Chapter 23 (the first trimester)

24. During a 12 - week of the fetal cranium . These structures most likely structures are noted within the lateral ventricles sonogram , bilateral echogenic represent : a . Cerebral tumors b . Cerebral hemorrhage c . Anencephalic remnants d . Choroid plexus

D

25. 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

27. What hormone maintains the corpus luteum during pregnancy ? a . Estrogen b . Progesterone c . Follicle - stimulating hormone d . hCG

D

29. 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

30. All of the following are contributing factors for an ectopic pregnancy except : a . Pelvic inflammatory disease b . Assisted reproductive therapy c . IUCD d . Advanced paternal age

D

31. All of the following are clinical features of an ectopic pregnancy except : a . Pain b . Vaginal bleeding c . Shoulder pain d . Adnexal ring

D

34. All of the following are consistent with a complete hydatidiform mole except : a . Heterogeneous mass within the endometrium b . Bilateral theca lutein cysts c . Hyperemesis gravidarum d . Low hCG

D

18. The first sonographically identifiable sign of pregnancy is the : a . Amnion b . Yolk sac c . Decidual reaction d . Chorionic cavity

C

22. 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

10. Another name for the chorionic sac is the : a . Chorionic cavity b . Extraembryonic coelom c . Amniotic sac d . Gestational sac

D

11. What is often used to medically treat an ectopic pregnancy ? a . Dilatation and curettage b . Dilatation and evacuation c . Open surgery d . Methotrexate

D

20. 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

21. 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

38. 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

39. Which of the following is the most likely metastatic location for GTD ? a . Rectum b . Pancreas c . Spleen d . Lungs

D

4. 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

40. 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

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

D

17. 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

3. Fertilization typically occurs within _____ after ovulation . a . 40 hours b . 12 hours c . 24 hours d . 56 hours

C

33. 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 ip silateral ovary

C

36. A sonographic examination was performed on a pregnancy patient who complained of vaginal bleeding Sonographically , a crescent - shaped anechoic area is noted adjacent to the 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

5. With a normal pregnancy , the first structure noted within the decidualized endometrium is the : a . Yolk sac b . Chorionic sac c . Amniotic cavity d . Embryo

B

12. What structure lies within the extraembryonic coelom ? a . Gestational sac b . Embryo c . Yolk sac d . Amnion

C

1. What structure connects the embryo to the yolk sac ? a . Vitelline duct b . Yolk stalk c . Amnion d . Chorionic stalk

A

14. What is the most common form of GTD ? a . Complete molar pregnancy b . Partial molar pregnancy c . Invasive mole d . Choriocarcinoma

A

15. In the first trimester , normal hCG levels will : a . Double every 48 hours b . Triple every 24 hours c . Double every 24 hours d . Double every 12 hours

A

19. The first structure noted within the gestational sac is the : a . Yolk sac b . Embryo c . Decidual reaction d . Chorionic sac

A

2. What is the name of the dominant follicle prior to ovulation ? a . Graafian b . Corpus luteum c . Morula d . Corpus albicans

A

23. The migration of the embryologic bowel into the base of the umbilical cord at 9 weeks is referred to as : a . Physiologic bowel herniation b . Pseudo omphalocele c . Omphalocele d . Gastroschisis

A

28. The most common cause of pelvic pain with pregnancy is : a . Ecopic pregnancy b . Heterotopic pregnancy c . Missed abortion d . Molar pregnancy

A

32. 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

35. A malignant form of GTD is : a . Choriocarcinoma b . Hydatidiform mole c . Anembryonic d . Hydropic villi

A

9. What is the stage of the conceptus that implants within the decidualized endometrium ? a . Blastocyst b . Morula c . Zygote d . Ovum

A

13. What hormone , produced by the corpus luteum , maintains the thickened endometrium ? a . Estrogen b . Progesterone c . hCG d . Luteinizing hormone

B

16. 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

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

B

37. All of the following would be associated with a lower - than - normal hCG level except : a . Ectopic pregnancy b . Molar pregnancy c . Blighted ovum d . Spontaneous abortion

B

6. The structure created by the union of sperm and egg is the : a . Blastocyst b . Zygote c . Morula d . Ampulla

B

8. Sonographically , a normal - appearing 7 - week IUP is identified . Within the adnexa , 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