a. blastocyst b. zygote c. morula d. ampulla

b

what hormones produced by the corpus luteum, maintains the thickened endometrium? a. estrogen b. progesterone c. hCG d. luteinizing hormone

b

with a normal pregnancy, the first structure noted within the decidualized endometrium it the: a. yolk sac b. chorionic sac c. amniotic cavity d. embryo

b

The first sonographically identifiable sign of pregnancy is the: A. Amnion B. Yolk sac C. Decidual reaction D. Chorionic cavity

c

Which of the following locations for an ectopic pregnancy would be least likely? a. isthmus of the tube b. ampulla of the tube c. ovary d. interstitial of the tube

c

a sonographic examination was performed on a pregnancy patient who complained of vaginal bleeding. Sonographically, a crescent-shaped gestational sac. The gestational sac contained a 6-week single live IUP. What is the most likely diagnosis? a. ectopic pregnancy b. molar pregnancy c. subchorionic hemorrhage d. anembryonic gestation

c

all of the following are sonographic findings consistent with ectopic pregnancy except: a. decidual thickening b. complex free fluid within the pelvis c. bilateral, multiloculated ovarian cysts d. complex adnexal mass separate from the ipsilateral ovary

c

during a first-trimester sonogram, you note a round, cystic structure within the fetal head. This most likely represents the: a. prosencephalon b. mesencephalon c. rhombencephalon d. proencephalon

c

fertilization typically occurs within __ after ovulation. a. 40 hours b. 12 hours c. 24 hours d. 56 hours

c

what structure lies within the extrembryonic coelom? a. gestational sac b. embryo c. yolk sac d. amnion

c

NT measures are typically obtained between: a. 1 and 5 weeks b. 5 and 8 weeks c. 8 and 11 weeks d. 11 and 14 weeks

d

What hormone maintains the corpus luteum during pregnacy? a. estrogen b. progesterone c. follicle-stimulating hormone d. hCG

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 clinical findings consistent with a complete molar pregnancy except: a. vaginal bleeding b. hypertension c. uterine enlargement d. small for dates

d

all of the following are consistent with a complete hydatididform mole except: a. heterogeneous mass within the endometrium b. bilateral theca lutein cysts c. hyperemesis gravidarum d. low hCG

d

all of the following are contributing factors for an ectopic pregnancy except: a. pelvis inflammatory disease b. assisted reproductive therapy c. IUCD d. advanced paternal age

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

another name for the chorionic sac is the: a. chorionic cavity b. extraembryonic coelom c. amniotic sac d. gestational sac

d

during a 12-week sonogram, bilateral echogenic structures are noted within the lateral ventricle of the fetal cranium. These structures most likely represent: a. cerebral tumors b. cerebral hemorrhage c. anencephalic remnants d. choroid plexus

d

the most common location of an ectopic pregnancy is the: a. ovary b. interstitial portion of the uterine tube c. cornual portion of the uterine tube d. ampullary portion of the uterine tube

d

the most common pelvic mass associated with pregnancy is the: a. uterine leiomyoma b. dermoid cyst c. theca luteum cyst d. corpus luteum cyst

d

the most common site of fertilization is within the: a. isthmus of the uterine tube b. uterine fundus c. cornu of the uterine tube d. ampulla of the uterine tube

d

the normal gestational sac will grow: a. 2 mm per day b. 3 mm per day c. 1 cm per day d. 1 mm per day

d

the trophoblastic cells produce: a. Estrogen b. Progesterone c. Follicle-stimulating hormone d. hCG

d

what is often used to medically treat an ectopic pregnancy? a. dilation and curettage b. dilation and evacuation c. open surgery d. methotrexate

d

which of the following is the most likely metastatic location for GTD? a. rectum b. pancreas c. spleen d. lungs

d