1st trimester Transabdominal US Quiz

Question Title

* 1. Please type your name below

Question Title

* 2. The bladder lies ________ to the uterus.

Posterior

Lateral

Oblique

Question Title

* 3. What is the first structure typically seen on ultrasound in first trimester pregnancy

Yolk Sac

Trophoblast

Gestational Sac

Fetal Pole

Question Title

* 4. The yolk sac is typically visible at _____ gestational weeks.

Question Title

* 5. Fetal cardiac activity is typically seen at ______ wks gestation.

Question Title

* 6. This ultrasound mode is helpful in determining fetal heart rate.

Pulse wave doppler mode

Color doppler mode

M mode

Reverse gain enhancement mode

A 24 year old female is brought in through triage with a CC of lower abdominal pain, vomiting, and near syncope. Her HR is 120, her BP is 91/42, her RR is 25. You obtain a stat serum qualitative HCG and it is positive. A bedside US is used to complete a FAST exam, and it is positive.

Question Title

* 7. What is the next course of action for this patient?

Hydrate with IV fluids, and if stable refer for outpatient serial HCG and US imaging.

Admit to the hospitalist service for serial abdominal examinations, and await urine culture results.

Order stat CT imaging of the patient to identify a source of bleeding.

Order stat un-crossmatched blood, and consult OB on call and book an OR for emergent surgery

Question Title

* 8. What are the classic lower and upper B-HCG limits of the "discriminatory zone"

500, 1500

1000, 2500

1500, 3000

2500, 5000

Question Title

* 9. In a patient with a qualitative positive pregnancy test and lower abdominal pain, you should always wait for the quantitative B-HCG measurement before performing pelvic ultrasonography.

True

False