Bladder Outlet Obstruction & Fetal Genitourinary Tract Quiz

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Which of the following is the most common cause of bladder outlet obstruction in males?

Posterior urethral valves

Which condition is characterized by underdeveloped abdominal muscles, bilateral cryptorchidism, and an abnormal urinary tract?

Prune Belly Syndrome

What is the sonographic feature commonly seen in cases of Prune Belly Syndrome?

Megacystis

What is the condition characterized by prolapse and cystic dilatation of the distal ureter into the bladder?

Ureterocele

What is the sonographic feature commonly seen in cases of ureterocele?

Cystic dilatation seen in bladder at a distal UVJ

Which condition is associated with duplication of the collecting system, hydroureter, and obstruction of the upper pole of the affected kidney?

Ectopic Ureterocele

Which one of these is a sonographic feature of UVJ obstruction?

Renal pyelectasis and hydronephrosis

What is the definition of bladder exstrophy?

Bladder and related structures are turned inside out

What is the sonographic feature of bladder exstrophy?

Non-visualization of bladder and soft tissue mass in lower anterior abdominal wall

What is the definition of cloacal exstrophy?

Failure of development of primitive cloaca with convergence of GI and GU tracts

What is a sonographic feature of cloacal exstrophy?

Non-visualization of bladder and soft tissue mass in lower anterior abdominal wall

What is the most common cause of megacystis?

Posterior urethral valves

What is a sonographic feature of megacystis?

Keyhole Sign

Which textbook chapter discusses Abnormal Fetal Genitourinary Tract in the ULTR‐3014 OBGYN Sonography 3 Module O.13?

Chapter 22

What is the definition of Hydroureter?

Pathologically distended ureter

What are the causes of Hydroureter?

Distal urinary obstruction, nonobstructive dilation and reflux

What are the sonographic features of Hydroureter?

Abnormal tubular structure that connects with kidney and bladder

What is the abbreviation for Ureterovesical Junction?

UVJ

What is the basic assessment of the Fetal Genitourinary Tract?

Ureters, Kidneys, Bladder, Genital tract

What is the textbook reference for Abnormal Fetal Genitourinary Tract in the ULTR‐3014 OBGYN Sonography 3 Module O.13?

Curry 5th Edition Chapter 22 (p. 406-409)

Which of the following is a critical factor in the prognosis of vesicoamniotic shunt treatment for fetal bladder outlet obstruction?

All of the above

What is the sonographic feature of a non-functioning vesicoamniotic shunt?

Megacystis, shunt seen, decreased amniotic fluid volume

What may result in urinary ascites or urinoma in the fetal genitourinary tract?

All of the above

When should rupture of the genitourinary tract be suspected?

When ascites is seen with oligohydramnios

What is the definition of a hydrocele?

Fluid accumulation between the two layers of tunica vaginalis

What is the typical resolution of a hydrocele?

Spontaneous resolution in the absence of other abnormalities

What is the characteristic feature of hypospadias?

Abnormal positioning of the urethral meatus as well as short broad penis

What is the sonographic appearance of a normal penis?

None of the above

What is the sonographic feature of a hypospadias?

Shortened and broadened penis

Qual es le causa le plus commun de non visualisation del vescica fetal?

Megacystis

Qual es le definition de megacystis?

Anormal grandor del vescica fetal

Qual es le signification clinic del megacystis?

Potential obstruction del tratto urinari

Qual es le causa le plus commun de megacystis?

Urethral atresia

Como pote on identificar le megacystis in le sonogramma fetal appropriate?

Per le presencia de dilatation del vescica

Qual es le causa le plus commun de megacistis?

Valvulas urethral posterior

Qual es le caracteristica sonographic commun in casos de sindrome del ventre prune?

Hydronephrose

Qual es le incidence de agenesia renal bilateral (syndrome de Potter)?

1 in 4,000 nascimentos

Qual es le causa le plus comun de obstruction del junctura pelvica ureteral bilateral?

Valvulas urethral posterior

Qual es le caracteristica sonographic distincte del glandula adrenal in casos de agenesia renal bilateral?

Aspecto appressate in imagines sagittal del abdomen fetal

Qual es le causa le plus commun de hydronephrosis fetale nonobstructive?

Reflux vesicoureteral

Qual es le criterio pro le surveillance fetale de pyelectasis leger?

Un diametro anteroposterior de 4 mm

Qual es le causa le plus commun de hydronephrosis fetale obstructive?

Obstruction de l'ureteropelvic junction

Qual es le incidence de reins en forma de ferro de cavallo?

1 in 500

Qual es le criterio pro le surveillance fetale de pyelectasis post 20 septimanas de gestation?

Un diametro anteroposterior de 10 mm

Qual es le definition de megacystis?

Un condition caracterisate per un vesica urinari anormalmente grande

Qual es le definition de hypospadias?

Un condition caracterisate per un malformation del penis ubi le meato urinari se trova in un position anormal

Qual es le definition de hydrocele?

Un accumulation de liquido in le saco testicular

Qual es le condition que es characterisate per musculos abdominal subdesveloppate, cryptorchidismo bilateral e un tracto urinari anormal?

Syndrome del ventre prune

Qual es le condition que es characterisate per un duplicatura del systema de collection, hydroureter e obstruction del polo superior del rene afficite?

Horseshoe renos

Qual es le principal causa de obstruction del exitu del vescica in le fetus?

A. Valvulas posterior del uretra

Qual es le causa plus commun de nonvisualization del vescica fetal?

A. Anomalias renale bilateral

Qual es le principal causa de dilatation del vescica o paries del vescica crassus in le fetus?

A. Obstruction del exitu del vescica

Si le renes fetal appare troppo parve o troppo grande, que debe esser facite?

A. Mesurar le grandor del renes e comparar los con valores normal pro le etate gestational

Si le sistema collectante renale (calices, pelvis renale o ureter) es visualisate, que causa es le plus probable?

A. Obstructiones pathologic

Qual es le causa le plus commun de obstruction del tracto urinari in le uretra posterior in pueres masculin?

Valvulas urethral posterior

Qual es le caracteristica le plus specific del valvulas urethral posterior?

Signo de la cerradura

Qual es le causa le plus severe de obstruction urinari in le nivel urethral?

Atresia urethral

Qual es le syndromate que se caracterisa per le absentia del musculos abdominal anterior, testiculos non descendite (cryptorchidismo) e anomalias del tracto urinari (megacystis, hydroureteres)?

Syndrome prune belly

Qual es le complicationes de obstruction del tracto urinari?

Ruptura del tracto urinari e accumulation de urine in le abdomen

Test your knowledge on bladder outlet obstruction and abnormal fetal genitourinary tract in this OBGYN sonography quiz. Learn about the definition, causes, and prognosis of bladder outlet obstruction, including the most common cause in males - posterior urethral valves.

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