B8-011 Female Genitourinary Imaging

Question 1

most appropriate first study for premenopausal vaginal bleeding

Answer 1

US pelvis

Question 2

which structure forms the posterior boundary of the posterior cul-de-sac of the pelvis?

Answer 2

rectum

Question 3

what are the labelled structures?

Answer 3

red: fundus
yellow: body
green: cervix
blue: vagina

Question 4

is this a transvaginal or transabdominal US?

Answer 4

transvaginal

Question 5

is this a transvaginal or transabdominal US?

Answer 5

transabdominal

Question 6

does a transvaginal or transabdominal US provide a higher level of detail?

Answer 6

trasnvaginal

Question 7

evaluates the patency of the fallopian tubes

Answer 7

hysterosalpingography

Question 8

primary use for hysterosalpingography

Answer 8

infertility

Question 9

most appropriate imaging study for a patient with suspicion of tubal occlusion, PID, or pelvic surgery

Answer 9

HSG

Question 10

what is the diagnosis?

Answer 10

hydrosalpinges

due to bilateral fallopian tube obstruction

Question 11

Answer 11

normal HSG

Question 12

most appropriate imaging study for a clinically suspected mass in a postmenopausal female

Answer 12

US pelvis

Question 13

what are the labelled structures?

Answer 13

red: ovaries
yellow: broad ligament

Question 14

what are the labelled structures?

Answer 14

blue: myometrium
red: endometrium

Question 15

what is this US depicting?

Answer 15

uterin polyp

(thickening of endometrium, no clear endometrial line as in normal US)

Question 16

what are these images depicting?

Answer 16

uterine fibroids

Question 17

what are these images depicting?

Answer 17

masses in the ovaries

Question 18

reliable, second-line problem solving imaging modality after ultrasound

Answer 18

MRI

Question 19

best general purpose study to order in female patient with suspected gynecologic pathology

Answer 19

US

Question 20

[…] plays a limited role in female pelvic imaging

Answer 20

CT

Question 21

[…] uterus has the strongest association with renal agenesis

Answer 21

unicornuate

Question 22

normal formation of the uterus requires complete fusion of the […] and complete regression of the […]

Answer 22

Mullerian ducts
septum

Question 23

[…] abnormalities can lead to increased risk of pregnancy loss or uterine rupture

Answer 23

Mullerian duct

Question 24

tumor marker for ovarian cancer

Answer 24

CA-125

Question 25

leading cause of death from gynecologic cancer

Answer 25

ovarian cancer

Question 26

why do most patients with ovarian cancer present at a metastatic stage?

Answer 26

symptoms are vague

Question 27

diagnosis of ovarian cancer is done via [2]

Answer 27

US
MRI

Question 28

staging of ovarian cancer is done via

Answer 28

CT

Question 29

the HSG in a patient with Mullerian duct anomalies will be

Answer 29

normal

Question 30

incomplete resorption of septum
common anomaly

Answer 30

septate uterus

Question 31

incomplete fusion of Mullerian ducts

Answer 31

bicornate uterus

Question 32

complete failure of fusion of Mullerian ducts causing double uterus, cervix, and vagina

Answer 32

didelphys

Question 33

what primary tumor is most likely to metastasize to the ovary?

Answer 33

gastric

Question 34

gastric cancer produces as characteristic drop metastasis to the ovary known as […] tumor

Answer 34

krukenberg

Question 35

most commonly reported renal anomaly associated with MDAs?

Answer 35

renal agenesis

Question 36

most common MDA

Answer 36

arcuate uterus

Question 37

which MDA is associated with the worst obstetrical outcomes?

Answer 37

septate uterus

Question 38

[…]% of patients with ovarian cancer already have metastatic disease at the time of presentation

Answer 38

75

Question 39

CA 125 tumor marker is associated with

Answer 39

ovarian cancer

Question 40

malignant ovarian tumors most commonly arise from

Answer 40

epithelium

Question 41

defects in septal resorption result in which MDAs? [2]

Answer 41

septate and arcuate uterus