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High Risk Finals
Question | Answer |
---|---|
1 (This is associated with Decreased MSAFP) | Which of the following is not associated with elevated MSAFP: 1.Down's Syndrome, 2.Incorrect dates, 3.Multiples, 4.ONTD, or 5.Gastroschisis. |
Aneuploidy | abnormal number of chromosomes |
Genotype | basic combination of genes in a person |
50 | Dominant disorder: A condition caused by a single, defective gene. Inherited from an affected parent or results from a new mutation. Transmitted to ______% of offspring. |
4 | AFP (Alpha-fetoprotein) is not found in which of the following: 1.fetal spine, 2.GI tract, 3.liver, 4.brain, 5.kidneys |
3 | Which of the following is the most sensitive for the longest amount of time: 1. Lips & face, 2. Genitalia, 3. Eyes & Ears, 4. Limbs |
Sequential Screening | Screening tests that occur in order; one after another |
inhibin-A | Quadruple Screening has what lab values: AFP, unconjugated estriol, B-hCG, & ________ |
84 | CRL (Crown Rump Length) should be between 45 & ____ millimeters to do a NT |
6; 15 | Abnormal Nuchal Fold is >_____ after_____ weeks |
T21 | Most common aneuploidy |
1 | not true of CVS: 1.only performed transcervically, 2.US directed aspiration/biopsy of the placenta or chorionic villi; 3.Used to obtain a fetal karyotype & allows for dx of genetic disorders in 1st trimester; 4.Cells from villi are cultured & analyzed |
3 | Indications for amniocentesis include all of the following EXCEPT: 1.lung maturity, 2.fetal infections, 3.cardiac anomalies, 4.isoimmunization, 5.therapeutic |
2 | Fetoscopy: All EXCEPT: 1."viewing of the fetus"; 2.Testing 1st tri of blood, skin, & liver for prenatal diagnosis; 3.TV & TA; 4.US guided with a needle introduced into the amniotic cavity |
Preeclampsia | What condition has an association with HELLP? |
T18 | Holoprosencephaly and exomphalos are seen in a fetus with what condition? |
T18 | Sonographic signs of strawberry shaped skull and rocker bottom feet are associated with what condition? |
F (should be 45-84 mm) | T/F: CRL (Crown Rump Length) should be between 22 & 63 millimeters to do a NT |
T21 | Which trisomy exhibits elevated hcg, inhibin-a, and decreased afp? |
Turner's Syndrome | Cystic hygroma and ascites are associated with what condition? |
micrognathia | Term that describes a small chin? |
equals sign represents nasal bone and maxilla | According to the FMF website, all are true of nasal bone requirements, except? |
Pentalogy of Cantrell | This is rare and associated with omphalocele? |
100,000 | In molar pregnancies, the hcg level will be greater than? |
non-immune hydrops | This hemolitic disease is marked by anemia, enlargement of liver and spleen, and hydrops fetalis. |
Eclampsia | This causes comas and seizures in the 2nd/3rd trimesters. |
4 | All are prenatal treatments of hydrops except? 1. aspiration 2.FBS 3.Transfusion 4.Intubation |
Rh incompatibility | Immune hydrops is caused by |
results are available within 48 hours (this is FISH) | Which of the following is not true of CVS? |
anasarca | What is the term for generalized subcutaneous edema? |
FISH | Which karyotyping results are available in 1-2 days? |
F | T/F: Non-immune hydrops is associated with alloimmunization. |
3 | All of the following is associated with fetal hydrops except: 1.pleural effusion 2.ascites 3.placental thinning 4.polyhydramnios |
3 | All are alternate sites for FBS except for: 1.Free cord loop 2.Intrahepatic vein 3.Common iliac junction 4.Umbilical insertion site |
F | T/F: Hypertension is associated with large placentas |
4 | Which is true of TTTS? 1.Donor gets smaller 2.recipient gets bigger 3.aka Poly-oli sequence 4.all of the above |
F | T/F: Genetic counseling gives specific decisions for parents undergoing it. |
Non-immune hydrops | 70% of fetal death is associated with what condition? |
Ballantyne | What is the term for edema developing in the mother as a result of fetal hydrops? |
MCDK (Multicystic Dysplastic Kidney) | Most common renal cystic disease in childhood? |
ADPKD (Autosomal Dominant Polycystic Kidney Disease) | Cystic Kidney disease with Normal AFI |
ARPKD (Autosomal Recessive Polycystic Kidney Disease) | Cystic Kidney disease Associated with Oligohydramnios |
Decidua basalis | Thickened decidua at implantation site occurs between the blastocyst & myometrium |
Decidua Capsularis | Thin, overlies the GS facing the UT cavity |
Smooth Chorion | Opposite side of the implantation (degenerating villi) |
Chorion Frondosum | Definitive placenta |
Chorionic villi | Functioning units of the placenta |
Basal Plate | Divided into cotyledons(composed of several villi & their branches) |
Chorionic plate | Fetal surface of placenta |
E | Which of the following is not a cause of placental thickening: A.Intraplacental damage; B.Chorioangioma; C.Intraplacental hemorrhage; D.Fetal Hydrops; E.Placentoma |
C (Amniotic Fluid Function) | All are functions of the placenta except: A.Nutrition from maternal blood; B.Excretion of fetal waste products; C.Acts as a reservoir to fetal metabolites; D.Protection from microorganisms |
B | All of these are associated with Advanced maturation of the placenta EXCEPT: A.Htn; B.Hormone Stimulation; C.IUGR; D.Cigarette Smoking; E.Multiples |
Succenturiate Placenta | Accessory Lobe connected to the body of the placenta by blood vessels |
Vasa previa | This dangerous condition in which vessels cross the cervical os |
Percreta | Which is the most dangerous type of adherence? |
C | All are factors of placenta percreta EXCEPT: A.AMA; B.Multiparity; C.IUGR; D.Prior C-Section; E.Smoking |
Marginal | Which type of abruption is a low pressure bleed? |
Umbilical; deoxygenated | _______ are continous with the iliac arteries and carry _________ blood from the fetus to the placenta. |
A | true of umbilical cord EXCEPT: A.Defined as the distance between the same umbilical artery making 2 turns around the umbilical vein; B.Twists towards the left more often; C.Develops approximately 40 spiral turns; D.Coiling may result from fetal activity |
C | All are associated with a long cord EXCEPT: A.Excessive coiling; B.Mulitple loops of nuchal cord; C.IUGR; D.Cord Prolapse |
B (25%) | All are true of nuchal cord except: A.Multiple loops (greater than 2) should be reported to an OB; B.Occurs in 45% of deliveries; C.Rarely associated with complications; D.Defined as entanglement of UC around fetal neck |
B | If a single Umbilical artery is seen which of the following should be investigated for abnormalities: A.Upper & lower GI tract; B.Kidney & Heart; C.Brain & Spine; D.Extremities |
Battledore | This CI is at the margin of the placenta |
Velamentous | This umbilical cord is attached at the placental membranes |
Pyelectasis | Dilation of only the renal pelvis |
C | The following questions are helpful in defining and characterizing urinary tract abnormality EXCEPT: A. Is the bladder identified and normal in appearance?; B.Are kidneys present?; C. What is the fetal presentation?; D.What is the fetal gender? |
B | All are associated with BRA (Bilateral Renal Agenesis) EXCEPT: A.Facial anomalies; B.Severe Polyhydramnios; C.Nonvisualization of Kidneys; D. Lying-down adrenal sign |
Crossed Renal Ectopia | This occurs when the kidneys are located on the opposite side of their ureteral orifice |
D | ARPKD is best described by which of the following: A. Juvenile results in prenatal death; B. Perinatal appears at 1-5 years of age; C. Also known as Potter type 3; D. Affects the kidney & liver |
ADPKD (Autosomal Dominant Polycystic Kidney Disease) | The most common hereditary renal cystic disease |
A | Which is false regarding renal neoplasms: A.Congenital tumors are common; B.Most common renal tumor in the fetus & newborn is fetal renal hamartoma; C. Most tumors are benign; D. Polyhydramnios is frequent |
Hydronephrosis | Abnormal dilation of renal pelvis and calyces |
UPJ (Uteropelvic Junction Obstruction) | Most common cause of fetal hydronephrosis |
PUV (Posterior Uretheral Valves) | Sonographically this appears as a keyhole sign |
D | All are associated with Prune Belly Syndrome EXCEPT: A.Oligohydramnios; B.Undesceded Testes; C.Tortuous dilated ureters; D.Renal agenesis |
A | MCDK is best described as: A.renal tissue displaced by cysts of multiple sizes; B.Unilateral can be lethal (19-24%); C. Bilateral is associated with renal abnormalities including agenesis (13-26%) |
Exstrophy of Bladder | Caused by an incomplete median closure of the inferior portion of the anterior abdominal wall and the anterior wall of the urinary bladder |
A | Which of the following is NOT associated with abnormal genitalia: A.Urethral atresia; B.Hypospadias; C.Hydrocele; D.Enlarged clitoris; E.Undescended testes |
D | All are functions of the amniotic fluid EXCEPT: A.Allows embryonic and fetal movement; B.Maintains a constant temperature; C.Acts as a cushion to protect the fetus; D.Act as "fetal lungs"; E.Essential for fetal lung development |
B | All are associated with polyhydramnios EXCEPT: A.Accentuated fetal anatomy; B.AFI is greater than 15cm; C.Freely moving fetus; D.This one is made up |
A | Which is not associated with Oligohydramnios: A.GI abnormalities; B. Renal abnormalities; C.IUGR; D.Postdates |
ABS (Amniotic Band Syndrome) | May cause amputation of limbs and amputation of fetal parts |
C | Amniotic fluid is produced by all EXCEPT: A.Umbilical Cord; B.Membranes; C.Liver; D.Kidneys |
C | not true regarding the adrenal glands: A.In the second & third trimester they appear as a "Y" or "V" shape; B.Most common abdominal malignancy in neonates is neuroblastoma; C. Renal neoplasm is indistinguishable from adrenal hemorrhage |
A | All of the following are part of a normal sonographic evaluation EXCEPT: A.Open eyelids; B.Axial view of the maxilla; C. Sagittal nose/lips view; D.facial profile include nasal bone |
Noonan | Associated with low-set ears: A. Beckwith-Weidemann; B. Goldstein; C. Epstein; D. Noonan |
C | What is not associated with the eyes: A.Hypotelorism; B.Hypertelorism; C.Microstomia; D.Anopthalmia; E.Micropthalmia |
Dacryocystocele | All of the following are neck masses EXCEPT: A. Cervical Teratoma; B. Goiter; C. Cystic Hygroma; D.Epignathus |
Anencephly | 1:1000; Rare, fatal, & orbits are present. (Not actual image) |
Agenesis of Corpus Callosum | pointed anterior ends of LV (Teardrop) (Not actual image) |
Iniencephaly | Rare, fatal, dysraphism. Note the specimen's position. (Not actual image) |
Proboscis | What is this facial protuberance? (Not actual image) |
Frontal Bossing | Abnormal forehead associated with syndromes & bony dysplasia. (Not actual image) |
A | Which of the following is/are not prominences: A.Temporal; B.Frontonasal; C.2 Maxillary; D.2 Mandibular |
Hypotelorism | Hypo or hypertelorism: Holoprosencephaly & T13 |
Hypertelorism | Hypo or hypertelorism: Craniosynostosis & Cleft lip |
males | Is clefting more common in males or females? |
Cyclopia | Single midline eye |
otocephaly | union of the ears on the front of the neck |
C | Limitations for evaluation by US of the fetal face include all of the following EXCEPT: A.bone shadowing; B.poor fetal position; C.polyhydramnios; D.maternal obesity; E.hyperactivity |
OOD | measured from outermost lateral border of the orbit to the opposite lateral border |
Midface Hypoplasia | abnormal concavity of the midface |
13 & 18 | Cleft lip is associated with trisomy ____ & ____ |
five | week? CNS development |
six | week? Cephalic end enlarges |
eighteen | week? Corpus callosum; ____-20 |
eighteen | week? Cerebellar vermis |
eleven | What week? Mineralization of bones |
ventriculomegaly | Most common cranial abnormality |
MeckelGruberSyndrome | Assoc: encephalocele, cystic renal dysplasia, polydactyly |
Semilobar | Type of Holoprosencephaly: rudimentary occipital horns |
Alobar | Type of Holoprosencephaly: Absent interhemispheric fissure & Corpus callosum/single vent |
Schizencephaly | Clefts or defects begin at outer cortex & extend toward LV |
Lissencephaly | Smooth brain surface lacking normal sulci & gyri |
Microcephaly | 1:6250-1:8500; Caused by the following: genetic, environmental, infection, drugs, etc. |
Hydranencephaly | Rare, congenital, most severe form of brain destruction; Almost total absence of cerebrum |
ACC | SONO: early DX diff; disproportionate enlg of occipital horns; lateral displacemt of medial & lateral ventricular walls; pointed anterior ends of LV; Sunburst |
Teratoma | Most common lesion |
B | NOT true of lat vents: A.Borderline ventriculomegaly is 10-15 mm; B.The lateral vent nearest the txr should be measured; C.A measurement greater than 10mm is suggestive of ventriculomegaly; D.Measurement greater than 15mm is marked for ventriculomegaly |
Encephalocele | Herniation of intracranial structures through a defect in the cranium |
Open | What form of SB is associated with elevated MSAFP? |
SpinaBifida | Lemon sign is associated with what condition? |
holoprosencephaly | This brain condition has a prevalence of 1:5,000-1:16,000 |
Myelomeningocele | Meninges & neural tissue protrude from the vertebral canal through spina bifida defect in the posterior midline neural arches. |
A | Which of the following is not associated with NTD's: A:Maternal hypertension; B:Valproic acid, C:Sibling with NTD |
OneThousand | Open NTDs occur in 0.5 to 2 per ______ births in North America and with higher frequencies in other geographic areas. |
closure | Most cases of spina bifida result from failure of ______ of the embryologic neural tube, although some may be caused by rupture of the neural tube after primary closure. |
A | Not associated with Spina Bifida: A.Sunburst Sign; B.IUGR; C.Renal Anomalies; C.Concave frontal bones; D.Omphalocele |
lumbosacral | The ______ spine is most often involved in Spina Bifida Occulta |
One | not particularly useful in raising suspicion of an NTD: 1.Increased BPD; 2.Nonvisualization of the cisterna magna; 3.Deformation of the cerebellar shape (banana sign); 4.Concave frontal bones (lemon sign); 5.Dilation of the lateral cerebral ventricles |
4CH | Where do you measure the chest circumference? |
E | true for kyphosis & scoliosis except: A.Kyphosis is exaggerated curvature of the spine in the sagittal plane; B.Scoliosis is lateral curvature of the spine; C.Associated with Limb-body wall complex (LBWC); D.Associated with VACTERL; E.TORCH |
NinetySeven | Chiari II malformation is highly associated with open spina bifida (>______% of cases). |
Ventriculomegaly | Usually mild in the second trimester and worsens postpartum after repair of the spinal defect. This is seen in 44% to 86% of fetuses with spina bifida. |
myelocystocele | Prenatal and postnatal sonography demonstrates a "Cyst Within A Cyst" appearance |
D | Stages of lung development all except: A.embryonic, B.pseudoglandular, C.canalicular, D.diaphragmatic, E.alveolar |
B | Factors associated with normal lung growth: A. fetal breathing movement; B. fetal tone; C. adequate amniotic fluid; D.adequate gestation |
B | Sonographic characteristics of the thoracic cavity: A.Symmetrically bell-shaped; B.Clavicles upper margins & diaphragm lower margin; C. ribs encompass 1/2 of lungs on either side |
E | NOT true regarding Sacrococcygeal teratoma: A.Contains all 3 germ layers; B.Most common tumor of neonates; C.At birth, 75% of sacrococcygeal teratomas are benign; D.Mass in the rump or buttocks area adjacent to the spine; E.Males more likely than females |
SacrococcygealTeratomas | Sonography usually demonstrates a mass in the rump or buttocks area adjacent to the spine |
End of organogenesis | When does CDH occur? |
hydrothorax | accumulation of fluid in the pleural cavity |
CHAOS (Congenital High Airway Obstruction ) | EXIT procedure at delivery; almost always lethal if untreated |
B | CCAM All EXCEPT: A.Three types; B.50% of congenital lung masses |
C | diff between CCAM & CDH EXCEPT: A.CCAM due to early pulmonary insult; B.Abdominal organs don't rise up to the fetal chest area during inspiration for CCAM; C.Failure of pleuroperitoneal canal to close @ end of organogenesis |
7 | Week? TV-Limb Buds |
8 | Week? Osteogenesis of clavicle/mandible |
11-12 | Week? Primary ossification centers of long bones, scapulae, ilea, phlanges |
4 | Month? Ischium, Metacarpals, metatarsals |
5-6 | Month? Pubis, Calcaneus, Talus |
38 | Week? PHE |
CampomelicDysplasia | Skeletal dysplasia with ventrally bowed tibia and femur and clubfoot |
Mesomelia | Distal segment shortening (radius/ulna/tibia/fibula) |
HeterozygousAchondroplasia | Most common nonlethal? |
ThanatophoricDysplasia | Most common lethal? |
Micromelia | shortening of the entire limb |
TD1 | Telephone receiver shaped extremities |
AsphyxiatingThoracixDysplasia | Handlebar clavicles & renal dysplasia |
EllisVanCreveldSyndrome | Inbred Population |
ChondrodysplasiaPunctata | Humerii shorter than femurs |
ArthrogryposisMultiplexCongenita | Buddha? |
EdwardsSyndrome | Syndactyly & Persistent Clenched hand |
PatauSyndrome | Polydactyly/Clinodactyly & Microcephaly |
Triploidy | Syndactyly of 3rd & 4th finger |
HeterozygousAchondroplasia | Macrocranium (97% at term) |
Banana Sign (or Lemon Sign) | What sign is shown that is associated with spina bifida? (Not actual image) |
Rachischisis (or Myeloschisis) | Most severe NTD |
Caudal regression | partial to complete sacral agenesis and abnormalities of the lumbar spine, pelvis, and lower limbs |
TD1 | typical "telephone receiver" shape of the extremities; frontal bossing; craniosynostosis; platyspondyly |
Achondrogenesis | 2nd most common lethal skeletal dysplasia |
ACH1 | 20%; short, cuboid bones; metaphyseal scalloping; autosomal recessive; thick, redundant skin folds |
OI2 | the neonatal lethal form of skeletal dysplasia |
HypophosphatasiaCongenita | lethal; 1:100,000; thin appearance of bones |
CampomelicDysplasia | short and ventrally bowed tibia and femur; absent or hypoplastic fibula |
ShortRibPolydactylySyndrome | decreased thoracic circumference; polydactyly; genitourinary abnormalities |
HeterozygousAchondroplasia | brachydactyly, with a trident configuration of the hand |
AsphyxiatingThoracicDysplasia | inverted "handlebar" appearance of the clavicles, polydactyly |
EllisVanCreveldSyndrome | high prevalence among inbred populations |
OI1 | blue sclerae; most fractures occur from childhood to puberty; progressive hearing loss |
OI3 | nonlethal; progressively deforming variety that often spares the humeri, vertebrae, and pelvis |
ProximalFocalFemoralDeficiency | asymmetrical degree of absence of subtrochanteric femur; ipsilateral fibular hemimelia |
RadialRayDefects | absence of a visualized forearm bone, associated with talipomanus (club hand) |
AaseSyndrome | hypoplastic distal radius with radial clubhand, and a triphalangeal thumb; cardiac defects |
ArthrogryposisMultiplexCongenita | multiple joint contractures; limb pterygium; "Buddha position" of the fetus |
Neurulation | the process of folding of the neural plate into the neural tube |
D | spina bifida except: A.incidence declined in recent years due to use of folic acid; B.due to failure of closure of embryologic neural tube; C.incidence is 0.5 to 2 per 1000 births in North America; D.The spinal defects usu occur at the cervicothoracic |
97 | Chiari II malformation is associated with open spina bifida (>_____% of cases) |
PulmonaryHypoplasia | incomplete or insufficient lung development |
Left | The majority of CDH are on the _______ side (84%) |
D (25%) | Which of the following is NOT true of Congenital cystic adenomatoid malformation (CCAM): A.Accounts for 50% of congenital lung masses; B.Vascular flow to lesion from branch of pulmonary artery; C.Mass may become isoechoic on prenatal US; D.3 types |
BronchopulmonarySequestration | nonfunctioning lung tissue at base of lung, with blood supply from anomalous systemic vessels |
Clinodactyly | permanent incurvature of a finger |
Camptodactyly | permanent flexion of a finger |
RockerBottomFoot | convex plantar surface with posterior bulging of the calcaneus |
B | The following are lethal skeletal dysplasia except: A.Thanatophoric dysplasia; B.Heterozygous Achondroplasia; C.Short-rib polydactyly syndromes; D.Hypophosphatasia congenital; E.OI2 |