B8-011 Female Genitourinary Imaging Flashcards

1
Q

most appropriate first study for premenopausal vaginal bleeding

A

US pelvis

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2
Q

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

A

rectum

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3
Q

what are the labelled structures?

A

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

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4
Q

is this a transvaginal or transabdominal US?

A

transvaginal

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5
Q

is this a transvaginal or transabdominal US?

A

transabdominal

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6
Q

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

A

trasnvaginal

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7
Q

evaluates the patency of the fallopian tubes

A

hysterosalpingography

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8
Q

primary use for hysterosalpingography

A

infertility

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9
Q

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

A

HSG

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10
Q

what is the diagnosis?

A

hydrosalpinges

due to bilateral fallopian tube obstruction

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11
Q
A

normal HSG

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12
Q

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

A

US pelvis

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13
Q

what are the labelled structures?

A

red: ovaries
yellow: broad ligament

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14
Q

what are the labelled structures?

A

blue: myometrium
red: endometrium

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15
Q

what is this US depicting?

A

uterin polyp

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

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16
Q

what are these images depicting?

A

uterine fibroids

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17
Q

what are these images depicting?

A

masses in the ovaries

18
Q

reliable, second-line problem solving imaging modality after ultrasound

19
Q

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

20
Q

[…] plays a limited role in female pelvic imaging

21
Q

[…] uterus has the strongest association with renal agenesis

A

unicornuate

22
Q

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

A

Mullerian ducts
septum

23
Q

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

A

Mullerian duct

24
Q

tumor marker for ovarian cancer

25
leading cause of death from gynecologic cancer
ovarian cancer
26
why do most patients with ovarian cancer present at a metastatic stage?
symptoms are vague
27
diagnosis of ovarian cancer is done via [2]
US MRI
28
staging of ovarian cancer is done via
CT
29
the HSG in a patient with Mullerian duct anomalies will be
normal
30
incomplete resorption of septum common anomaly
septate uterus
31
incomplete fusion of Mullerian ducts
bicornate uterus
32
complete failure of fusion of Mullerian ducts causing double uterus, cervix, and vagina
didelphys
33
what primary tumor is most likely to metastasize to the ovary?
gastric
34
gastric cancer produces as characteristic drop metastasis to the ovary known as [...] tumor
krukenberg
35
most commonly reported renal anomaly associated with MDAs?
renal agenesis
36
most common MDA
arcuate uterus
37
which MDA is associated with the worst obstetrical outcomes?
septate uterus
38
[...]% of patients with ovarian cancer already have metastatic disease at the time of presentation
75
39
CA 125 tumor marker is associated with
ovarian cancer
40
malignant ovarian tumors most commonly arise from
epithelium
41
defects in septal resorption result in which MDAs? [2]
septate and arcuate uterus