obstetric sonography PRACTICE QUIZ

Typically, with anencephaly, the maternal serum alpha-fetoprotein value will be: a. elevated b. decreased c. this laboratory finding is not helpful d. unchanged

a

Typically, with gastroschisis, the maternal serum alpha-fetoprotein value will be: a. elevated b. decreased c. this laboratory finding is not helpful d. unchanged

a

Which of the following is not part of the biophysical profile? a. fetal swallowing b. flexion of the limb c. amniotic fluid d. fetal breathing

a

all of the following are produced by the placenta except: a. alpha-fetoprotein b. hCG c. PAPP-A d. inhibin A

a

all of the following would be an indication for a third-trimester sonogram except: a. evaluate NT b. evaluate fetal presentation c. evaluate fetal growth d. evaluate gestational age

a

the clinical manifestations of supine hypotensive syndrome include all of the following except: a. proteinuria b. tachycardia c. nausea d. pallor

a

the number of pregnancies is defined as: a. gravidity b. parity c. primigravida d. primiparous

a

the protein that is produced by the yolk sac, fetal gi tract, and the fetal liver is: a. afp b. hCG c. PAPP-A d. inhibin A

a

the triple screen typically includes an analysis of: a. hCG, alpha-fetoprotein, and estriol b. fetal NT, alpha-fetoprotein, and inhibin A c. hCG, alpha-fetoprotein, and inhibin A d. hCG, alpha-fetoprotein, and PAPP-A

a

what is defined as the area located posterior to the broad ligaments and adjacent to the uterus, which contains the ovaries and fallopian tubes? a. adnexa b. paraovarian c. pouch of douglas d. space of retzius

a

which of the following forms of fetal presentation is the most common? a. cephalic b. complete breech c. frank breech d. transverse

a

a myelomeningocele is associated with: a. down syndrome b. spina bifida c. edwards syndrome d. patau syndrome

b

for the normal biophysical profile, the amniotic fluid pocket should measure: a. greater than 4 cm in two perpendicular planes b. at least 2 cm in two perpendicular planes c. greater than 5 cm in two perpendicular planes d. at least 3 cm in two perpendicular planes

b

the dilation of the renal collecting system secondary to the obstruction of normal urine flow defines: a. nephrocalcinosis b. hydronephrosis c. renal calculi d. urinary stasis

b

the premature separation of the placenta from the uterine wall before the birth of the fetus describes: a. placenta previa b. placental abruption c. ectopic cordis d. subchorionic hamartoma

b

the second trimester typically refers to weeks: a. 12 through 26 b. 13 through 26 c. 10 through 28 d. 26 through 42

b

typically, with a miscarriage, the serum hCG value will be: a. elevated b. decreased c. this laboratory finding is not helpful d. unchanged

b

what is describes as the number of pregnancies in which the patient has given birth to a fetus at or beyond 20 weeks gestational age or an infant weighing more than 500 g? a. gravidity b. parity c. primigravida d. primiparous

b

what is the fetal presentation when the fetal buttocks are closest to the cervix? a. footling breech b. frank breech c. complete breech d. transverse

b

which of the following would be least likely associated with an elevation in MSAFP? a. anencephaly b. turner syndrome c. spina bifida d. myelomeningocele

b

which of the following would not typically produce an elevation in hCG? a. down syndrome b. anembryonic pregnancy c. triploidy d. molar pregnancy

b

The anechoic space along the posterior aspect of the fetal neck is the: a. nuchal fold b. nuchal cord c. nuchal translucency d. rhomebencephalon

c

Which of the following best describes the optimal instance to take the femur length measurement? a. when the epiphyseal plates are clearly identified and the shaft is parallel to the sound beam b. when the diaphysis of the femur is parallel to the sound beam c. when the long axis of the femoral shaft is perpendicular to the sound beam d. when the femoral shaft is parallel to the sound beam

c

in the TPAL designation, the " L " refers to: a. living children b. lethal anomalies c. live births d. lost pregnancies

c

something that is idiopathic is said to be: a. caused by a functional abnormality b. related to fetal development c. from an unknown cause d. found incidentally

c

the physiologic ovarian cyst that develops after ovulation has occurred is the: a. theca internal cyst b. graafian cyst c. corpus luteum cyst d. cystic teratoma

c

the reduction in blood return to the maternal heart caused by the gravid uterus compressing the maternal inferior vena cava describes: a. edwards syndrome b. pulmonary obstructive syndrome c. supine hypotensive syndrome d. recumbent hypotensive syndrome

c

what is the term for the fetal presentation that is head down? a. breech b. crown c. cephalic d. vertical

c

which of the following artifacts is caused by attenuation of the sound beam? a. reverberation artifact b. comet tail artifact c. posterior shadowing d. posterior enhancement

c

which of the following would be the least likely indication for a first-trimester sonogram? a. evaluation pelvic pain b. define the cause of vaginal bleeding c. gender identification d. diagnosis of multiple gestations

c

Painless second trimester vaginal bleeding is most often associated with: a. placental abruption b. ectopic pregnancy c. miscarriage d. placenta previa

d

all of the following are observed during a biophysical profile except: a. fetal tone b. thoracic movement c. fetal breathing d. fetal circulation

d

all of the following may be visualized at the correct level of the head circumference except: a. third ventricle b. thalamus c. cavum septum pellucidum d. falx cerebelli

d

biophysical profile scoring is conducted: a. until the fetus cooperates b. for 10 minutes c. for 45 minutes d. for 30 minutes

d

fetal presentation is determined by identifying the fetal part that is closest to the: a. placenta b. external os of the cervix c. maternal umbilicus d. internal os of the cervix

d

the abdominal circumference should include all of the following except: a. the fetal stomach b. the fetal thoracic spine c. the umbilical vein d. the kidneys

d

the quadruple screen includes an analysis of all of the following except: a. hCG b. alpha-fetoprotein c. Inhibin A d. PAPP-A

d

which of the following artifacts is produced when the sound beam is barely attenuated through a fluid or a fluid-containing structure? a. reverberation artifact b. comet tail artifact c. posterior shadowing d. acoustic enhancement

d

which of the following is also referred to as trisomy 13? a. down syndrome b. edwards syndrome c. turner syndrome d. patau syndrome

d

which of the following would not be decreased in the presence of edwards syndrome? a. estriol b. hCG c. alpha-fetoprotein d. all would be decreased

d