Buy Fetal Echocardiography for the Boards

Buy Fetal Echocardiography for the Boards
Buy Fetal Echocardiography for the Boards
1. You are a high-risk maternal–fetal medicine provider
performing an initial evaluation of a 22-year-old G2P1
female who is presently 23 weeks’ pregnant. You are
recording her current and past medical and family history.
Which of the following is the least appropriate indication
for a fetal echocardiogram to be performed?
A. She has been on lithium for 5 years for manic
B. There is a family history of gestational diabetes in her
C. The fetus’ father had repair of a ventricular septal
defect at 2 years of age.
D. She has been taking aspirin for headaches daily for the
past 3 weeks.
E. Amniocentesis performed earlier demonstrates
trisomy 21 in the fetus.
Buy Fetal Echocardiography for the Boards
2. The fetal echocardiographic image in Figure 39.1 and
Video 39.1 was obtained during a routine obstetric screening in a 42-year-old G3P2 pregnant female. Which of the
following genetic diagnoses is most likely associated with
the †nding shown?
A. Turner syndrome
B. Normal chromosome analysis
C. Williams-Beuren (or Williams) syndrome
D. Trisomy 21 (Down syndrome)
E. Noonan syndrome
3. A G1P0 23-year-old pregnant female with a history of
Wolff-Parkinson-White (WPW) syndrome is sent for
evaluation secondary to concern for an abnormal fetal
heart rhythm noted on routine OB screening. The fetal
M-mode tracing in Figure 39.2 (Video 39.2) was obtained
from the fetus. This tracing demonstrates:
A. Fetal ventricular tachycardia
B. Benign premature atrial contractions
C. Supraventricular tachycardia
D. Normal fetal heart rate
E. Sinus tachycardia
Chapter 39
Fetal Echocardiography for
the Boards
Louis I. Bezold
Figure 39.1
Figure 39.2
(c) 2015 Wolters Kluwer. All Rights Reserved.
Chapter 39 Fetal Echocardiography for the Boards 325
4. A normal fetal echocardiographic four-chamber view
excludes which of the following congenital heart lesions
in the fetus?
A. D-transposition of the great arteries
B. Coarctation of the aorta
C. Partial anomalous pulmonary venous return
D. Pulmonary valve stenosis
E. Hypoplastic left heart syndrome
5. On routine fetal echocardiographic evaluation of a
24-week gestation fetus, a small, circumferential pericardial effusion is noted. The fetal heart is structurally
normal with normal Doppler evaluation, including the
umbilical vessels. There is normal cardiac rhythm, heart
rate, and ventricular function. No other extravascular ‚uid
collections are identiƒed in the fetus. The pregnancy is
otherwise uncomplicated.
Which of the following is correct regarding this effusion?
A. This fetus has “hydrops fetalis.”
B. Follow-up evaluation for cardiac ƒbroma should be
C. Although follow-up is indicated, this effusion will
most likely resolve.
D. Although small, this effusion indicates a greatly
increased risk of fetal demise.
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