Ch. 15 Gynecologic Sonography Overview Flashcards

1
Q
Which of the following is defined as pain during intercourse?
Dysuria
Dysmenorrhea
Dyspareunia
Hirsutism
A

Dyspareunia

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2
Q
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
A

Hirsutism

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3
Q
Which of the following laboratory test may be used as a tumor marker for an ovarian dysgerminoma?
Lactate dehydrogenase
Alpha-fetoprotein
CA-125
Tamoxifen
A

Lactate dehydrogenase

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4
Q

All of the following are associated w/ acute pelvic pain except:

  • Pelvic inflammatory disease
  • Ruptured ovarian hemorrhagic cyst
  • Perforated intrauterine contraceptive device
  • Asherman syndrome
A

Asherman syndrome

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5
Q
Which term below is best defined as excessive bleeding from the uterus in duration and amount?
Dysmenorrhea
Menorrhagia
Menometrorrhagia
Metrorrhagia
A

Menorrhagia

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6
Q
Which of the following would typically not be associated w/ amenorrhea?
Asherman syndrome
Polycystic ovarian disease
Pregnancy
Adenomyosis
A

Adenomyosis

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7
Q
Which of the following is best defined as difficult or painful menstruation?
Dysmenorrhea
Dyspareunia
Dysuria
Menorrhagia
A

Dysmenorrhea

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8
Q

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.
A

The area located posterior to the broad ligaments and adjacent to the uterus.

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9
Q

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.
A

Endovaginal imaging requires a full urinary bladder.

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10
Q
What abnormality results from the ovary twisting on its mesenteric connection?
Pelvic inflammatroy disease
Fitz-Hugh-Curtis syndrome
Ovarian torsion
Ovarian hyperstimulation syndrome
A

Ovarian torsion

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11
Q
Which of the following most often leads to an elevation of CA-125?
Ovarian carcinoma
Fitz-Hugh-Curtis syndrome
Ovarian torsion
Ovarian hyperstimulation syndrome
A

Ovarian carcinoma

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12
Q
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
A

Mirror image

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13
Q

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.
A

TA is contrainindicated for pediatric pts

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14
Q
Malignant ovarian tumors may leak mucinous material, a condition known as:
Dandy-Walker syndrome
Pseudomyxoma peritonei
Asherman syndrome
Fitz-Hugh-Curtis syndrome
A

Pseudomyxoma peritonei

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15
Q

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

A probe cover should be placed on the transducer for TA imaging to prevent the spread of infection.

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16
Q
The breast cancer drug that inhibits the effects of estrogen in the breast is:
CA-125
Methotrexate
RA-916
Tamoxifen
A

Tamoxifen

17
Q

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
A

Endovaginal imaging has a limited field of view

18
Q
Which of the following would be least likely to cause abdominal distention?
Ascites
Multiple leiomyoma
Ovarian hyperstimulation syndrome
Polycystic ovarian disease
A

Polycystic ovarian disease

19
Q

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
A

Eval of pelvic anatomy immediately following a motor vehicle accident

20
Q

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
A

Pubertal development before the age of 8

21
Q

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
A

The inability to conceive a child after 1 yr of unprotected intercourse

22
Q
Which of the following would most likely be associated w/ hirsutism?
Polycystic ovarian syndrome
Meigs syndrome
Adenomyosis
Adenomyomatosis
A

Polycystic ovarian syndrome

23
Q
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
A

Reverberation

24
Q
Which of the following would be best defined as abnormally heavy menstrual flow?
Menometrorrhagia
Menorrhagia
Metrorrhagia
Hypomenorrhea
A

Menorrhagia

25
Q
Which of the following would be best defined as irregular menstrual bleeding b/n periods?
Menometrorrhagia
Menorrhagia
Metrorrhagia
Hypomenorrhea
A

Metrorrhagia

26
Q
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
A

Amylase

27
Q
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
A

Pelvic inflammatory disease

28
Q
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
A

Nuclear imaging

29
Q
TV transducers are often soaked in some form of:
Glutaraldehyde
Ascites
Formaldehyde
Alcohol
A

Glutaraldehyde

30
Q
Leukocytosis would most likely be associated w/:
Multiple degenerating fibroids
Endometriosis
Adenomyosis
Pelvic inflammatory disease
A

Pelvic inflammatory disease