OBGYN ARDMS COMPREHENSIVE EXAM ALL
QUESTIONS AND ANSWERS SURE A+
✔✔E. 30 weeks - ✔✔199. Twin growth is similar to that of singletons up to:
A. 10 weeks
B. 15 weeks
C. 20 weeks
D. 25 weeks
E. 30 weeks
✔✔D. Double placentation - ✔✔200. All of the following sonographic findings are
consistent with twin-to-twin transfusion syndrome (TTTS) EXCEPT
A. Unbalanced arterial venous shunting
B. Significant growth discordance
C Gender concordance
D. Double placentation
E. AFI discrepancy between two sacs
✔✔A. Conjoined twins are usually dizygotic - ✔✔201. All of the following statements
concerning dizygotic twinning are true EXCEPT:
A. Conjoined twins are usually dizygotic.
B. Dizygotic twinning is more common among Nigerians than among Caucasians.
C. 100 % of dizygotic twins are diamniotic / dichorionic .
,D. Dizygotic twins are considered fraternal.
E. Women over the age of 40 have a higher incidence.
✔✔D. It calculates fetal heart rate according to fetal activity - ✔✔202. Which of the
following best describes the function of the nonstress test?
A. It calculates fetal heart rate during fetal rest periods.
B. It calculates fetal heart and respiratory movements
C. It calculates gestational age and fetal heart rate
D. It calculates fetal heart rate according to fetal activity
E. It calculates fetal heart rate according to uterine contractions.
✔✔A. Twins - ✔✔203. A patient presents large for gestational age at 7-8 weeks post
LMP. This transverse image demonstrates:
A. Twins
B. Split-image artifact
C. Polyhydramnios
D. Bicornuate uterus
E. Single sac with implantation bleed
✔✔C.Erythroblastosis - ✔✔204, All of the following are associated specifically with
monozygotic twins EXCEPT: A. Cord entanglement
B. Twin-to-twin transfusion syndrome. C.Erythroblastosis
D. TRAP sequence
E. Conjoined twins
✔✔A. Twin-to-twin transfusion syndrome (TTTS) - ✔✔205. You are scanning a twin
gestation and one twin has fetal hydrops while the other is small for gestational age.
What condition should be suspected?
A. Twin-to-twin transfusion syndrome (TTTS)
B. Twin reversed arterial perfusion (TRAP) sequence
C. Twin embolization syndrome (TES) D. Acardiac parabiotic
E. Vanishing twin
✔✔E. Uterine atony - ✔✔206. The most common cause of acute postpartum
hemorrhage is
A. Retained products of conception
B. Uterine fibroids
C. Succenturiate placenta
D. Endometritis
E. Uterine atony
✔✔D. Acardiac twin - ✔✔207. The sonographic image of one fetus in this second
trimester sonogram reveals:
A. Discordant growth
B. Vanishing twin
C. Stuck twin
,D. Acardiac twin
E. Twin-to-twin transfusion syndrome
✔✔E. After delivery - ✔✔208. The term puerperium refers to which period?
A. First trimester
B. Second trimester
C. Third trimester
D. Before delivery
E. After delivery
✔✔D. Fetal hydrops due to Rh sensitization - ✔✔209. What is NOT an indication for
amnioreduction?
A. Maternal difficulty breathing due to polyhydramnios
B. Maternal discomfort due to polyhydramnios
C. Maternal insomnia due to polyhydramnios D. Fetal hydrops due to Rh sensitization
E. Twin-to-twin transfusion syndrome due to monochorionicity
✔✔C. TORCH infections - ✔✔210. which of the following would NOT be likely to cause
postpartum hemorrhage?
A. Multiple gestation
B. Long labor
C. TORCH infections
D. Macrosomia
E. Polyhydramnios
✔✔C. Gets shorter - ✔✔211. When the internal os of the cervix begins to dilate, the
functional cervical length:
A. Becomes more echogenic
B. Gets longer
C. Gets shorter
D. Becomes ill-defined
E. Stays the same
✔✔B. Trisomy 2 - ✔✔212. If a patient's AFP level is low, one should check for:
A. Abdominal wall defects
B. Trisomy 21
C. Skeletal dysplasia
D. Multiple gestation
E. Neural tube defects
✔✔E. Coexistent mole and live fetus - ✔✔213. A molar pregnancy associated with a
viable fetus is called a
A. Hydatidiform mole
B. Choriocarcinoma
C. Breus mole
D. Chorioadenoma destruens
, E. Coexistent mole and live fetus
✔✔A Omphalopagus - ✔✔214. Twins conjoined at the anterior abdominal wall are
referred to as:
A Omphalopagus
B. Ischiopagus
C. Pygopagus
D. Craniopagus
E. Thoracopagus
✔✔B. RhoGAM - ✔✔215. Which drug is given to the Rh-negative mother to protect
against alloimmunization?
A. Methotrexate
B. RhoGAM
C. Pergonal
D. Indomethacin
E. Tetracycline
✔✔D. Vein of Galen aneurysm - ✔✔216. You discover a rounded, fluid-filled midline
structure within the fetal brain. When color Doppler is employed, the structure shows
color. The most likely diagnosis would be:
A. Dilatation of the third ventricle
B. Arachnoid cyst
C. Choroid plexus cyst
D. Vein of Galen aneurysm
E. Dandy-Walker malformation
✔✔E. A contraction - ✔✔217. This sonogram was obtained during the second trimester.
The arrow could be pointing to a leiomyoma OR to:
A. The fetal trunk
B. A chorioangioma
C. The placenta
D. A teratoma
E. A contraction
✔✔C. Treat an incompetent cervix - ✔✔218. A McDonald procedure is performed to A.
Freeze the cervix for dysplasia
B. Remove an IUD
C. Treat an incompetent cervix
D. Enhance fertility
E. Artificially inseminate
✔✔B. Packed red blood cells are introduced into the umbilical vein. - ✔✔219. Which of
these statements about intrauterine fetal blood transfusion is TRUE?
A. The puncture should be made as the cord enters the fetal abdomen.
B. Packed red blood cells are introduced into the umbilical vein.
QUESTIONS AND ANSWERS SURE A+
✔✔E. 30 weeks - ✔✔199. Twin growth is similar to that of singletons up to:
A. 10 weeks
B. 15 weeks
C. 20 weeks
D. 25 weeks
E. 30 weeks
✔✔D. Double placentation - ✔✔200. All of the following sonographic findings are
consistent with twin-to-twin transfusion syndrome (TTTS) EXCEPT
A. Unbalanced arterial venous shunting
B. Significant growth discordance
C Gender concordance
D. Double placentation
E. AFI discrepancy between two sacs
✔✔A. Conjoined twins are usually dizygotic - ✔✔201. All of the following statements
concerning dizygotic twinning are true EXCEPT:
A. Conjoined twins are usually dizygotic.
B. Dizygotic twinning is more common among Nigerians than among Caucasians.
C. 100 % of dizygotic twins are diamniotic / dichorionic .
,D. Dizygotic twins are considered fraternal.
E. Women over the age of 40 have a higher incidence.
✔✔D. It calculates fetal heart rate according to fetal activity - ✔✔202. Which of the
following best describes the function of the nonstress test?
A. It calculates fetal heart rate during fetal rest periods.
B. It calculates fetal heart and respiratory movements
C. It calculates gestational age and fetal heart rate
D. It calculates fetal heart rate according to fetal activity
E. It calculates fetal heart rate according to uterine contractions.
✔✔A. Twins - ✔✔203. A patient presents large for gestational age at 7-8 weeks post
LMP. This transverse image demonstrates:
A. Twins
B. Split-image artifact
C. Polyhydramnios
D. Bicornuate uterus
E. Single sac with implantation bleed
✔✔C.Erythroblastosis - ✔✔204, All of the following are associated specifically with
monozygotic twins EXCEPT: A. Cord entanglement
B. Twin-to-twin transfusion syndrome. C.Erythroblastosis
D. TRAP sequence
E. Conjoined twins
✔✔A. Twin-to-twin transfusion syndrome (TTTS) - ✔✔205. You are scanning a twin
gestation and one twin has fetal hydrops while the other is small for gestational age.
What condition should be suspected?
A. Twin-to-twin transfusion syndrome (TTTS)
B. Twin reversed arterial perfusion (TRAP) sequence
C. Twin embolization syndrome (TES) D. Acardiac parabiotic
E. Vanishing twin
✔✔E. Uterine atony - ✔✔206. The most common cause of acute postpartum
hemorrhage is
A. Retained products of conception
B. Uterine fibroids
C. Succenturiate placenta
D. Endometritis
E. Uterine atony
✔✔D. Acardiac twin - ✔✔207. The sonographic image of one fetus in this second
trimester sonogram reveals:
A. Discordant growth
B. Vanishing twin
C. Stuck twin
,D. Acardiac twin
E. Twin-to-twin transfusion syndrome
✔✔E. After delivery - ✔✔208. The term puerperium refers to which period?
A. First trimester
B. Second trimester
C. Third trimester
D. Before delivery
E. After delivery
✔✔D. Fetal hydrops due to Rh sensitization - ✔✔209. What is NOT an indication for
amnioreduction?
A. Maternal difficulty breathing due to polyhydramnios
B. Maternal discomfort due to polyhydramnios
C. Maternal insomnia due to polyhydramnios D. Fetal hydrops due to Rh sensitization
E. Twin-to-twin transfusion syndrome due to monochorionicity
✔✔C. TORCH infections - ✔✔210. which of the following would NOT be likely to cause
postpartum hemorrhage?
A. Multiple gestation
B. Long labor
C. TORCH infections
D. Macrosomia
E. Polyhydramnios
✔✔C. Gets shorter - ✔✔211. When the internal os of the cervix begins to dilate, the
functional cervical length:
A. Becomes more echogenic
B. Gets longer
C. Gets shorter
D. Becomes ill-defined
E. Stays the same
✔✔B. Trisomy 2 - ✔✔212. If a patient's AFP level is low, one should check for:
A. Abdominal wall defects
B. Trisomy 21
C. Skeletal dysplasia
D. Multiple gestation
E. Neural tube defects
✔✔E. Coexistent mole and live fetus - ✔✔213. A molar pregnancy associated with a
viable fetus is called a
A. Hydatidiform mole
B. Choriocarcinoma
C. Breus mole
D. Chorioadenoma destruens
, E. Coexistent mole and live fetus
✔✔A Omphalopagus - ✔✔214. Twins conjoined at the anterior abdominal wall are
referred to as:
A Omphalopagus
B. Ischiopagus
C. Pygopagus
D. Craniopagus
E. Thoracopagus
✔✔B. RhoGAM - ✔✔215. Which drug is given to the Rh-negative mother to protect
against alloimmunization?
A. Methotrexate
B. RhoGAM
C. Pergonal
D. Indomethacin
E. Tetracycline
✔✔D. Vein of Galen aneurysm - ✔✔216. You discover a rounded, fluid-filled midline
structure within the fetal brain. When color Doppler is employed, the structure shows
color. The most likely diagnosis would be:
A. Dilatation of the third ventricle
B. Arachnoid cyst
C. Choroid plexus cyst
D. Vein of Galen aneurysm
E. Dandy-Walker malformation
✔✔E. A contraction - ✔✔217. This sonogram was obtained during the second trimester.
The arrow could be pointing to a leiomyoma OR to:
A. The fetal trunk
B. A chorioangioma
C. The placenta
D. A teratoma
E. A contraction
✔✔C. Treat an incompetent cervix - ✔✔218. A McDonald procedure is performed to A.
Freeze the cervix for dysplasia
B. Remove an IUD
C. Treat an incompetent cervix
D. Enhance fertility
E. Artificially inseminate
✔✔B. Packed red blood cells are introduced into the umbilical vein. - ✔✔219. Which of
these statements about intrauterine fetal blood transfusion is TRUE?
A. The puncture should be made as the cord enters the fetal abdomen.
B. Packed red blood cells are introduced into the umbilical vein.
