What vessels are used to identify adnexal borders? Internal iliac artery What is the normal measurement of endometrium? 2-3mm What does the term "tip of the iceberg" refer to? Dermoid What does the banana sign refer to? Arnold -Chiari Syndrome What does the lemon sign refer to? Spina bifada What condition displays cystic hygroma? Turner's Syndrome What is the villi on the maternal side of the placenta? Decidua Basalis What is the villi surrounding the chorionic sac? Decidua Capsularis What is the most common Gyn malignancy? Endometrial Cancer What lab test is a marker for Ovarian Cancer? CA 125 What is the space in which the fetus exists? Amniotic cavity What surrounds the amniotic cavity? Chorionic cavity What is the most accurate measurement of the embryo in the 1st trimester? CRL - Crown Rump Length What is the first site of the formation of red blood cells that will nourish the embryo? Primary Yolk Sac What is the Embryonic phase? 6-10 weeks When is the beginning of the Fetal Period? 11-12 weeks What is sonography used for in the 1st trimester? Hint - 6 1) See location of gestational sac 2) Identify embryonic gestation 3) Determine embryo viability 4) Determine number of embryos 5) Estimate menstrual age of pregnancy 6) Indentify fetal anomalies What is interface between endometrium and decidual capsularis? Double decidual sac sign When is the heart beat detected? 5 1/2 weeks What part of the fetus is developed from ectoderm? Spine What is a partial or complete absence of the cranium? Acrania What is a protrusion of the brain from the cranial cavity? Cephalocele What is the term for pregnancy in the fallopian tune near corner of uterus? Interstitial pregnancy What syndrome presents with short stature, low set ears, shield-shaped chest and infertility in females? Turner's syndrome What appears as an echogenic mass at the base of umbilical cord at 8-12 weeks? Bowel herniation What is the most common ovarian mass seen in 1st trimester? Corpus luteum cyst What is the most common occurance of bleeding in the 1st trimester? Subchorionic hemorrhage What condition gives a snowstorm appearance on ultrasound? Hydatidiform molar pregnancy In developing fetus - is the right or left lobe of liver larger? left What is the vascular makeup of the umbilical cord? 1 large vein and 2 small arteries What is the function of the amniotic fluid? Hint - 3 1) Allows fetus to move 2) Maintain intrauterine pressure 3) Protects fetus from injury What fetal measurements are taken in 2nd trimester? Hint - 4 1) BPD - Biparietal Diameter 2) HC - Head circumference 3) AC - Adbominal circumference 4) FL - Fetal length What is decreased rate of fetal growth? IUGR - Intra-Uterine Growth Restriction What are the 5 parameters of Biophysical profile - BPP? 1) Cardia 2) Fetal breathing 3) Fetal body movements 4) Fetal tone 5) Amniotic fluid volume What is Macrosomia? Birth weight over 4000 grams What is TOA? Tubo-Ovarian Abscess What is TOC? Tubo-Ovarian Complex - Fusion of inflamed tube and ovary What is menstrual age in pregnancy? Date of LMP What is heterotopic pregnancy? Ectopic and intrauterine pregnancy simultaneously What is known as silent cancer? Ovarian cancer What is the period between 6-12 weeks? Embryonic period What is the function of the Yolk Sac? Hint - 4 1) Nutrition 2) Hematopoiesis 3) Forms primary gut 4) Predicts viability What is process of ovulation regulated by? Hypothalamus What is normal length of post-menopausal uterus? 3-5 cm What is the largest functional cyst? Theca-Lutein Cyst What is a tumor of the endometrium? Endometrioma What is the most common type of ovarian cancer that is bilateral and loculated? Serous cystadenocarcinoma What is a rare uterine malignancy? Leiomyosarcoma 4 characteristics of endometrial cancer 1) Most common gyn malignancy 2) Causes uterine bleeding 3) Associated with hormone therapy 4) More common with Obesity What is an infection of endometrium? Endometritis What is a dizygotic? 2 separately fertilized ova 2 placentas 2 chorionic and amniotic sacs What is monozygotic? 1 fertilized ovum Identical twins may have 1 or 2 placenta dependent on early or late division What is pre-eclampsia? Hypertension induced by pregnancy What does a decreased level of AFP indicate? Chromosomal abnormalities What condition is associated with abnormally small chin? Micrognathia What is an anterior abdominal wall defect in which abdominal organs are located within umbilical cord? Omphalocele What is dilation of jugular lymph sacs due to improper drainage of lymphatic system usually associated with Turner's syndrome? Cystic hygroma When is the ideal time for amniocentesis? 15-18 weeks gestation What is CVS? Chorionic villus sampling What is used to determine separate gestatioal sacs in twins? Injected indigo carmine dye