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SONOCAN OB Review > Adnexal Pathology And Infertility Review > Flashcards

Adnexal Pathology And Infertility Review Flashcards

1
Q
A

C. Metastatic changes

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2
Q
A

C. Paraovarian cyst

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3
Q

Which of the following most accurately describes endometriosis?
a. proliferation of the endometrial lining
b. collection of ectopic endometrial tissue
c. ectopic endometrial tissue located in the myometrium
d. functional endometrial tissue invading the peritoneal cavity

A

D. Functional endometrial tissue invading the peritoneal

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4
Q
A

C. 12 months

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5
Q

Which of the following complications is commonly associated with in vitro fertilization?
a. hyperstimulation
b. ectopic pregnancy
c. multiple gestations
d. spontaneous abortion

A

C. Multiple gestations

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6
Q

A 25-year-old woman presents with high-grade fever, pelvic pain, and leukocytosis. An ill-defined, complex mass is identified in the left adnexa. Based on this clinical history, the sonographic finding is most suspicious for:
a. salpingitis
b. pyosalpinx
c. endometritis
d. tubo-ovarian abscess

A

D. Turbo- ovarian abscess

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7
Q

A patient presents with lower abdominal pain and a palpable pelvic mass. A septated fluid collection surrounds surrounds a normal-appearing right ovary. The patient has a previous history of a ruptured appendix. Based on this clinical history, the sonographic finding is most suspicious for which of the following pathologies?
a. endometriosis
b. tubo-ovarian abscess
c. mucinous cystadenoma
d. peritoneal inclusion cyst

A

D. Peritoneal inclusion cyst

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8
Q

With the gamete intrafollicular transfer technique, the:
a. embryos are transferred to the endometrial cavity
b. zygotes are transferred to the endometrial cavity
c. oocytes and sperm are transferred to the fallopian tube
d. oocytes and sperm are transferred to the endometrial cavity

A

C. Oocytes and sperm are transferred to the fallopian tube

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9
Q

Monitoring of which hormone is routine during ovarian induction therapy?
a. estrogen
b. estradiol
c. progesterone
d. follicle-stimulating hormone

A

B. Estradiol

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10
Q
A

D. Gastrointestinal tract

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11
Q
A

B. Hydrosalpinx

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12
Q
A

C. 11

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13
Q
A

C. GIFT

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14
Q
A

D. Hyper stimulation syndrome

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15
Q
A

A. Theca lutein cysts

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16
Q
A

B. Simple cyst vs paraovarian cyst

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17
Q

Suggested follow-up care on this patient would most likely include:
a. surgical intervention
b. infertility assessment
c. sonogram in 6 to 8 weeks
d. sonogram in 2 to 3 weeks

A

C. Sonogram in 6-8 weeks

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18
Q

A patient presents with a history of dyspareunia and irregular menstrual cycles. A mass is identified adjacent to a normal-appearing ovary. Based on this clinical clinical history, the sonographic finding is most suspicious for:
a. endometrioma
b. cystic teratoma
c. hemorrhagic cyst
d. pedunculated leiomyoma

A

A. Endometrioma

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19
Q

A complex mass located in the Adnexa adjacent to a normal ovary is most suspicious for what?

A

Endometrioma

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20
Q
A

B. Hydrosalpinx

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21
Q

The ovary most likely demonstrates a:
a. hemorrhagic cyst
b. suspicious solid mass
c. normal anatomical variant
d. suspicious isoechoic mass

A

C. Normal anatomical variant

22
Q

The sonogram most likely demonstrates:
a. hypostimulation syndrome
b. normal physiological cysts
c. polycystic ovarian disease
d. medically stimulated follicles

A

D. Medically stimulated follicles

23
Q

A patient presents with a history of endometriosis. Endometriosis is a result of:
a. previous pelvic inflammatory disease
b. endometrial tissue within the myometrium
c. an accumulation of ectopic endometrial tissue
d. endometrial tissue within the peritoneal cavity

A

D. Endometrial tissue within peritoneal cavity

24
Q

The adnexal mass is most likely a(n):
a. endometrioma
b. cystic teratoma
c. hemorrhagic cyst
d. ectopic pregnancy

A

A. Endometrioma

25
Q
A

d. Krukenberg tumors

26
Q

Massive, bilateral enlargement of the ovaries or Adnexa should raise suspicion for what?

A

Krukenberg tumors

27
Q

An asymptomatic patient presents with a history of a palpable pelvic mass on physical examination. Based on this clinical history, the sonographic finding(s) is most suspicious for a:
a. hydrosalpinx
b. corpus luteal cyst um
c. paraovarian cyst
d. physiological cyst

A

C. Paraovarian cyst

28
Q

A patient presents with a past history of a ruptured appendix. A sonogram demonstrates the ovary (curved arrow) surrounded by anechoic fluid. Based on the clinical history, the sonographic findings are most suspicious for a(n):
a. paraovarian cyst
b. serous cystadenoma
c. tubo-ovarian abscess
d. peritoneal inclusion cyst

A

D. Peritoneal inclusion cyst

29
Q

A menarche patient presents with a history of severe pelvic pain and fever. A urine pregnancy testing produced a negative result. Based on this clinical history, the sonographic findings are most suspicious for a(n):
a. endometrioma
b. ectopic pregnancy
c. tubo-ovarian abscess
d. carcinoma of the fallopian tube

A

C. Tubo- ovarian abscess

30
Q

A patient presents with a history of infertility. The sonographic findings in this coronal sonogram are most suspicious for:
a. adenomyosis
b. subseptate uterus
c. bicornuate uterus
d. submucosal leiomyoma

A

B. Subseptate uterus

31
Q
A

B. Tubo-ovarian abscess

32
Q
A

A. Ascites

33
Q

Pelvic inflammatory disease is best described as a(n):
a. sexually transmitted disease
b. specific inflammatory process of the ovaries
c. general classification of inflammatory conditions
d. specific inflammatory condition of the fallopian tubes

A

C. General classification of inflammatory conditions

34
Q

During ovarian induction therapy, follicles are only measured when exceeding:
a. 0.5 cm
b. 1.0 cm
c. 2.0 cm
d. all follicles are measured

35
Q
A

C. Nabothian cyst

36
Q
A

B. Remained unchanged

37
Q

A common symptom of endometriosis is:
a. amenorrhea
b. menorrhagia
c. dysmenorrhea
d. urinary frequency

A

C. Dysmenorrhea

38
Q
A

D. Separated fluid collection surrounding an ovary

39
Q
A

D. Hyperechoic, homogenous Adnexal mass

40
Q
41
Q
A

B. Salpingitis

42
Q
A

B. Synechiae

43
Q
A

B. Endometriosis

44
Q
A

D. Tubo-ovarian abscess

45
Q
A

A. Endometritis

46
Q

Which of the following best describes the sonographic appearance of uterine synechiae?
a. thick, irregular endometrium
b. hypoechoic endometrial mass
c. irregular hypoechoic myometrial masses
d. bright band of echoes within the endometrium

A

D. Bright band of echoes within the endometrium

47
Q
A

D. Before initiating ovarian induction therapy

48
Q
A

C. Focal hypoechoic adnexal mass

49
Q
A

B. A collection of ectopic endometrial tissue

50
Q

A patient presents with a history of a leiomyoma. Which location will most likely cause infertility?
a. serosal
b. subserosal
c. intramural
d. submucosal

A

D. Submucosal

51
Q
A

A. Salpingitis

52
Q

A large multicystic ovarian mass, in an ovarian-stimulated patient, is most suspicious for:
a. a corpus luteum
b. polycystic ovarian disease
c. multicystic ovarian disease
d. ovarian hyperstimulation syndrome

A

D. Ovarian hyper stimulation syndrome

SONOCAN OB Review (22 decks)

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