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Obstetrics and Gynecology (OB/GYN) - ARDMS OB/GYN ARDMS Practice Test
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Practice Test
Which syndrome is most frequently associated with cystic hygromas? A, Joune B. Patau C. Turner D. Down ~ GGRERSRENSIIER-C. Turner Twin-to-Twin transfusion syndrome is a manifestation of which type of pregnany? A, Dichorionic B. Tetertopic C. Monochorionic TD). Ectopic — CORRECT ANSWER —C. Monochorionic What is the best plane to assess the presence or absence of cleft lip? A. Transvers B. Axial a . Sagittal . Coronal — CORRECT ANSWER —D. Coronal og Which abnormality is most commonly associated with utrasound findings of cyelopia, median cleft lip and microcephaly? A, Holoprosencephaly B. Fetal lithium effects C. Arnold-Chiari malformation TD. Meckel—Gruber syndrome — CORRECT ANSWER ~A. Holoprosencephaly 1D. Marginal — CORRECT ANSWER —D. Marginal The sonographic findings of a thickened, homogencous endometrial echo is consistent with which phase of the menstrual cycle? A, Proliferative B. Seeretory C. Menstrual TD. Follicular - CORRECT ANSWER —B. Secretory Which complication can be caused by pelvic inflammatory disease? A, Endometriosis B. Cystic teratoma C. Pyosalpinx 1D. Endometrial polyp — CORRECT ANSWER -€. Pyosalpinx Through which structure(s) should the M-mode cursor be positioned to best evaluate the cardiac rhythm? A, Atrium and ventricle B, Both atria C. Both ventricles TD). Interyentricular septum — CORRECT ANSWER —A. Atrium and ventricle Which abnormality is associated with elevated maternal serum alpha—fetoprotein (AFP)? A. Spina bifida occulta B. Gastroschisis C. Diaphragmatic hernia TD. Trisomy 21 - CORRECT ANSWER —B. Gastroschisis What is the most common anatomic location of the echogenic intracardiac focus? A, Right Ventricle B. Right Atrium C. Left Atrium D. Left Ventricle — GORRBGHANGII —D. belt Ventricle Which Skeletal Malformation is demonstrated in this image? A. Talipes equinovarus B. Micromelia C. Rockerbottom foot D, Phocomelia — CORRECT ANSWER —A, Talipes equinovarus Which cardiac chamber lies closest to the anterior chest wall in a fetus with normal situs? A, Loft ventricle B. Right atrium C. Left atrium TD). Right ventricle — CORRECT ANSWER —D. Right ventricle Which type of twin pregnancy is demonstrated in this image? Which condition is associated with an increased risk of macrosomia? A. Fetal alcohol syndrome B, Gestational diabetes C. Pregnane: TD. Poor weight gain during pregnancy — CORRECT ANSWER —B. Gestational diabetes induced hypertension - CORRECTANGWEN- Identify the location to correetly measure the atrium of the lateral ventricle. Which structures are located at the level of the biparictal diameter in the second trimester? A. CSP, thalami, and cerebellum B. CSP, cisterna magna, and lateral ventricles C. CSP, frontal horns, and cerebellum D. CSP, thalami, and third ventricle — CORRECT ANSWER —D. CSP, thalami, and third ventricle Which condition may result in hydroureter? A, posterior urethral valve obstruction B. ureteropelvic junction obstruction C. ARPKD D. ADPKD — CORRECT ANSWER —A. posterior urethral valve obstruction Which abnormality may be associated with a negative amniotic fluid AFP result when evaluating for neural tube defects? A. Skin covered myelomeningoceles B. Exencephaly Cc, Aneneephaly TD. Open neural tube defects - CORRECT ANSWER ~ A. Skin covered myelomeningoceles Which measurement is obtained from the outer edge of the occipital bone to the skin surface of the fetal head at the level of the cerebellum? A. Nuchal fold B. Cisterna magna C. Nuchal translucency TD. Occipital frontal diameter — CORRECT ANSWER ~ A. Nuchal fold Which facial findings is demonstrated in the coronal view of the nose and upper lip image? A, Normal tongue B. Normal lips C. Cleft palate 1D. Hypotelerism — CORRECT ANSWER —3. Normal lips Which fetal vessel ig most commonly assessed for feluses al risk [or anemia? A. Umbilical a, B. Ductus yvenosus A. Weeks or days since conception B. weeks or days since fertilization C. Weeks or days since implantation 1D. Weeks or days since the first day of the last menstrual period E, Weeks or days since the last day of the last menstrual period — CORRECT ANSWER —D. Weeks or days since the first day of the last menstrual period 2, Up to 10 weeks’ gestational (menstrual) age, the mean diameter normal gestational sac should grow approximately: A. 0.3 mm per day B. 1.0 mm per day C. 2.0 mm per day 1D. 3.0 mm per day E, 4.0 mm per day — CORRECT ANSWER —B. 1.0 mm per day ssful pregnancy outcome is associated with a yolk sac that: A, Occupies more than 30 % of geslalional sac volume B. Has a round shape C. Measures less than 2 mm in diameter at 8-10 weeks TD). Measures greater than 6 mm in diameter E. Has irregular echogenic borders — CORRECT ANSWER —B. Has a round shape 4, Which sonographic finding is associated with abnormal pregnancy? A. Spherical gestational sae within the uterus B. Double sac sign within an intrauterine gestational sac C. oval gestational sac within the ulerus TD). Defined double decidual ring around the intrauterine gestational sac E, Embryo with a calcified yolk sac — CORRECT ANSWER | E, Embryo with a calcified yolk sac An incomplete abortion is defined as: A. Spontaneous abortion with retained products of conception B. Anembryonic abortion C. Heterotopic pregnancy TD. Subchorionic hemorrhage Ti. Ectopic pregnancy without bleeding — CORRECT ANSWER | A, Spontaneous abortion with retained products of conception 6. When docs the trilaminar embryonic disc form? A, During organogenesis B. During implantation C. During transit through the fallopian tube TD. During neurulation E, During gastrulation — CORRECT ANSWER —E. During gastrulation 10, Your patient relates history of amenorrhea for 7 weeks, Her home pregnancy test was negative, but her serum beta-heG exceeds 4000 miU/ml, What docs the image below demonstrate? A. Pscudocyesis with an endometrial cyst B. Fluid contained within the endometrial cavity C. Normal early intrauterine pregnancy TD. Degenerating submucosal libroid E, Normal empty utcrus with perioyulatory endometrium — CORRECT ANSWER | Normal carly intrauterine pregnancy 11. This patient presented with bleeding and cramping. ITer pregnancy Lesl is weakly positive. Three days prior, a living TUP was documented in the uterus. This transvaginal image suggests A, Normal intrauterine pregnancy B. Incomplete abortion C. Ectopic pregnancy D. Pscudocyesis ‘. Placental abruption — CORRECT ANSWER —B. Incomplete abortion res) 12, The primitive hindbrain can be seen as a cystic structure within the embryonic head. What is the name of this structure? A, Prosencephalon B. Mesenecphalon C. Encephalocele TD. Dieneephalon E, Rhombeneephalon — CORRECT ANSWER —E. Rhombencephalon 13, What is a heterotopic pregnancy? A. A cervical ectopic pregnancy B. A fertility-assisted pregnancy C. An abdominal ectopic pregnancy D, Coexistling intraulerine and ectopic E, A twin ectopic pregnancy — CORRECT ANSWER —D. Cocxisting intrauterine and ectopic 14, In a ruptured ectopic pregnancy. which section of the fallopian tube is patentilly the most life-threatening? A, Ligamentous B. Ampulla C, Interstitial 1D. Fimbrial F. Isthmic — GORREGMANSIERI—C. Interstitial 15, Which statement about ectopic pregnancies is NOT truc? A, Inlerstilial ectopics are more serious than those located in the ampulla. 18, What is the arrow pointing to in this image? A, Amnion B. Yolk sac C. Seplum TD. Chorion E, Synechiac — CORRECT ANSWER ~ A. Amnion 19, 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 — CORRECT ANSWER —C. Double decidual ring 20, This gestational sac. The hypoechoic structure indicated by the calipers most likely gillal lransvaginal image demonstrates a normal—appearing intrauterine represents: A, Leiomyoma B. Ovary C. Engorged vessel D. Artifact E, Cyst — CORRECT ANSWER —A. Leiomyoma 21, The image in question shows the uterine position to be A, Unidentiliable B. Retroflexed C. Dextropased D. Ante Flexed Ti. Levoposed — CORRECT ANSWER —D. Ante Plexed 22, At 5-10 weeks, the secondary yolk sac is considered abnormal if it measures: A, <2 mm B. <3 mm Cc. <4 mm D. <5 mm E.