Ch. 15 Gynecologic Sonography Overview Flashcards
Which of the following is defined as pain during intercourse? Dysuria Dysmenorrhea Dyspareunia Hirsutism
Dyspareunia
Which of the following is defined as excessive hair growth in women in areas where hair growth is normally negligible? Dyspareunia Hirsutism Meigs syndrome Polycystic ovary disease
Hirsutism
Which of the following laboratory test may be used as a tumor marker for an ovarian dysgerminoma? Lactate dehydrogenase Alpha-fetoprotein CA-125 Tamoxifen
Lactate dehydrogenase
All of the following are associated w/ acute pelvic pain except:
- Pelvic inflammatory disease
- Ruptured ovarian hemorrhagic cyst
- Perforated intrauterine contraceptive device
- Asherman syndrome
Asherman syndrome
Which term below is best defined as excessive bleeding from the uterus in duration and amount? Dysmenorrhea Menorrhagia Menometrorrhagia Metrorrhagia
Menorrhagia
Which of the following would typically not be associated w/ amenorrhea? Asherman syndrome Polycystic ovarian disease Pregnancy Adenomyosis
Adenomyosis
Which of the following is best defined as difficult or painful menstruation? Dysmenorrhea Dyspareunia Dysuria Menorrhagia
Dysmenorrhea
Which of the following definitions best describes the term adnexa?
- The area posterior to the uterus, b/n the uterus and rectum
- The area located posterior to the broad ligaments and adjacent to the uterus.
- The area anterior to the uterus, b/n the uterus and urinary bladder.
- The area lateral to the iliac crest and posterior to the pubic symphysis.
The area located posterior to the broad ligaments and adjacent to the uterus.
All of the following statements are true of endovaginal imaging except:
- Endovaginal imaging requires a full urinary bladder.
- Endovaginal imaging leads to reduced waiting time for the patient and quicker medical management
- Endovaginal imaging offers improved resolution of the endometrium, uterus, and ovaries, especially in the obese pt.
- Endovaginal imaging is contrainindicated for pediatric pts, and for those w/ an intact hymen.
Endovaginal imaging requires a full urinary bladder.
What abnormality results from the ovary twisting on its mesenteric connection? Pelvic inflammatroy disease Fitz-Hugh-Curtis syndrome Ovarian torsion Ovarian hyperstimulation syndrome
Ovarian torsion
Which of the following most often leads to an elevation of CA-125? Ovarian carcinoma Fitz-Hugh-Curtis syndrome Ovarian torsion Ovarian hyperstimulation syndrome
Ovarian carcinoma
Which of the following is best described as an artifact that's produced by a strong reflector and results in a copy of the anatomy being placed deeper than the correct location? Reverberation Mirror image Acoustic shadowing Comet tail
Mirror image
Which of the following statements isn’t true concerning transabdominal pelvic imaging?
- TA of the pelvis provides a global view of the entire pelvis
- TA lacks the detail of endovaginal imaging
- Obese pts and pts w/ a retroverted or retroflexed uterus present a unique challenge to the TA technique
- TA is contrainindicated for pediatric pts.
TA is contrainindicated for pediatric pts
Malignant ovarian tumors may leak mucinous material, a condition known as: Dandy-Walker syndrome Pseudomyxoma peritonei Asherman syndrome Fitz-Hugh-Curtis syndrome
Pseudomyxoma peritonei
All of the following are proper techniques for providing pt care for pts during a pelvic sonogram except:
- All transducers and their cores should be cleaned before performing a pelvic sonogram
- Endovaginal transducers should be soaked in a disinfectant
- A probe cover should be placed on the transducer for transabdominal imaging to prevent the spread of infection
- Sterile jelly should be used as a lubricant for endovaginal imaging.
A probe cover should be placed on the transducer for TA imaging to prevent the spread of infection.
The breast cancer drug that inhibits the effects of estrogen in the breast is: CA-125 Methotrexate RA-916 Tamoxifen
Tamoxifen
Which of the following statements would be considered an acceptable disadvantage of endovaginal imaging?
- Endovaginal imaging has a limited field of view
- The resolution of endovaginal imaging is reduced compared to TA
- TV is more time consuming than TA
- TV can only be performed by female sonographers
Endovaginal imaging has a limited field of view
Which of the following would be least likely to cause abdominal distention? Ascites Multiple leiomyoma Ovarian hyperstimulation syndrome Polycystic ovarian disease
Polycystic ovarian disease
All of the following are common indications for a pelvic sonogram except:
- Eval of congenital anomalies
- Eval of pelvic anatomy immediately following a motor vehicle accident
- Localization of an intrauterine contraceptive device
- Postmenopausal bleeding
Eval of pelvic anatomy immediately following a motor vehicle accident
Precocious puberty is best defined as:
- Pubertal development before the age of 8
- Pubertal development before the age of 13
- Excessive hair growth in girls in areas where hair growth is normally negligible
- Changes w/in the female that are caused by increased levels of alpha-fetoprotein
Pubertal development before the age of 8
Infertility is best described as:
- The inability to conceive a child after 6 mo of unprotected intercourse
- The inability to conceive a child after 3 mo of unprotected intercourse
- The inability to conceive a child after 1 yr of unprotected intercourse
- The inability to conceive a child after 2 yrs of unprotected intercourse
The inability to conceive a child after 1 yr of unprotected intercourse
Which of the following would most likely be associated w/ hirsutism? Polycystic ovarian syndrome Meigs syndrome Adenomyosis Adenomyomatosis
Polycystic ovarian syndrome
Which of the following would be caused by a large acoustic interface and subsequent production of false echoes? Posterior shadowing Acoustic enhancement Mirror image Reverberation
Reverberation
Which of the following would be best defined as abnormally heavy menstrual flow? Menometrorrhagia Menorrhagia Metrorrhagia Hypomenorrhea
Menorrhagia
Which of the following would be best defined as irregular menstrual bleeding b/n periods? Menometrorrhagia Menorrhagia Metrorrhagia Hypomenorrhea
Metrorrhagia
All of the following would be relevant laboratory test to evaluate before performing a routine pelvic sonogram except: Human chorionic gonadotropin Hematocrit White blood cell count Amylase
Amylase
Which of the following is defined as an infection of the female genital tract that may involve the ovaries, uterus, and/or the fallopian tubes? Pseudomyxoma peritonei Pelvic inflammatory disease Polycystic ovarian disease Ovarian torsion
Pelvic inflammatory disease
Which of the following diagnostic tests is used to evaluate emitted radiation from the pt to assess the function of organs? Magnetic resonance imaging Nuclear imaging Radiography Computed tomography
Nuclear imaging
TV transducers are often soaked in some form of: Glutaraldehyde Ascites Formaldehyde Alcohol
Glutaraldehyde
Leukocytosis would most likely be associated w/: Multiple degenerating fibroids Endometriosis Adenomyosis Pelvic inflammatory disease
Pelvic inflammatory disease
