Shared Flashcard Set

Details

OB
OB Quizzes
220
Other
Undergraduate 2
06/07/2011

Additional Other Flashcards

 


 

Cards

Term
Irregular, acyclic bleeding
Definition
Metorrhea
Term
MC cause of uterine calcification
Definition
Myomas
Term
physiologic status of pre puberty
Definition
premenarche
Term
state of reaching puberty in which menses occur every 21-28 days
Definition
menarche
Term
Imaging of the fundus TV do what to the probe (angle)?
Definition
closer to the bed
Term
EV scan plan 90 degrees from sagittal?
Definition
coronal plane
Term
posthysterectomy normal vag cuff shouldn't exceed?
Definition
2 cm
Term
superficial layer of glands and stroma of the endometrium?
Definition
zona functionalis
Term
Normal size of menarchal uterus?
Definition
8cm long x 4 cm wide
Term
lt ovarian veins drains into?
Definition
lt renal vein
Term
ovary's primary blood supply
Definition
ovarian artery
Term
middle layer of uterus
Definition
myometrium
Term
retrouterine space also known as
Definition
posterior cul-de-sac
Term
Gartner's duct cyst location
Definition
vagina
Term
release of an egg from a ruptured follicle
Definition
ovulation
Term
abnormally heavy or long menses
Definition
menorrhagia
Term
thickness of endometrium measured in the
Definition
sagittal plane
Term
bending forward of the fundus and body of uterus
Definition
anteflexion
Term
postmenopausal pts endometrial thickness less than ___mm reliably excludes endometrial abnormality
Definition
5 mm
Term
pts on tamoxifen have increased risk of
Definition
endometrial hyperplasia, polyps, endometrial CA
Term
28 y/o woman LLQ pain. LMP 2 wks ago. US shows highly echogenic structure in endometrial cavity.
Definition
IUD
Term
Inner lining of uterine cavity
Definition
endometrium
Term
acquired condition w/cervical canal obstruction
Definition
cervical stenosis
Term
widest portion of the fallopian tube
Definition
ampulla
Term
small vessels found along periphery of uterus
Definition
arcuate vessels
Term
uterine AVM
Definition
involves the myometrium
Term
leiomyoma most likely to cause heavy irregular uterine bleeding
Definition
submucosal
Term
symmetric bilateral pelvic masses most likely
Definition
pelvic muscles
Term
MC site for leiomyoma to occur
Definition
intramural
Term
32 y/o women w/enlarged uterus on PE and hx of cyclic profuse and prolonged bleeding and pain
Definition
leiomyoma
Term
size and shape of normal uterus related to all EXCEPT
Definition
family hx
Term
benign invasion of endometrial tissue into the myometrium is
Definition
adenomyosis
Term
mature follicle is known as the
Definition
graafian follicle
Term
endometrial hyperplasia develops from
Definition
unopposed estrogen stimulation
Term
MC US finding in endometrial CA
Definition
abnl thickening of endometrial cavity w/irregular bleeding in peri and post menopausal women
Term
estrogen secreted by ___, progesterone secreted by ___
Definition
follicles; corpus luteum
Term
complications in delivery may occur when fibroid is located
Definition
near the cervix
Term
highest systolic peak-highest diastolic peak/highest systolic peak
Definition
Pourcelot resistive index (RI)
Term
nabothian cysts found near
Definition
endocervical canal
Term
horizontal plane through longitudinal axis of body to image from anterior to posterior
Definition
coronal
Term
catheter inserted into endometrial cavity w/saline or contrast to demonstrate abnormalities w/in cavity or tube
Definition
sonohysterography
Term
EV US w/anteverted uterus, cervix seen ___, fundus of uterus found in the ___
Definition
rt side of the screen; lt side of the screen
Term
mature follicle is ___cm in size right before ovulation
Definition
2 cm
Term
vagina's two sources of blood supply
Definition
uterine artery and vaginal artery
Term
hydrometra appears as
Definition
sonolucent fluid collection in the uterine canal
Term
partial or complete rotation of the ovarian pedicle on its axis
Definition
ovarian torsion
Term
paraovarian cysts arise from the
Definition
borad ligament
Term
simple ovarian cysts in postmenopausal women not likely malignant when measuring less than ___cm
Definition
5 cm
Term
MC benign tumor of the ovary
Definition
dermoid
Term
FALSE statement about PID
Definition
confers a decreased risk of ectopic pregnancy
Term
risk factors in PID DON'T include
Definition
single sexual partner
Term
infection within the fallopian tube
Definition
salpingitis
Term
dermoid associated w/this US sign
Definition
tip of the iceberg
Term
which endocrine disorder associated w/chronic anovulation
Definition
pcos
Term
stage II of ovarian CA is
Definition
limited to the pelvis
Term
complex adenexal mass most likely
Definition
pyosalpinx
Term
24 y/o w/fever, vag d/c, pelvic pain. TA and EV shows complex multilocuated irregular mass in pouch of Douglas. most likely
Definition
tubo ovarian abscess (TOA)
Term
statement about diffuse endometriosis false
Definition
easily diagnosed by sonography
Term
infection that involves fallopian tube and ovary
Definition
tubo ovarian abscess (TOA)
Term
MC adnexal ass in early pregnancy
Definition
corpus luteal cyst
Term
false statement about ovarian torsion
Definition
lt ovary is 3x more likely to torse than rt
Term
common condition w/endometrial tissue present outside uterus
Definition
endometriosis
Term
localized tumor of endometriosis in ovary, cul-de-sac, retrovaginal septum and peritoneal surface of posterior wall of uterus
Definition
endometrioma
Term
pelvic abscess usually is a
Definition
complex cul-de-sac mass that distorts the pelvic anatomy
Term
inflammation of serous membrane lining the abd cavity covering the viscera
Definition
peritonitis
Term
benign adenoma w/multiple cysts
Definition
cystadenoma
Term
benign adenoma w/multiple cysts
Definition
cystadenoma
Term
ovary usually abnl when volume is __the size of the contralateral ovary
Definition
twice
Term
mucinous cystademona is not
Definition
thick with irregular walls and septations
Term
small endocrine structure develops w/in a ruptured ovarian follicle and secretes progesterone and estrogen is a
Definition
corpus luteum cyst
Term
false statement about Meig's syndrome
Definition
associated w/theca luteum cysts
Term
25 y/o w/painful cycles w/infertility. TA and EV demonstrates hypoechoic well-defined adnexal mass. NL ovaries seen bilaterally
Definition
endometrioma
Term
MC etiology of PID is
Definition
STD
Term
clinical symptoms of PID
Definition
fever, dull pelvic aching, asymptomatic
Term
pcos statement false
Definition
occurs in the late to mid 30's
Term
false statement about the fallopian tube
Definition
best seen TA
Term
asypymptomatic 32 y/o dx w/lt adnexal mass on PE w/prev PID. TA and EV show anechoic tubular structure in LLQ. Most likely
Definition
hydrosalpinx
Term
statement about interventional pelvic US
Definition
decreases pt cost
Term
PID includes all except
Definition
endometriosis
Term
US criteria for simple ovarian cyst doesn't have
Definition
posterior shadowing
Term
a___cyst occurs when dominant follicle doesn't succeed in ovulating and remains active
Definition
follicular cyst
Term
statement about US safety
Definition
studies on bioeffects are not difinitive
Term
goal of seeking greater balance of clinical "goods" over "harms"
Definition
benificence
Term
evaluating infertile pt assess structural anatomy and
Definition
endometrium
Term
US can't determine
Definition
exact date of delivery
Term
complications w/assissted reproductive technologies except
Definition
cervical stenosis
Term
___served when protocols are standardized
Definition
justice
Term
principle that encourages sonographers to go beyond standard of protocol
Definition
beneficence
Term
duty of health care profesisonal to protect privacy of pt info
Definition
confidentiality
Term
uterine anomaly associated w/high incidence of infertility
Definition
septate uterus
Term
principle that directs sonographer to cause no harm
Definition
non-malficence
Term
fetal US performed w/ or w/out Doppler performed
Definition
with a valid medical reason
Term
person's capacity to formulate, express and carry out value-based preferences
Definition
autonomy
Term
code of ethics adopted by the
Definition
society of Diagnostic Medical Sonographers
Term
before transfer into the uterus, oocytes fertilized and incubated for__
Definition
48-74 hours
Term
fertilization takes place in the womans body in
Definition
GIFT
Term
principle requires education, skills to ensure competence
Definition
non-malficence
Term
human fertilization where fertilized egg injected into fallopian tube
Definition
ZIFT
Term
cervical mucus evaluated by postcoital test w/in
Definition
24 hours
Term
right of self determination describes
Definition
autonomy
Term
false statement about infertility
Definition
affects 1 in 3 couples in the US
Term
T shaped uterus caused by
Definition
exposure to DES in utero
Term
hyperechoic linear strand of tissue extending from one wall of cavity to the other
Definition
synechia
Term
statement about amniotic fluid
Definition
in 1st trimester fluid produced by the placenta
Term
enlarged ovaries w/ multiple cysts, abd ascites, pleural effusion
Definition
ovarian hyperstimulation syndrome
Term
placental implantation encroaching upon lower uterine segment termed
Definition
placenta previa
Term
fallopian tubes evaluated by US/saline to determine
Definition
patency
Term
2nd trimester is between
Definition
13-26 gestational weeks
Term
OB US doesn't allow clinician to assess
Definition
muscle tone
Term
sonographer minimize thermal affects by
Definition
not staying in one spot
Term
IVF optimal placement is w/in 1.0-1.5 cm of apex of
Definition
uterine fundus
Term
2nd trimester nl cervical length
Definition
3-4 cm
Term
triple line sign associated with
Definition
endometrium
Term
pcos all except
Definition
buliemia
Term
biological affects
Definition
thermal, collapse of gas filled bubbles, cavitation
Term
ectopic pregnancy doesn't include
Definition
doubling of serum hCG every other day
Term
false statement about gestational sac
Definition
blood tests positive 7-10 hrs after conception
Term
poor prognosis seen in embryos w/heart rates below
Definition
90 bpm
Term
increased risk of hemorrhage in ectopic pregnancy located
Definition
near the uterine cornua (interstitial)
Term
term for multiple pregnancy w/in one chorionic sac is
Definition
monochorionic
Term
abnormal gestational sac
Definition
located midline position in the endometrium
Term
hemorrhage located between gestational sac and placenta represents
Definition
subchhorionic hemorrhage
Term
heterotopic pregnancy is
Definition
simultaneous intrauterine and extrauterine pregnancy
Term
blastocyst enters the uterus
Definition
4-5 days after fertilization/implantation
Term
30 y/o 1st tri vag bleeding, rapid declining hCG. TA and EV w/empty endometrial cavity and nl bilateral adnexa.
Definition
complete abortion
Term
crown rump length good until ___gestational week
Definition
12th
Term
beta hCG level plateau and then decline and gestational sac continues to grow after
Definition
8 wks
Term
hyperplastic protrusion of the epithelium of the cervix; broad based or pedunculated
Definition
cervical polyps
Term
early pregnancy, gestational sac grows
Definition
1.0 mm/day
Term
embryonic heart begins to beat at
Definition
35 days
Term
difference between peak systole and peak diastole
Definition
S/D ratio
Term
TA scanning nl gestational sac consistently demonstrated when beta hCG level is
Definition
1800 mIu/ml
Term
diameter of the nl yolk sac should never exceed
Definition
6 mm
Term
complex adnexal mass
Definition
pyosalpinx
Term
most frequent sonographic finding in ectopic pregnancy
Definition
an adnexal mass
Term
endometrium at its greatest thickness and echogenicity w/posterior enhancement
Definition
luteal
Term
anechoic center of a 5-6 wk gestational sac represents
Definition
chorionic cavity
Term
first site of formation of RBCs that will nourish the embryo
Definition
primary yolk sac
Term
endometrium measured from hyperechoic layer to hyperechoic layer
Definition
Term
purpose of ACR guidelines includes all except
Definition
state when the US should be performed
Term
calculate MSD of gestational sac formula
Definition
length+width+height/3
Term
ectopic pregnancy MC occurs in the
Definition
fallopian tube
Term
EV US abnl pregnancy suspected when failure to visualize yolk sac w/minimum mean gestational sac diameter of
Definition
8 mm
Term
72 y/o w/hx of vag bleeding, not on HRT
Definition
endometrial carcinoma
Term
villi on the myometrial side of the conceptus
Definition
decidua basalis
Term
implantation of blastocyst into the endometrium occurs at
Definition
7-9 days after ovulation
Term
ovum without an embryo
Definition
anembryonic pregnancy
Term
cavity in which the fetus exists is
Definition
amniotic cavity
Term
fusion of the chorion and amnion occurs between
Definition
16-17 wks
Term
41 y/o woman G2 P002 heavy periods and enlarged uterus
Definition
subserosal leiomyoma
Term
interface between the decidua capsularis and echogenic vascular endometrium
Definition
double decidual sign
Term
gestational sac where embryo fails to develop
Definition
blighted ovum, anembryonic pregnancy
Term
technique that's best for measuring cervical-fundal dimension of the uterus
Definition
transabdominal
Term
lab test indicates pregnancy when values are elevated
Definition
hCG
Term
after fertilization of the ovum, corpus luteum secretes
Definition
progesterone w/some estrogen
Term
false statement about embryo heart
Definition
early development the heart rate is over 190 bpm
Term
10 wk gestation w/cystic area w/in posterior cranium likely
Definition
normal rhombencephalon
Term
24 y/o G1 P1001 w/RLQ pain, fever, no preg
Definition
TOA
Term
cranial anatomy visualized after which gestational wks
Definition
12-14
Term
EV approach first structure visualized w/in gestational sac is
Definition
secondary yolk sac
Term
PID and endometriosis may mimic
Definition
functional bowel disease
Term
length of time calculated from first day of LMP to point at which pregnancy is assessed
Definition
gestational age, menstrual age
Term
differential for solid appearing adnexal mass include all except
Definition
hydrosalpinx
Term
biophysical includes all except
Definition
muscle tone
Term
first tri herniated bowel returns w/in abd cavity
Definition
12 wks
Term
sonographic correlation in dx of ectopic pregnancy combination of
Definition
free fluid, adnexal mass
Term
serum level of beta hCG w/ gestational trophoblastic dz is
Definition
dramatically elevated
Term
partial absence of the cranium
Definition
acrainia
Term
orbits spaced too far apart
Definition
hypertelorism
Term
three vessels in umbilical cord
Definition
two arteries and one vein
Term
MC cord entanglemant in the fetus
Definition
nuchal cord
Term
chorionic plate related to
Definition
fetal portion developed from chorion frondosum
Term
umbilical cord formed by fusion of
Definition
yolk stalk and allantoic ducts
Term
problem that may lead to inadequate fetal descent
Definition
short cord
Term
technique valid and reproducible in amniotic fluid assessment
Definition
AFI
Term
abdominal cirumference
Definition
measurement @ stomach, lt portal vein, left umbilical vein
Term
most dangerous placenta accreta is
Definition
percreta
Term
velamentous placement of placenta refers to
Definition
membranous insertion of the cord
Term
what shunts blood away from the lungs
Definition
ductus arteriosus
Term
not a fx of amniotic fluid
Definition
develops fetal swallowing
Term
normally fetal bladder empties every
Definition
15-25 min
Term
attachment of placenta membranes to fetal surface of the placenta is
Definition
circummarginate placenta
Term
false statement about true knot
Definition
doesn't affect mortality rate
Term
structure that carries O2 blood from the umbilical vein to IVC
Definition
ductus venosus
Term
cavum septum pellucidi observed in front of the
Definition
thalamus
Term
measuring cistern magna obtained by measuring
Definition
vermis to occipital bone
Term
fetus not growing as fast as normal
Definition
intrauterine growth restriction
Term
amniotic sheets are caused by
Definition
synechiae
Term
maternal side of the placenta
Definition
decidua basalis
Term
femur length measurement
Definition
includes only femoral diaphysis
Term
fetal head towards fundus of uterus
Definition
breech
Term
frontal bones collapse forward describe
Definition
lemon sign
Term
measurement of the biparietal diameter taken from
Definition
outer edge to inner edge
Term
false knots of the umbilical cord
Definition
occur when blood vessels are longer than the cord
Term
major functioning unit of placenta
Definition
chorionic villus
Term
single umbilical artery seen sonographer should check for
Definition
genitourinary defect
Term
nuchal skin fold thickness of 5 mm or less is normal up to
Definition
20 wks
Term
sonographic sign refers to shape of cerebellum when spinal defect is present
Definition
banana sign
Term
twin pregnancies have a ___median AFI than a singleton pregnancy
Definition
slightly lower
Term
maternal condition not associated with polyhydramnios
Definition
tetralogy of Fallot
Term
biparietal diameter measurement of fetal head @
Definition
thalamus and cavum septum pellucidum
Term
cerebrospinal fluid travels from lateral ventricles to 3rd ventricle via the
Definition
foramen of monroe
Term
normal length of the umbilical cord
Definition
40-60 cm
Term
amniotic fluid appears anechoic and mobile particles are
Definition
vernix caseosa
Term
after birth the ductus venosus becomes
Definition
ligamentum venosum
Term
total number of pregnancies
Definition
gravidity
Term
produced by the umbilical cord, membranes, fetal lung, skin and kidney
Definition
amniotic fluid
Term
marginal placenta previa demonstrates
Definition
placenta touching but not crossing the internal cervical os
Term
marginal or eccentric insertion of the umbilical cord demonstrates
Definition
battledore placenta
Term
multiple fibrous strands of amnion in utero to develop amputations of malformation of the fetus are
Definition
amniotic bands
Term
normal lateral ventricle measures less than
Definition
10 mm
Term
occurs when intramembranous vessels course across internal cervical os
Definition
vasa previa
Term
presence of one more accessory lobes connected to body of placenta by blood vessels
Definition
succenturiate placenta
Term
most accurate measurement for determining fetal age is the
Definition
crown rump length
Term
indicates that lier is on the right, stomach on the left, heart apex is on the left
Definition
normal situs
Term
evaluating fetal spine align transducer
Definition
perpendicular to spinal elements
Term
presentation of fetus lying perpendicular to maternal sagittal axis is
Definition
transverse
Term
sonographis signs of polyhydramnios NOT
Definition
amniotic fluid index greater than 15 cm
Term
amount of amniotic fluid NOT regulated by the
Definition
fluid exchange within the heart
Term
condition where fetal head elongated in TRV diameter and shortened in AP diameter is
Definition
brachycephaly
Supporting users have an ad free experience!