Penny Review : The First Trimester
What is the name of the dominant follicle prior to ovulation? a) graafian b) corpus luteum c) morula d) corpus albicans
graafian
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
low beta hCG
All of the following are consistent with a complete hydatidiform mole except: a) heterogenous mass within the endometrium b) bilateral theca lutein cysts c) hyperemesis gravidarum d) low hCG
low hCG
Compared with a normal IUP the ectopic pregnancy will have a : a) high hCG b) low hCG c) markedly elevated hCG d) high AFP
low hCG
What structure connects the embryo to the yolk sac? a) vitellin duct b) yolk stalk c) amnion d) chorionic stalk
vitellin duct
All of the following are clinical factors of an ectopic pregnancy except: a) pain b) vaginal bleeding c) shoulder pain d) adnexal ring
adnexal ring
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
ampulla of the uterine tube
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
ampullary portion of the uterine tube
All of the following are sono finds consistent with ectopic pregnancy except : a) decidual thickening b) complex free fluid within the pelvis c) bilateral multiloculated ovarian cysts d) complex adnexal mass seperate from the ipsilateral ovary
bilateral multiloculated ovarian cysts
What is the stage of the conceptus that implants within the decidualized endometrium? a) blastocyst b) morula c) zygote d) ovum
blastocyst
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
blighted ovum
A malignant form of GTD is : a) choriocarcinoma b) hydatidiform mole c) anembryonic d) hydropic villi
choriocarcinoma
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
chorionic cavity
What is the most common form of GTD? a) complete molar pregnancy b) partial molar pregnancy c) invasive mole d) choriocarcinoma
complete molar pregnancy
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
corpus luteum cyst
The most common pelvic mass associated with pregnancy is the : a) uterine leiomyoma b) dermoid cysts c) theca lutein cyst d) corpus luteum cyst
corpus luteum cyst
In the first trimester normal hCG levels will: a) double every 48 hrs b) triple every 24 hrs c) double every 24 hrs d) double every 12 hrs
double every 48 hrs
The most common cause of pelvic pain with pregnancy is : a) ectopic pregnancy b) heterotopic pregnancy c) missed abortion d) molar pregnancy
ectopic pregnancy
Another name for the chorionic sac is the: a) chorionic cavity b) extraembryonic coelem c) amniotic sac d) gestational sac
gestational sac
The trophoblastic cells produce: a) estrogen b) progesterone c) FSH d) hCG
hCG
What hormone maintains the corpus luteum during pregnancy? a) estrogen b) progesterone c) FSH d) hCG
hCG
Which of the following is most likely metastatic location for GTD? a) rectum b) pancreas c) spleen d) lungs
lungs
What is the often used to medically treat an ectopic pregnancy? a) dilation and currettage b) dilation and evacuation c) open surgery d) methotrexate
methotrexate
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
ovary
The migration of the embryologic bowel into the base of the umbilical cord at 9 wks is referred to as : a) physiologic bowel herniation b) pseudo omphalocele c) omphalocele d) gastroschisis
physiologic bowel herniation
What hormone produced by the corpus luteum maintains the thickened endometrium? a) estrogen b) progesterone c) hCG d) luteinizing hormone
progesterone
During the 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
rhombencephalon
The frist structure noted withn the gestational sac is the: a) yolk sac b) embryo c) decidual reaction d) chorionic sac
yolk sac
What structure lies within the extraembryonic coelem? a) gestational sac b) embryo c) yolk sac d) amnion
yolk sac
The structure created by the union of sperm and egg is the : a) blastocyst b) zygote c) morula d) ampulla
zygote
All of the following are contributing factors for an ectopic pregnancy except: a) PID b) assisted reproductive therapy c) IUCD d) advanced paternal age
advanced paternal age
With a normal pregnany the first structure noted within the decidualized endometrium is the: a) yolk sac b) chorionic sac c) amniotic cavity d) embryo
chorionic sac
During a 12 wk sonogram bilateral echogenic structures are noted within the lateral ventricles of the fetal cranium. These structures most likely represent : a) cerebral tumors b) cerebral hemorrhage c) anencephalic remnants d) choroid plexus
choroid plexus
The first sonographically identifiable sign of pregnancy is the: a) amnion b) yolk sac c) decidual reaction d) chorionic cavity
decidual reaction
Fertilization typically occurs within ____ after ovulation. a) 40 hours b) 12 hours c) 24 hours d) 56 hours
24 hours
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
small for dates
A sono exam was performed on a pregnancy patient who complained of vaginal bleeding. Sonographically 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
subchorionic hemorrhage
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
1 mm per day
NT measures are typically obtained between a) 1 & 5 wks b) 5 & 8 wks c) 8 & 11 wks d) 11 & 14 wks
11 & 14 wks
All of the following are associated with an abnormal NT except: a) Trisomy 21 b) Trisomy 16 c) Trisomy 18 d) Turner Syndrome
Trisomy 16