OBGYN ARDMS CORRECT FINAL EXAM
QUESTIONS AND ANSWERS SURE A+
✔✔C. Crown-rump length - ✔✔8. What is being measured in the image in question 7?
A. Gestational sac
B. Biparietal diameter
C. Crown-rump length
D. Embryonic disc
E. Abdominal circumference
✔✔D. Yolk sac - ✔✔9. what is the arrow pointing to?
A. Amniotic cyst
B. Fetal head
C. Gestational sac
D. Yolk sac
E. Umbilical cord
✔✔C. Normal early intrauterine pregnancy - ✔✔10. Your patient relates history of
amenorrhea for 7 weeks. Her home pregnancy test was negative, but her serum beta-
hcG exceeds 4000 miU/ml. What does the image below demonstrate?
A. Pseudocyesis with an endometrial cyst
,B. Fluid contained within the endometrial cavity
C. Normal early intrauterine pregnancy
D. Degenerating submucosal fibroid
E. Normal empty uterus with periovulatory endometrium
✔✔B. Incomplete abortion - ✔✔11. This patient presented with bleeding and cramping.
Her pregnancy test is weakly positive. Three days prior, a living IUP was documented in
the uterus. This transvaginal image suggests
A. Normal intrauterine pregnancy
B. Incomplete abortion
C. Ectopic pregnancy
D. Pseudocyesis
E. Placental abruption
✔✔E. Rhombencephalon - ✔✔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. Mesencephalon
C. Encephalocele
D. Diencephalon
E. Rhombencephalon
✔✔D. Coexisting intrauterine and ectopic - ✔✔13. What is a heterotopic pregnancy?
A. A cervical ectopic pregnancy
B. A fertility-assisted pregnancy
C. An abdominal ectopic pregnancy
D. Coexisting intrauterine and ectopic
E. A twin ectopic pregnancy
✔✔C. Interstitial - ✔✔14. In a ruptured ectopic pregnancy, which section of the fallopian
tube is potentilly the most life-threatening?
A. Ligamentous
B. Ampulla
C. Interstitial
D. Fimbrial
E. Isthmic
✔✔B. The ovary is the second most common site for ectopic pregnancy. - ✔✔15. Which
statement about ectopic pregnancies is NOT true?
A. Interstitial ectopics are more serious than those located in the ampulla.
B. The ovary is the second most common site for ectopic pregnancy.
,C. The increased incidence of ectopic pregnancies is mostly attributable to sexually
transmitted diseases
D. The most common clinical symptom is pain. E. If a patient has had a previous ectopic
pregnancy, she is at increased risk for a recurrent ectopic pregnancy
✔✔C. 8 weeks - ✔✔16. A longitudinal image shows an intrauterine gestational sac that
occupies one-half of the endometrial canal. The sac size indicates that the gestational
age of the pregnancy should be:
A. 4 weeks
B. 6 weeks
C. 8 weeks
D. 10 weeks
E. 12 weeks
✔✔E. Early pregnancy failure - ✔✔17. A patient presents with a positive pregnancy test,
bleeding, and cramping. The sonogram reveals an intrauterine gestational sac
containing an echogenic structure but no heartbeat. Measurement of the structure
shows it to be 11 mm in length. The most likely diagnosis is:
A. Anembryonic pregnancy
B. Missed abortion
C. Placenta previa
D. Partial mole
E. Early pregnancy failure
✔✔A. Amnion - ✔✔18. What is the arrow pointing to in this image?
A. Amnion
B. Yolk sac
C. Septum
D. Chorion
E. Synechiae
✔✔C. Double decidual ring - ✔✔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
✔✔A. Leiomyoma - ✔✔20. This sagittal transvaginal image demonstrates a normal-
appearing intrauterine gestational sac. The hypoechoic structure indicated by the
calipers most likely represents:
A. Leiomyoma
B. Ovary
C. Engorged vessel
D. Artifact
, E. Cyst
✔✔D. Ante Flexed - ✔✔21. The image in question shows the uterine position to be
A. Unidentifiable
B. Retroflexed
C. Dextroposed
D. Ante Flexed
E. Levoposed
✔✔A. <2 mm - ✔✔22. At 5-10 weeks, the secondary yolk sac is considered abnormal if
it measures:
A. <2 mm
B. <3 mm
C. <4 mm
D. <5 mm
E. <6 mm
✔✔B. 2-6mm - ✔✔23. Prior to 10 weeks, the normal yolk sac diameter measures:
A. 1-4mm
B. 2-6mm
C. 3-5mm
D. 4-8mm
E. 5-10mm
✔✔A. Fundal implantation - ✔✔24. All of the following characteristics suggest an
abnormal early pregnancy EXCEPT
A. Fundal implantation
B. Dilated cervix
C. Poor decidual ring
D. Fluid around the sac
E. Irregular sac shape
✔✔B. Methotrexate - ✔✔25. Which of these drugs may be used to treat an earty
unruptured ectopic pregnancy in order to preserve fertility?
A. Pergonal
B. Methotrexate
C. Diethylstilbestrol (DES)
D. Thalidomide
E. Danazol
✔✔E. Yolk sac - ✔✔26. What is the arrow pointing to in this image?
A. Cystic mass
B. Amnion
C. Embryo was
D. ovum
QUESTIONS AND ANSWERS SURE A+
✔✔C. Crown-rump length - ✔✔8. What is being measured in the image in question 7?
A. Gestational sac
B. Biparietal diameter
C. Crown-rump length
D. Embryonic disc
E. Abdominal circumference
✔✔D. Yolk sac - ✔✔9. what is the arrow pointing to?
A. Amniotic cyst
B. Fetal head
C. Gestational sac
D. Yolk sac
E. Umbilical cord
✔✔C. Normal early intrauterine pregnancy - ✔✔10. Your patient relates history of
amenorrhea for 7 weeks. Her home pregnancy test was negative, but her serum beta-
hcG exceeds 4000 miU/ml. What does the image below demonstrate?
A. Pseudocyesis with an endometrial cyst
,B. Fluid contained within the endometrial cavity
C. Normal early intrauterine pregnancy
D. Degenerating submucosal fibroid
E. Normal empty uterus with periovulatory endometrium
✔✔B. Incomplete abortion - ✔✔11. This patient presented with bleeding and cramping.
Her pregnancy test is weakly positive. Three days prior, a living IUP was documented in
the uterus. This transvaginal image suggests
A. Normal intrauterine pregnancy
B. Incomplete abortion
C. Ectopic pregnancy
D. Pseudocyesis
E. Placental abruption
✔✔E. Rhombencephalon - ✔✔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. Mesencephalon
C. Encephalocele
D. Diencephalon
E. Rhombencephalon
✔✔D. Coexisting intrauterine and ectopic - ✔✔13. What is a heterotopic pregnancy?
A. A cervical ectopic pregnancy
B. A fertility-assisted pregnancy
C. An abdominal ectopic pregnancy
D. Coexisting intrauterine and ectopic
E. A twin ectopic pregnancy
✔✔C. Interstitial - ✔✔14. In a ruptured ectopic pregnancy, which section of the fallopian
tube is potentilly the most life-threatening?
A. Ligamentous
B. Ampulla
C. Interstitial
D. Fimbrial
E. Isthmic
✔✔B. The ovary is the second most common site for ectopic pregnancy. - ✔✔15. Which
statement about ectopic pregnancies is NOT true?
A. Interstitial ectopics are more serious than those located in the ampulla.
B. The ovary is the second most common site for ectopic pregnancy.
,C. The increased incidence of ectopic pregnancies is mostly attributable to sexually
transmitted diseases
D. The most common clinical symptom is pain. E. If a patient has had a previous ectopic
pregnancy, she is at increased risk for a recurrent ectopic pregnancy
✔✔C. 8 weeks - ✔✔16. A longitudinal image shows an intrauterine gestational sac that
occupies one-half of the endometrial canal. The sac size indicates that the gestational
age of the pregnancy should be:
A. 4 weeks
B. 6 weeks
C. 8 weeks
D. 10 weeks
E. 12 weeks
✔✔E. Early pregnancy failure - ✔✔17. A patient presents with a positive pregnancy test,
bleeding, and cramping. The sonogram reveals an intrauterine gestational sac
containing an echogenic structure but no heartbeat. Measurement of the structure
shows it to be 11 mm in length. The most likely diagnosis is:
A. Anembryonic pregnancy
B. Missed abortion
C. Placenta previa
D. Partial mole
E. Early pregnancy failure
✔✔A. Amnion - ✔✔18. What is the arrow pointing to in this image?
A. Amnion
B. Yolk sac
C. Septum
D. Chorion
E. Synechiae
✔✔C. Double decidual ring - ✔✔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
✔✔A. Leiomyoma - ✔✔20. This sagittal transvaginal image demonstrates a normal-
appearing intrauterine gestational sac. The hypoechoic structure indicated by the
calipers most likely represents:
A. Leiomyoma
B. Ovary
C. Engorged vessel
D. Artifact
, E. Cyst
✔✔D. Ante Flexed - ✔✔21. The image in question shows the uterine position to be
A. Unidentifiable
B. Retroflexed
C. Dextroposed
D. Ante Flexed
E. Levoposed
✔✔A. <2 mm - ✔✔22. At 5-10 weeks, the secondary yolk sac is considered abnormal if
it measures:
A. <2 mm
B. <3 mm
C. <4 mm
D. <5 mm
E. <6 mm
✔✔B. 2-6mm - ✔✔23. Prior to 10 weeks, the normal yolk sac diameter measures:
A. 1-4mm
B. 2-6mm
C. 3-5mm
D. 4-8mm
E. 5-10mm
✔✔A. Fundal implantation - ✔✔24. All of the following characteristics suggest an
abnormal early pregnancy EXCEPT
A. Fundal implantation
B. Dilated cervix
C. Poor decidual ring
D. Fluid around the sac
E. Irregular sac shape
✔✔B. Methotrexate - ✔✔25. Which of these drugs may be used to treat an earty
unruptured ectopic pregnancy in order to preserve fertility?
A. Pergonal
B. Methotrexate
C. Diethylstilbestrol (DES)
D. Thalidomide
E. Danazol
✔✔E. Yolk sac - ✔✔26. What is the arrow pointing to in this image?
A. Cystic mass
B. Amnion
C. Embryo was
D. ovum
