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SEMINAR FOR OB/GYN > Ch. 21 Pelvic Inflammatory Disease and Infertility > Flashcards

Ch. 21 Pelvic Inflammatory Disease and Infertility Flashcards

1
Q 
The sonographic findings of tubular, anechoic structures w/in the adnexa are consistent with:
Dyspareunia
Hematosalpinx
Hydrosalpinx
Endometritis
A

Hydrosalpinx

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2
Q

All of the following are considered risk factors for PID except:

  • Intrauterine contraceptive device
  • Multiple sexual partners
  • Post childbirth
  • Uterine leiomyoma
A

Uterine leiomyoma

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3
Q

The most common cause of PID is:

  • Intrauterine contraception use
  • Postabortion
  • Ruptured appendix
  • Chlamydia
A

Chlamydia

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4
Q

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
A

Uterine adhesions

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5
Q 
The most common initial clinical presentation of PID is:
Endometritis
Tubo-ovarian abscess
Vaginitis
Posalpinx
A

Vaginitis

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6
Q

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
A

Thin, hyperechoic endometrium

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7
Q

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
A

Clinical findings of GB disease as a resulf of PID

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8
Q

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
A

PID is typically a unilateral condition

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9
Q

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
A

Fitz-Hugh-Curtis syndrome

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10
Q

Assisted reproductive theraphy can result in all of the following except:

  • Heterotopic pregnancy
  • Multiple gestations
  • Ovarian hyperstimulation syndrome
  • Asherman syndrome
A

Asherman syndrome

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11
Q

Polycystic ovarian disease is associated w/:

  • Fitz-Hugh-Curtis syndrome
  • Plateau syndrome
  • Stein-Leventhal syndrome
  • Asherman syndrome
A

Stein-Leventhal syndrome

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12
Q

PID can lead to all of the following except:

  • Infertility
  • Polycystic ovarian disease
  • Ectopic pregnancy
  • Scar formation in the fallopian tubes
A

Polycystic ovarian disease

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13
Q

The presence of functional, ectopic endometrial tissue outside of the uterus is termed:

  • Adenomyosis
  • Asherman syndrome
  • Fitz-Hugh-Curtis syndrome
  • Endometriosis
A

Endometriosis

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14
Q

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
A

The presence of 10 or more small cysts along the periphery of the ovaries

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15
Q

Causes of female infertility include all of the following except:

  • Previous intrauterine device use
  • Polycystic ovary disease
  • Asherman syndrome
  • Endometriosis
A

Previous intrauterine device use

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16
Q

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
A

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

17
Q

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
A

Cystic mass w/ low level echoes

18
Q

Amenorrhea, hirsutism, and obesity describe the clinical features of:

  • Fitz-Hugh-Curstis syndrome
  • Stein-Leventhal syndrome
  • Asherman syndrome
  • endometriosis
A

Stein-Leventhal syndrome

19
Q 
The sonographic evidence of a hyperemic fallopian tube is consistent w/:
Pyosalpinx
Hydrosalpinx
Endometritis
Salpingitis
A

Salpingitis

20
Q

The sonographic “ring of fpearls” sign is indicative of:

  • Polycystic ovary disease
  • Tubo-ovarian disease
  • PID
  • Ovarian hyperstimulation syndrome
A

Polycystic ovary disease

21
Q

Sonographic findings of ovarian hyperstimulation syndrome include all of the following except:

  • Cystic enlargement of the ovaries
  • Ascites
  • Pleural effusions
  • Oligouria
A

Oliguria

22
Q

The development of adhesions w/in the uterine cavity is termed:

  • Fitz-Hugh-Curtis syndrome
  • Dandy-Walker syndrome
  • Stein-Leventhal syndrome
  • Asherman syndrome
A

Asherman syndrome

23
Q 
Ovarian hyperstimulation syndrome causes multiple large follicles to develop on the ovary termed:
Theca lutein cysts
Chocolate cysts
Corpus luteum cysts
Dermoid cysts
A

Theca lutein cysts

24
Q

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
A

Polycystic ovarian disease

25
Q 
Pts w/ ovarian hyperstimulation syndrome are at increased risk for:
Ovarian torsion
Chlamydia
Gonorrhea
Vaginitis
A

Ovarian torsion

26
Q 
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
A

Ectopic pregnancy

27
Q 
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
A

Theca lutein cysts

28
Q 
The presence of pus w/in the uterus defines:
Pyosalpinx
Pyometra
Pyocolpos
Pyomyoma
A

Pyometra

29
Q

The occurance of having both an intrauterine and extrauterine pregnancy at the same time describes:

  • PID
  • Ectopic pregnancy
  • Heterotopic pregnancy
  • Molar pregnancy
A

Heterotopic pregnancy

30
Q 
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
A

Stein-Leventhal syndrome

SEMINAR FOR OB/GYN (18 decks)

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