Missed Multiple Choice Questions

A successful pregnancy outcome is associated with a yolk sac that: A. Occupies more than 30% of gestational sac volume B. Has a round shape C. Measures less than 2 mm in diameter at 8-10 weeks D. Measures greater than 6 mm in diameter E. Has irregular echogenic borders

B. Has a round shape Normal diameter: 2mm - 6mm and round

A longitudinal image shows an intrauterine gestational sac that occupies one-half of the endometrial canal. The sac size indicates that the gestational age of the pregnancy should be: A. 4 weeks B. 6 weeks C. 8 weeks D. 10 weeks E. 12 weeks

C. 8 weeks By 8 weeks gestational sac should fill half of endometrial canal

Which of the following is NOT an indication of ectopic pregnancy? A. Fluid in the cul-de-sac B. Adnexal Mass C. Double Decidual ring D. Fluid within the endometrial cavity E. Fluid in the right upper quadrant

C. double decidual ring indication for normal intrauterine gestational sac

All of the following are clinical features of an ectopic pregnancy except A. Pain B. Vaginal bleeding C. Shoulder Pain D. Adnexal Ring

D. Adnexal Ring

All of the following may be sonographic findings in the presence of an ectopic pregnancy except: A. Pesudogestational sac B. Corpus luteum cyst C. Adnexal ring D. Double sac sign

D. Double sac sign

Your patient is 10 weeks by good menstrual dates but presents with pregnancy-induced hypertension. You suspect: A. Anembryonic pregnancy B. Hydatiform mole C. Threatened abortion D. Ectopic pregnancy E. Normal pregnancy

D. Ectopic pregnancy

Another name for the chorionic sac is the A. Chorionic cavity B. Extraembryonic coelom C. Amniotic sac D. Gestational Sac

D. Gestational Sac

The trophoblastic cells produce A. Estrogen B. Progestrone C. Follicle-stimulating hormone D. Human chorionic gonadotropin

D. Human chorionic gonaodotropin

Which of the following findings does NOT suggest a spontaneously aborted pregnancy? A. Irregularly shaped gestational sac containing complex echogenic material B. Heavy bleeding and cramping with clots C. Rapidly falling beta-hCG levels D. Large, empty gestational sac E. Empty uterus with thickened endometrium

D. Large, empty gestational sac sign of anembryonic pregnancy or "blighted ovum"

Which of the following structures is NOT associated with the embryologic development of the soft and hard palates? A. Pharyngeal arches B. Lateral palatines processes C. Secondary Palate D. Somites E. Primary palate

D. Somites

Which of the following procedures would be performed to treat the incompetent cervix? A. McDonald procedure B. Shirodkar cerclage C. Cone procedure D. A and B E. A and C

D: A and B

When does the trilaminar embryonic disc form? A. During organogenesis B. During implantation C. During transit through the fallopian tube D. During neurulation E. During gastrulation

E. During gastrulation

A patient presents with a positive pregnancy test, bleeding, and cramping. The sonogram reveals an intrauterine gestational sac containing an echogenic structure but no heartbeat. Measurement of the structure shows it to be 11 mm in length. The most likely diagnosis is: A. Anembryonic pregnancy B. Missed abortion C. Placenta previa D. Partial mole E. Early pregnancy failure

E. Early pregnancy failure