OB Final DMS 201 Questions With Complete Solutions
_____ tend to have a narrow base attachment to the
endometrium with a vascular pedicle feeding it.
Select one:
a. endometrial polyp
b. submucosal fibroid
c. endometrial carcinoma
d. synechia Correct Answers Endometrial polyp
A 16-year-old patient presents with complaints of a sudden
onset of right lower pain, nausea, and vomiting. Her clinician
palpated a large mass on the right side without rebound
tenderness. The sonographic examination revealed a large ovary
with dilated vessels and fluid in the posterior cul-de-sac. A color
Doppler study revealed lack of flow in the right ovary. What is
the most likely cause for this finding?
Select one:
A. Endometrioma
B. Polycystic ovarian syndrome
C. Ovarian torsion
D. Simple functional cyst Correct Answers Ovarian torsion
A 19-week fetus with elevation of MSAFP shows herniated
free-floating bowel loops. This most likely represents:
Select one:
A) an omphalocele
B) an umbilical hernia
,C) gastroschisis
D) jejunoileal atresia Correct Answers Gastroschisis
A 24-year-old woman presents with a fever, vaginal discharge,
and intense pelvic pain. Transabdominal and endovaginal
imaging demonstrates a complex multiloculated irregular mass
in the pouch of Douglas. This most likely represents:
Select one:
a. ovarian torsion
b. tuboovarian abscess
c. degenerating pedunculated fibroid
d. endometrioma Correct Answers Tuboovarian abscess
A 30-year-old woman arrives for a 1st trimester ultrasound.
Clinical symptoms include vaginal bleeding and rapidly
declining beta hCG levels. Transabdominal and endovaginal
imaging demonstrate an empty endometrial cavity and normal
bilateral adnexa. This most likely represents:
Select one:
a. missed abortion
b. ectopic pregnancy
c. complete abortion
d. anembryonic pregnancy Correct Answers Complete abortion
A 30-year-old, G4P2A1 presents to the department with right
lower quadrant pain. Her b-hCG is 1,500, and she is 7 weeks by
LMP. The sonographer images the double decidual sign, an
embryo, and an endometrial thickness of 9 mm. The right ovary
demonstrates increased color Doppler flow in a ringlike pattern.
,What is the most likely differential for this patient's history and
sonographic findings?
Select one:
A. Amnion/chorion separation
B. Nabothian cyst
C. Normal pregnancy
D. Ectopic pregnancy Correct Answers Normal pregnancy
A common clinical indication for an ectopic pregnancy is
painless vaginal bleeding.
Select one:
True
False Correct Answers False
A congenital condition characterized by decreased
mineralization of the bones is:
Select one:
a. achondroplasia
b. osteogenesis imperfecta
c. achondrogenesis
d. thanatophoric dysplasia Correct Answers Osteogenesis
imperfecta
A critical part of the process of closing the abdominal wall is:
Select one:
a. herniation of the midgut
b. folding
, c. shortening of the neural tube
d. expansion of the amniotic cavity Correct Answers Folding
A cystic dilation of the intravesical segment of the distal ureter
is:
Select one:
a. diverticulum
b. ureterocele
c. urachal cyst
d. ureterovesical obstruction Correct Answers Ureterocele
A defect in the lower abdominal wall and anterior wall of the
urinary bladder is which one of the following?
Select one:
a. cloacal exstrophy
b. amniotic band syndrome
c. umbilical hernia
d. ectopic bladder Correct Answers Cloacal exstrophy
A dilated bladder with a "keyhole" appearance is most likely:
Select one:
a. ureterovesical junction obstruction
b. posterior urethral valve obstruction
c. reflux of the ureter into the bladder
d. UPJ obstruction Correct Answers Posterior urethral valve
obstruction
A dominant follicle grows at a rate of approximately:
_____ tend to have a narrow base attachment to the
endometrium with a vascular pedicle feeding it.
Select one:
a. endometrial polyp
b. submucosal fibroid
c. endometrial carcinoma
d. synechia Correct Answers Endometrial polyp
A 16-year-old patient presents with complaints of a sudden
onset of right lower pain, nausea, and vomiting. Her clinician
palpated a large mass on the right side without rebound
tenderness. The sonographic examination revealed a large ovary
with dilated vessels and fluid in the posterior cul-de-sac. A color
Doppler study revealed lack of flow in the right ovary. What is
the most likely cause for this finding?
Select one:
A. Endometrioma
B. Polycystic ovarian syndrome
C. Ovarian torsion
D. Simple functional cyst Correct Answers Ovarian torsion
A 19-week fetus with elevation of MSAFP shows herniated
free-floating bowel loops. This most likely represents:
Select one:
A) an omphalocele
B) an umbilical hernia
,C) gastroschisis
D) jejunoileal atresia Correct Answers Gastroschisis
A 24-year-old woman presents with a fever, vaginal discharge,
and intense pelvic pain. Transabdominal and endovaginal
imaging demonstrates a complex multiloculated irregular mass
in the pouch of Douglas. This most likely represents:
Select one:
a. ovarian torsion
b. tuboovarian abscess
c. degenerating pedunculated fibroid
d. endometrioma Correct Answers Tuboovarian abscess
A 30-year-old woman arrives for a 1st trimester ultrasound.
Clinical symptoms include vaginal bleeding and rapidly
declining beta hCG levels. Transabdominal and endovaginal
imaging demonstrate an empty endometrial cavity and normal
bilateral adnexa. This most likely represents:
Select one:
a. missed abortion
b. ectopic pregnancy
c. complete abortion
d. anembryonic pregnancy Correct Answers Complete abortion
A 30-year-old, G4P2A1 presents to the department with right
lower quadrant pain. Her b-hCG is 1,500, and she is 7 weeks by
LMP. The sonographer images the double decidual sign, an
embryo, and an endometrial thickness of 9 mm. The right ovary
demonstrates increased color Doppler flow in a ringlike pattern.
,What is the most likely differential for this patient's history and
sonographic findings?
Select one:
A. Amnion/chorion separation
B. Nabothian cyst
C. Normal pregnancy
D. Ectopic pregnancy Correct Answers Normal pregnancy
A common clinical indication for an ectopic pregnancy is
painless vaginal bleeding.
Select one:
True
False Correct Answers False
A congenital condition characterized by decreased
mineralization of the bones is:
Select one:
a. achondroplasia
b. osteogenesis imperfecta
c. achondrogenesis
d. thanatophoric dysplasia Correct Answers Osteogenesis
imperfecta
A critical part of the process of closing the abdominal wall is:
Select one:
a. herniation of the midgut
b. folding
, c. shortening of the neural tube
d. expansion of the amniotic cavity Correct Answers Folding
A cystic dilation of the intravesical segment of the distal ureter
is:
Select one:
a. diverticulum
b. ureterocele
c. urachal cyst
d. ureterovesical obstruction Correct Answers Ureterocele
A defect in the lower abdominal wall and anterior wall of the
urinary bladder is which one of the following?
Select one:
a. cloacal exstrophy
b. amniotic band syndrome
c. umbilical hernia
d. ectopic bladder Correct Answers Cloacal exstrophy
A dilated bladder with a "keyhole" appearance is most likely:
Select one:
a. ureterovesical junction obstruction
b. posterior urethral valve obstruction
c. reflux of the ureter into the bladder
d. UPJ obstruction Correct Answers Posterior urethral valve
obstruction
A dominant follicle grows at a rate of approximately:
