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DMS 220 FINAL EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS ALL GRADED A+

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Ace your DMS 220 Final Exam and prepare for the ARDMS Sonography Principles and Instrumentation (SPI) and Obstetrics and Gynecology (OB/GYN) board exams with this comprehensive study guide. Featuring over 100 authentic exam-style questions with verified answers, this resource covers the essential concepts of obstetric and gynecologic sonography required for success. Designed for diagnostic medical sonography students and practicing sonographers, this guide provides the critical knowledge needed to master OB/GYN ultrasound, including: First Trimester & Embryology: Understand the stages of embryonic development from morula to blastocyst, implantation in the endometrium, hormone production (HCG, estradiol), and the timeline of beta-hCG doubling (48 hours). Ectopic Pregnancy & Pathology: Identify the types of ectopic pregnancies (interstitial, cornual, intramural, ampullary), recognize pseudosacs, understand risk factors, and learn the discriminatory cutoff for beta-hCG ( mIU/mL). Fetal Biometry & Gestational Age: Master the measurements for estimating fetal age, including biparietal diameter (BPD), head circumference (HC), occipitofrontal diameter (OFD), femur length (FL), and abdominal circumference (AC). Learn to use Jeanty and Hadlock tables. Placenta & Amniotic Fluid: Recognize placental locations (anterior), gradations (Grannum grades I-III), pathologies (previa, abruption, circumvallate), and the impact of maternal conditions like hypertension on placental maturation. Fetal Anatomy & Anomalies: Identify normal and abnormal anatomy, including the cavum septum pellucidum (CSP), cisterna magna, neural tube defects (open vs. closed), Down syndrome markers (lower MSAFP), and skeletal dysplasias (brachycephaly, microcephaly). Fetal Heart & Thorax: Recognize cardiac views (four-chamber, LVOT), structures (interventricular septum, right atrium), and congenital anomalies like atrial septal defects (ASD) and congenital diaphragmatic hernia (CDH). Fetal Well-Being & Biophysical Profile (BPP): Learn the components of the BPP (fetal breathing, gross body movement, tone, amniotic fluid volume, nonstress test) and the sonographic signs of fetal hypoxia. Multiple Gestations & Twins: Identify chorionicity and amnionicity (monochorionic/diamniotic), types of conjoined twins (thoracopagus), and the factors contributing to multiple births. Whether you are preparing for the DMS 220 final, the ARDMS OB/GYN board, or seeking to strengthen your clinical skills, this practice test provides the focused preparation and confidence needed to succeed. The clear Q&A format ensures efficient learning and retention of critical sonographic principles.

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DMS 220
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DMS 220

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DMS 220 FINAL EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS ALL GRADED A+


Choose the spatial-peak temporal-average (SPTA) for an unfocused beam that has
shown no fetal bio effects. - ANS... -100 mW/cm 2


The compression of the great vessels of the abdomen by the uterus to include the
aorta and inferior vena cava. - ANS... -Supine hypotensive syndrome


What is the importance of entering previous obstetric data into the patient
charts? - ANS... -Allows growth trending


ALARA is used in all OB ultrasounds. (t/f) - ANS... -True


Identify the benefit of a moderately filled bladder when imaging a late, second-
trimester pregnancy. - ANS... -Evaluation of the internal cervical os


What hormone does the mature ovarian follicle secrete? - ANS... -Estradiol


Select the hormone secreted by both the syncytiotrophoblast and placenta. -
ANS... -Human chorionic gonadotropin (HCG)


What structure images after the yolk sac? - ANS... -Embryo


Choose the quantitative pregnancy test. - ANS... -Serum

, Name the structure that produces the embryo's first blood cells. - ANS... -
Umbilical vesicle


Which of the following contributes to the maternal portions of the placenta? -
ANS... -Decidua basalis


Where does implantation of the embryo occur? - ANS... -Endometrium


Identify the blastocyst layer that eventually develops into the embryonic portion
of the placenta. - ANS... -Trophoblast


Name the solid ball of developing cells that occurs after fertilization. - ANS... -
Morula


Select the normal chromosome number for an ovum. - ANS... -22X or 22Y


Select the term describing an oocyte without maternal chromosomes, resulting in
proliferation of swollen chorionic villi and the identifiable embryonic structures -
ANS... -Complete Hydatid form


An 18 yr. old presents to the Emergency department with complaints of profuse
bleeding with a positive home pregnancy test. The clinical exam reveals a dilated
cervix. View image and choose the differential that fits patient symptoms.
Image shows a circular anechoic structure on the outside of the uterus. The GS is
empty. - ANS... -Impending abortion

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