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Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_5775_Библиотеки_им_академика_М_И_Перельмана

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Postnatalchestandabdomenradiograph
Morbidityandmortalityforthisneonateismostlikelydependentonwhichofthefollowing?
A.Congenitalheartdisease B.Pulmonaryhypoplasia C.Bowelobstruction D.Urinarytractobstruction
5b.WhichofthefollowingisanappropriateindicationforperformingafetalMRIexam?
A.Surveillanceoffetalrenalpelviectasis B.Quantificationofamnioticfluidvolume C.Assessmentforpulmonaryhypoplasia D.Assessmentforfetalhydrops
6. Increasing poweroutputduring a fetal ultrasound would be appropriatefor whichofthefollowing
situations?
A.Useofa12MHzlinearprobefailstovisualizeallofthefetalanatomybecauseofinsufficient
acousticpenetration. B.Multiplehorizontalechoesarenotedwithintheamnioticfluidclosetotheprobe. C.  Insufficient acoustic penetration prevents complete evaluation of the fetus. The lowest
frequencyprobeisbeingusedandthegainhasbeenmaximized. D.Todecreasethepotentialbioeffects.
7.Whichofthefollowingmaneuverscanimprovesignalwithoutcausinganincreasein temperature in
fetaltissue?
A.Increasingdwelltime B.Increasingpoweroutput C.Increasinggain D.SwitchingfromB-modetocolorDoppler
8a.  A 42-year-old female presentsat28 weeks of gestation with shortened cervix and multiple fetal
anomaliesdiagnosedatanoutsidefacility.Fetalultrasoundatthelevelofthestomachisshown.
Whichofthefollowingsyndromesisassociatedwiththisabnormality?
A.Tuberoussclerosis B.Neurofibromatosistype1 C.Trisomy21 D.Trisomy13
8b.  The fetus was delivered byemergentC-section at 33 weeks because of nonreassuring fetal heart
tracing.Abdominalradiographonthefirstdayoflifeisshown.
Whichofthefollowingistheappropriatedefinitivemanagementforthispatient?
A.Surgicalrepair B.Gastricdecompression C.Parenteralnutrition D.Medicaltherapy
9.  Which of the following ultrasound modes has the highest thermal index and therefore should be
avoidedorusedinmoderationwhenimagingtheembryoorfetus?
A.3D/4D B.Color/spectralDoppler C.M-modeDoppler D.Gray-scalecine
10.Thefollowingareimagesfromfetalultrasoundperformedat14weeksofgestation.
Whatisthemostlikelydiagnosis?
A.Gastroschisis B.Omphalocele C.Midgutvolvulus D.Smallbowelatresia
11a.A12-week-oldfetusisbeingfurtherevaluatedforbilateralhydronephrosis(notshown).Whatisthe
mostlikelyetiologyforhydronephrosisinthiscase?
A.Congenitalureteropelvicjunction(UPJ)obstruction B.Posteriorurethralvalves C.Neurogenicbladder D.Ureterocele
11b.Whichofthefollowingportendsafavorableprognosisinthesettingofposteriorurethralvalves?
A.Oligohydramnios B.Diagnosisat<24weeksofgestationalage C.Perinephricurinoma D.Urineascites
12a.  The following are images from fetal ultrasound at 32 weeks for follow-up of a genitourinary
abnormality.
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