Quiz

Presented at St Vincent's Hospital Obstetric and Gynaecological Ultrasound Workshop 2011

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Day 1

Question 1:
11 weeks gestation. An increased nuchal translucency is noted.  What is the diagnosis ?                          

Answer... Hypoplastic Left Heart

 

 

Question 2:
Next two patients have the same abnormality.
What is the diagnosis ?

Answer... Bilateral SVC or Persistent LT SVC

 

 

Question 3:
19yo. Patient Referred for amniocentesis because of VSD noted on a routine 19 week scan.
There is an additional cardiac abnormality. What is it?

Answer… Aberrant RT subclavian artery

 

 

Question 4:
B Flow STIC render in 2 separate patients. One is normal and one is abnormal
Clip B: What is the diagnosis?

Answer… Right Aortic Arch

 

 

Question 5:
20 weeks gestation. Routine mid trimester scan. What is the diagnosis?

Answer... Right ventricular cardiac aneurysm

 

 

Question 6:
18 weeks gestation. Routine Scan. What is the diagnosis?

Answer... Holoprosencephaly

 

 

Question 7:
Two patients with the same condition. What is the diagnosis?

Answer... ACC

 

 

Question 8:
What is the diagnosis?

Answer... Septo-optic dysplasia

 

 

Question 9:
19 weeks gestation. Routine mid trimester scan.
What brain abnormality do these two video clips demonstrate?

Answer... Spina Bifida & Holoprosencephaly

 

 

Question 10:
What is the diagnosis?

Answers: NTD

 

 

Question 11:
Anatomical structure noticed during many routine 18-20 and 3rd trimester examinations.
What is this structure?

Answer... Falx Cerebelli

 

 

Question 12:
21 weeks gestation. What is the diagnosis?

Answer... Blake's Pouch

Day 2

Question 13:
10-11 weeks gestation. What is the diagnosis?

Answer... Patent urachus

Question 14:
21yo. 32 weeks gestation. Please check the placental site:
EFW on the 10th centile. Normal Liquor Volume
  1) Fetal Umbilical cord knot
  2) Fetal umbilical cord Compression
  3) Umbilical vein Thrombosis
  4) Intermittent placental insufficiency
  5) Scanning too firmly

Answer... (5)

Question 15:
19yo. 18 weeks gestation. Mediastinal shift is present.
What is the diagnosis?

Answer... CCAM type II & III

Question 16:
What is the diagnosis? (This one requires some lateral thinking)

Answers... Conjoined Twins

Question 17:
18 weeks gestation routine scan
Following identification of this sonographic finding what is the first thing you would organize / or do:
  a) Call 000
  b) Arrange Intravenous access
  c) Arrange Transfer of the patient to A&E on the same day
  d) Measure the MCA Doppler
  e) Arrange a repeat scan in 4-6 weeks

Answer... (e)

Question 18:
How do you explain the discordant findings 60 seconds apart ?
  1) Embryonic asystole followed by return to normal rhythm
  2) Machine Settings
  3) Video editing
  4) Different patient
  5) Divine Intervention

Answer... (1)

Question 19:
49yo. Pelvic Prolapse. Mass arising from the posterior vaginal wall.
What is the diagnosis?

Answer... Vaginal wall fibroma

Question 20:
Two patients with the same abnormality.
What is the diagnosis?

Answer... Skene's Duct Cyst

Question 21:
Two patients with the same abnormality.
What is the diagnosis?

Answer... Paraurethral diverticulum

Question 22:
What is the diagnosis?

Answer... Nabothian Follicles

Question 23:
Next two patients have the same abnormality.
What is the diagnosis?

Answer... Ischiorectal fossa haematoma