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SEMINAR FOR OB/GYN > Ch. 20 Postmenopausal Sonography and Sonohysterography > Flashcards

Ch. 20 Postmenopausal Sonography and Sonohysterography Flashcards

1
Q 
The absence of menstrual bleeding is termed:
amenorrhea
dysmenorrhea
oligomenorrhea
polymenorrhea
A

amenorrhea

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2
Q 
Asherman syndrome is associated w/:
uterine leiomyoma
endometrial polyps
endometrial adhesions
ovarian fibroma
A

endometrial adhesions

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3
Q 
\_\_\_\_\_\_\_\_\_\_ can be used as a tumor marker endometrial carcinoma.
CR-124
CE-125
CA-125
CA-45
A

CA-125

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4
Q 
The removal of tissue from the endometrium by scraping is termed:
dilation
curettage
sonohysterography
hysteroscopy
A

curettage

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5
Q

Measurement of the endometrium should include:

  • the uterine cavity only
  • the deep myometrial echoes and both basal layers
  • the distance from the basal layer to the functional layer
  • the measurement from the basal layer to the basal layer
A

the measurement from the basal layer to the basal layer

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6
Q 
The most common cause of postmenopausal bleeding is:
endometrial carcinoma
endometrial atrophy
endometrial leiomyoma
cervical carcinoma
A

endometrial atrophy

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7
Q

The best description for endometrial polyps is:

  • malignant nodules that cause bleeding
  • benign lesions associated w/ cervical stenosis
  • malignant nodules that are associated w/ endometrial atrophy
  • benign nodules of hyperplastic endometrial tissue
A

benign nodules of hyperplastic endometrial tissue

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8
Q 
Blood accumulation w/in the uterus is termed:
hematometra
hydrometra
Asherman syndrome
endometrial carcinoma
A

hematometra

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9
Q

__________ is a gynecologic procedure to remove an endometrial polyp.

  • hysterectomy w/ myomectomy
  • histogram w/ myomectomy
  • hysteroscopy w/ polypectomy
  • hysteroscopy w/ polyp myectomy
A

hysteroscopy w/ polypectomy

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10
Q 
Cessation of menstruation w/ advanced age is termed:
Asherman syndrome
premenopausal syndrome
perimenopausal syndrome
menopause
A

menopause

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11
Q 
Stein-Leventhal syndrome is related to:
infertility
anovulatory cycles
hirsutism
all of the above
A

all of the above

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12
Q 
The breast cancer treatment drug that may alter the sonographic appearance of the endometrium is:
progesterone
estrogenate
tamoxifen
CA-125
A

tamoxifen

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13
Q

Possible benefits of estrogen replacement therapy include:

  • reduction in osteoporosis risk
  • reduction in colon cancer risk
  • reduction in breast cancer risk
  • reduction in endometrial cancer risk
A

reduction in osteoporosis risk

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14
Q 
Unopposed estrogen therapy has been shown to increase the risk for developing:
Alzheimer disease
colon cancer
coronary heart disease
endometrial carcinoma
A

endometrial carcinoma

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15
Q

The sonographic appearance of a 59 yr old woman on hormone replacement theraphy is:

  • hypoechoic and thickened
  • hyperechoic and thickened
  • cystic areas w/in a thickened endometrium
  • variable depending upon the menstrual cycle
A

variable depending upon the menstrual cycle

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16
Q 
Tamoxifen has been linked w/ all of the following except:
endometrial polyps
endometrial hyperplasia
endometrial leiomyoma
endometrial carcinoma
A

endometrial leiomyoma

17
Q

Tamoxifen effects on the endometrium will sonographically appear as:

  • cystic changes w/in a thickened endometrium
  • cystic areas w/in a thin endometrium
  • thin endometrium
  • no apparent effect on endometrial thickness or appearance
A

cystic changes w/in a thickened endometrium

18
Q 
Causes of postmenopausal bleeding include all of the following except:
Asherman syndrome
endometrial atrophy
endometrial hyperplasia
intracavitary fibroids
A

Asherman syndrome

19
Q 
An asymptomatic 65 yr old pt presents to the US dept w/ pelvic pain but no vaginal bleeding. Her endometrial thickness should not exceed:
6mm
8mm
5mm
3mm
A

8mm

20
Q 
An 84 yr old pt presents to the US dept w/ sudden onset of vaginal bleeding. Her endometrium should not exceed:
6mm
8mm
5mm
3mm
A

5mm

21
Q 
W/ endometrial atrophy, the endometrial thickness should not exceed:
6mm
3mm
8mm
5mm
A

5mm

22
Q 
A 68 yr old pt presents to the US dept complaining of vaginal bleeding. The most likely cause of her bleeding is:
endometrial carcinoma
endometrial polyps
endometrial atrophy
endometrial fibroids
A

endometrial atrophy

23
Q 
A 60 yr old pt presents to the ER dept w/ sudden onset of vaginal bleeding. The sono exam reveals an endometrium that measures 4mm. There are no other significant sono findings. What is the most likely diagnosis?
endometrial atrophy
endometrial carcinoma
endometrial polyp
cervical stenosis
A

endometrial atrophy

24
Q 
A 67 yr old pt on homrone replacement therapy presents to the US dept w/ abnormal uterine bleeding. Sonographically, the endometrium measures 9mm and contains small cystic areas. The most likely cause of her bleeding is:
endometrial carcinoma
Asherman syndrome
endometrial polyps
endometrial hyperplasia
A

endometrial hyperplasia

25
Q 
Endometrial hyperplasia may be caused by all of the following except:
hormone replacement therapy
estrogen replacement therapy
endometrial atrophy
tamoxifen
A

endometrial atrophy

26
Q 
All of the following are clinical findings w/ endometrial hyperplasia except:
obesity
polycystic ovary syndrome
abnomral uterine bleeding
thickened endometrium
A

thickened endometrium

27
Q

The sonographic findings of an endometrial polyp include:

  • diffuse thickening of the endometrium
  • menometrorrhagia
  • intermenstrual bleeding
  • infertility
A

diffuse thickening of the endometrium

28
Q 
Endometrial polyps are associated w/ all of the following except:
intermenstrual bleeding
tamoxifen therapy
prolapse through the cervix
coronary heart disease
A

coronary heart disease

29
Q 
A 34 yr old pt presents to the US dept for an endovaginal US complaining of intermenstual bleeding. The sono findings include a focal irregularity and enlargement of one area of the endometrium. The most likely diagnosis is:
endometrial polyps
endometrial carcinoma
endometrial atrophy
intramural leiomyoma
A

endometrial polyps

30
Q 
The most common female genital tract malignancy is:
ovarian carcinoma
cervical carcinoma
endometrial carcinoma
PID
A

endometrial carcinoma

SEMINAR FOR OB/GYN (18 decks)

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