Ch. 21 Pelvic Inflammatory Disease and Infertility Flashcards
The sonographic findings of tubular, anechoic structures w/in the adnexa are consistent with: Dyspareunia Hematosalpinx Hydrosalpinx Endometritis
Hydrosalpinx
All of the following are considered risk factors for PID except:
- Intrauterine contraceptive device
- Multiple sexual partners
- Post childbirth
- Uterine leiomyoma
Uterine leiomyoma
The most common cause of PID is:
- Intrauterine contraception use
- Postabortion
- Ruptured appendix
- Chlamydia
Chlamydia
A pt presents to the sonography dept w/ a fever, chills, and vaginal discharge. Sonographically, what findings would you most likely not encounter?
- Cul-de-sac fluid
- Uterine adhesions
- Dilated uterine tubes
- Ill-defined uterine border
Uterine adhesions
The most common initial clinical presentation of PID is: Endometritis Tubo-ovarian abscess Vaginitis Posalpinx
Vaginitis
Sonographic findings of the endometrium in a pt w/ a hx of PID, fever, and elevated white blood cell count would include all of the following except:
- Ring-down artifact posterior to the endometrium
- Thin, hyperechoic endometrium
- Endometrial fluid
- Thickened, irregular endometrium
Thin, hyperechoic endometrium
Fitz-Hugh-Curtis syndrome is described as:
- Clinical findings of GB disease as a result of PID
- The presence of uterine fibroids and adenomyosis in the gravid uterus
- Co-existing intrauterine and extrauterine pregnancies
- The presence of pyosalpinx, hydrosalpinx, and endometriosis
Clinical findings of GB disease as a resulf of PID
All of the following statements concerning PID are true except:
- PID is typically a unilateral condition
- PID can be caused by douching
- PID can lead to a tubo-ovarian abscess
- Dyspareunia is a clinical finding in acute PID
PID is typically a unilateral condition
The development of adhesions b/n the liver and diaphragm as a result of PID is termed:
- Fitz-Hugh-Curtis syndrome
- Dandy-Walker syndrome
- Stein-Leventhal syndrome
- Asherman syndrome
Fitz-Hugh-Curtis syndrome
Assisted reproductive theraphy can result in all of the following except:
- Heterotopic pregnancy
- Multiple gestations
- Ovarian hyperstimulation syndrome
- Asherman syndrome
Asherman syndrome
Polycystic ovarian disease is associated w/:
- Fitz-Hugh-Curtis syndrome
- Plateau syndrome
- Stein-Leventhal syndrome
- Asherman syndrome
Stein-Leventhal syndrome
PID can lead to all of the following except:
- Infertility
- Polycystic ovarian disease
- Ectopic pregnancy
- Scar formation in the fallopian tubes
Polycystic ovarian disease
The presence of functional, ectopic endometrial tissue outside of the uterus is termed:
- Adenomyosis
- Asherman syndrome
- Fitz-Hugh-Curtis syndrome
- Endometriosis
Endometriosis
All of the following are sonographic findings of a tubo-ovarian abscess except:
- The presence of 10 or more small cysts along the periphery of the ovaries
- Cul-de-sac fluid
- Thickened, irregular endometrium
- Fusion of the pelvic organs as a conglomerated mass
The presence of 10 or more small cysts along the periphery of the ovaries
Causes of female infertility include all of the following except:
- Previous intrauterine device use
- Polycystic ovary disease
- Asherman syndrome
- Endometriosis
Previous intrauterine device use
Infertility is defined as:
- The inability to conceive a chile after 2 yrs of unprotected intercourse
- The inability to conceive a child after 5 yrs of unprotected intercourse
- The inability to conceive a child after 1 yr of unprotected intercourse
- The inability to conceive a child after 3 months of unprotected intercourse
The inability to conceive a child after 1 yr of unprotected intercourse
A 25 yr pt presents to the US dept complaining of pelvic pain, dyspareunia, and oligomenorrhea. An ovarian mass, thought to be a chocolate cyst, is noted during the examination. What’s the sonographic appearace of a chocolate cyst?
- Simple-appearing anechoic mass
- Echogenic mass w/ posterior shadowing
- Cystic mass w/ low-level echoes
- Anechoic mass w/ posterior shadowing
Cystic mass w/ low level echoes
Amenorrhea, hirsutism, and obesity describe the clinical features of:
- Fitz-Hugh-Curstis syndrome
- Stein-Leventhal syndrome
- Asherman syndrome
- endometriosis
Stein-Leventhal syndrome
The sonographic evidence of a hyperemic fallopian tube is consistent w/: Pyosalpinx Hydrosalpinx Endometritis Salpingitis
Salpingitis
The sonographic “ring of fpearls” sign is indicative of:
- Polycystic ovary disease
- Tubo-ovarian disease
- PID
- Ovarian hyperstimulation syndrome
Polycystic ovary disease
Sonographic findings of ovarian hyperstimulation syndrome include all of the following except:
- Cystic enlargement of the ovaries
- Ascites
- Pleural effusions
- Oligouria
Oliguria
The development of adhesions w/in the uterine cavity is termed:
- Fitz-Hugh-Curtis syndrome
- Dandy-Walker syndrome
- Stein-Leventhal syndrome
- Asherman syndrome
Asherman syndrome
Ovarian hyperstimulation syndrome causes multiple large follicles to develop on the ovary termed: Theca lutein cysts Chocolate cysts Corpus luteum cysts Dermoid cysts
Theca lutein cysts
A female pt presents to the US dept w/ a clinical hx of Clomid treatment. She’s complaining of nausea, vomiting, and abdominal distention. What circumstance is most likely causing her clinical symptoms?
- Stein-Leventhal syndrome
- Polycystic ovarian disease
- Fitz-Hugh-Curtis syndrome
- Ovarian hyperstimulation syndrome
Polycystic ovarian disease
Pts w/ ovarian hyperstimulation syndrome are at increased risk for: Ovarian torsion Chlamydia Gonorrhea Vaginitis
Ovarian torsion
A 35 yr pt presents to the US dept w/ a hx of tubal ligation and positive pregnancy test. What condition should be highly suspected? Asherman syndrome Polycystic ovarian disease Endometriosis Ectopic pregnancy
Ectopic pregnancy
Which of the following would be described as functional cysts that are found in the presence of elevated levels of human chorionic gonadotropin? Theca lutein cysts Chocolate cysts Corpus luteum cysts Endometiral cysts
Theca lutein cysts
The presence of pus w/in the uterus defines: Pyosalpinx Pyometra Pyocolpos Pyomyoma
Pyometra
The occurance of having both an intrauterine and extrauterine pregnancy at the same time describes:
- PID
- Ectopic pregnancy
- Heterotopic pregnancy
- Molar pregnancy
Heterotopic pregnancy
Excessive hair growth in women in areas where hair growth is normally negligible would be seen w/: Ectopic pregnancy Fitz-Hugh-Curtis syndrome Asherman syndrome Stein-Leventhal syndrome
Stein-Leventhal syndrome
