What is the characteristic appearance of gestational trophoblastic disease (GTD) on ultrasound?
Thickening of the uterine lining.
Enlargement of the fallopian tubes.
Grape-like clusters in the placenta.
Multiple cysts in the ovaries.
The Correct Answer is C
Choice A rationale
Thickening of the uterine lining is not characteristic of gestational trophoblastic disease (GTD). Instead, GTD involves abnormal growth of trophoblast cells, which form part of the placenta, leading to its distinct appearance.
Choice B rationale
Enlargement of the fallopian tubes is not associated with GTD. GTD involves abnormal placental development rather than tubal changes. Ultrasound imaging reveals characteristic findings in the placenta.
Choice C rationale
GTD's hallmark ultrasound finding is grape-like clusters in the placenta, indicative of molar pregnancy. This appearance results from the proliferation of abnormal trophoblast cells and hydropic villi.
Choice D rationale
Multiple cysts in the ovaries are not characteristic of GTD. This description may relate to polycystic ovary syndrome (PCOS) but does not align with GTD’s specific ultrasound findings involving the placenta.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Postmaturity syndrome occurs in pregnancies that extend beyond 42 weeks, not in cases of premature labor.
Choice B rationale
Premature labor can increase the risk of neonatal infections due to the underdeveloped immune system of preterm infants.
Choice C rationale
Macrosomia refers to a large newborn, typically associated with prolonged pregnancies, not premature labor.
Choice D rationale
Maternal hypertension can lead to premature labor, but premature labor does not increase the risk of developing maternal hypertension.
Correct Answer is C
Explanation
Choice A rationale
Severe nausea and vomiting are not specific symptoms of a ruptured ectopic pregnancy but may occur due to other unrelated conditions.
Choice B rationale
Bradycardia is not characteristic of a ruptured ectopic pregnancy but could indicate other cardiovascular issues or conditions.
Choice C rationale
Referred shoulder pain is a hallmark symptom of a ruptured ectopic pregnancy due to diaphragmatic irritation from internal bleeding, indicating potential rupture.
Choice D rationale
Heavy vaginal bleeding can occur in various conditions but is not as specific to ruptured ectopic pregnancy as referred shoulder pain indicating internal bleeding.
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