IMM Part 2 Written – 3 Months August 22 – Antenatal imaging and assessment of fetal well-being Prenatal diagnosis – Day 1
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1.A 25-year-old P0 presents for routine anatomy ultrasound at 20 weeks’ gestation. The only significant finding at the time of ultrasound is the presence of a single umbilical artery (SUA). How should you counsel this patient about the finding of a SUA?CorrectIncorrect
2.A 25-year-old P0 presents for routine anatomy ultrasound at 20 weeks’ gestation. The only significant finding at the time of ultrasound is the presence of a single umbilical artery (SUA).Targeted ultrasound does not demonstrate any other abnormalities. The patient asks you if this SUA will impact how you manage the rest of her pregnancy. What should you tell her?CorrectIncorrect
3.A 22-year-old G1P0 at 28 weeks’ gestation by LMP presents to labor and delivery complaining of decreased fetal movement. She has had no prenatal care. On the fetal monitor there are no contractions. The fetal heart rate is 150 beats per minute and reactive, with no decelerations in the fetal heart tracing. An ultrasound demonstrates a 28-week fetus with normal anatomy and size consistent with menstrual dates. The placenta is implanted on the posterior uterine wall and its margin is well away from the cervix. A succenturiate lobe of the placenta is seen implanted low on the anterior wall of the uterus. Doppler flow studies indicate a blood vessel is traversing the cervix connecting the two lobes. This patient is most at risk for which of the following?CorrectIncorrect
4.A healthy 25-year-old G1P0 at 37 weeks’ gestational age comes to your office to see you for a routine obstetric visit. She reports that on several occasions she has experienced dizziness, light-headedness, and feeling as if she is going to pass out when she lies down on her back to take a nap. What is the most appropriate plan of management for this patient?CorrectIncorrect
5.A 19-year-old P0 at 20 weeks’ gestation presents to the emergency department (ED) with complaints of right flank pain. The ED physician orders a renal sonogram as part of a workup for a possible kidney stone. The radiologist reports that no nephrolithiasis is present, but reports the presence of bilateral mild hydronephrosis and hydroureter, which is greater on the right side than on the left. What is the most appropriate next step in management?CorrectIncorrect
6.The fetus is confirmed to have an open NTD with a diagnosis of spina bifida. What is the most appropriate counseling for this woman regarding future pregnancies?CorrectIncorrect
7.The patient asks how the diagnosis of spina bifida will impact her obstetric management and delivery. You should counsel her that:CorrectIncorrect
8.Dating scan is done at which gest ageCorrectIncorrect
9.Anomaly scan is done at which gestation ageCorrectIncorrect
10.In patients who are at risk of developin Preeclampsia Uterine artery Doppler is done at which gestational ageCorrectIncorrect