CH 28 - NEONATAL & PEDIATRIC PELVIS

Question 0

THE UTERUS, VAGINA, AND FALLOPIAN TUBES DEVELOP FROM ______ ____ ALSO KNOWN AS _______ _____.

Answer 0

PARAMESONEPHRIC DUCTS AKA MULLERIAN DUCTS

Question 1

DURING THE DEVELOPMENT OF THE UTERUS WHAT ALSO DEVELOPS AT THE SAME TIME?

Answer 1

KIDNEYS

Question 2

WHEN DO THE GONADS DIFFERENTIATE INTO EITHER THE TESTES OR OVARIES?

Answer 2

9TH WEEK

Question 3

WHEN IS EXTERNAL GENITALS DEVELOPED BY?

Answer 3

12TH WEEK

Question 4

THE ____ DUCTS FORM THE MALE REPRODUCTIVE SYS & THE ____ DUCTS FORM THE FEMALE REPRODUCTIVE SYS.

Answer 4

WOLFFIAN DUCTS (MESONEPHRIC)
MULLERIAN DUCTS (PARAMESONEPHRIC)

Question 5

THE MULLERIAN DUCTS FUSE TO THE MIDLINE TO FORM THE….

Answer 5

VAG, UT, AND FALLOPIAN TUBES

Question 6

WHAT IS THE SONO APPEARANCE OF A NEWBORN UTERUS?

Answer 6

THICKENED, ECHOGENIC ENDOMETRIUM; 3.5CM LENGTH;

Question 7

WHAT IS THE FUNDUS TO CERVIX RATIO OF A NEWBORN?

Answer 7

1:2

Question 8

WHAT IS THE SONO APPEARANCE OF A UTERUS AT 2-3 MONTHS?

Answer 8

TUBULAR CONFIGURATION; 2.5 - 3 CM LENGTH

NO ENDOMETRIAL ECHOES

Question 9

WHAT IS THE FUNDUS TO CERVIX RATIO AT 2 -3 MO’S?

Answer 9

1:1

Question 10

WHAT IS THE UTERUS APPEARANCE AT PUBERTY?

Answer 10

INVERTED PEAR-SHAPE
5-7 LENGTH
ECHOGENICITY & THICKENED ENDOMETRIUM VARIES WITH CYCLE

Question 11

WHAT IS THE FUNDUS TO CERVIX RATIO AT PUBERTY?

Answer 11

3:1

Question 12

WHAT IS THE MEAN OVARIAN VOLUME AND HOW LONG IS THIS STABLE FOR?

Answer 12

.75 - .86 AND IS STABLE UP TO 5 YEARS

Question 13

WHAT IS THE EQUATION USED TO DETERMINE THE OVARY VOLUME?

Answer 13

LENGTH X HEIGHT X WIDTH X .523

Question 14

WHAT ARE SOME OF THE CAUSES FOR INFERTILITY & SPONTANEOUS ABORTION?

Answer 14

• DVLPMT PROBLEMS
• INTERFERENCE OF BLOOD SUPPLY
• DISTORTED UTERUS CAVITY
• ABNORMALTIES OF THE UTERUS IN .5% OF FEMALES = INCREASED RISK OF ABORTION & OB COMPLICATIONS
• HIGH RISK OF RENAL ABNORMALITIES ASSOCIATED WITH UTERINE ABNML

Question 15

WHAT IS CLASS 1 OF THE MULLERIAN ANOMALIES?

Answer 15

SEGMENTAL MULLERIAN AGENISIS OR INCOMPLETE VAGINAL CANALIZATION. = VAGINAL ATRESIA

Question 16

HOW IS VAGINAL ATRESIA DIAGNOSED?

Answer 16

DEVELOPMENT OF HYDROCOPOS (FLUID-FILLED VAG),
HYDROMETROCOLPOS (FLUID FILLED VAG & UT) OR
HEMATOMETROCOLPOS (BLOOD-FILLED VAG & UT)

Question 17

THIS IS RELATED TO INFERTILITY AND PREGNANCY LOSS. IN SONO THE UT APPEARS CIGAR SHAPED AND DEVIATED ON 1 SIDE.

Answer 17

CLASS II - UNICORNUATE UTERUS

Question 18

THIS IS A COMPLETE DUPLICATION OF THE UT, CX, AND VAG. NOT ASSOCIATED WITH FERTILITY PROBLEMS

Answer 18

CLASS III UTERUS DIDELPHYS

Question 19

THIS IS A DUPLICATION OF THE UT WITH A COMMON CX.HAS A WIDE-SPACED CAVITIES & A LOW INFERTILITY RATE.

Answer 19

CLASS IV - BICORNUATE UT

Question 20

WHAT IS THE BEST SCANNING PLANE TO ID BICORNUATE UT?

Answer 20

TRANSVERSE APPEARS “HEART SHAPED”

Question 21

THIS IS A UTERUS WHICH 2 UTERINE CAVITIES ARE CLOSELY SPACED, WITH 1 FUNDUS AND SOMETIMES 2 CERVICAL CANALS. HAS THE HIGHEST INFERTILITY RATE.

Answer 21

CLASS V = SEPTATE UTERUS

Question 22

THIS ANOMALY IS ASSOCIATED TO THE DRUG DES WHILE IN UTERO. THE UTERINE CAVITY HAS A “T” SHAPE.

Answer 22

CLASS VI = ARCUATE

Question 23

THIS IS AN ERROR IN SEXUAL DVLPMT. MOST COMMONLY CAUSED BY ADRENAL HYPERPLASIA.

Answer 23

AMBIGUOUS GENITALIA

Question 24

WHAT CHARACTERIZES A TRUE HERMAPHRODITE?

Answer 24

HAVING BOTH OVARIAN AND TESTICULAR TISSUE

Question 25

WHAT IS THE SONO APPEARANCE OF AMBIGUOUS GENITALIA?

Answer 25

PRESENCE OR ABSENCE OF UT, VAG, AND OV WITH AMBIGUOUS GENITALIA.

Question 26

THIS IS THE THE DVLPMT OF PUBIC HAIR, BREASTS, AND GENITALS BEFORE THE AGE OF 8

Answer 26

PRECOCIOUS PUBERTY

Question 27

THIS IS ISOSEXUAL AND INVOLVES INCREASE OF DEVELOPMENT IN BOTH INTERNAL & EXTERNAL.

Answer 27

TRUE PRECOCIOUS PUBERTY

Question 28

THIS INVOLVES THE MATURATION OF THE EXTERNAL SEXUAL CHARACTERISTICS BUT NOT THE GONADS.

Answer 28

PRECOCIOUS PSEUDOPUBERTY

Question 29

WHAT ALSO SHOULD BE EVALUATED WITH DETERMINING PRECOCIOUS PUBERTY?

Answer 29

THE LIVER & ADRENAL GLAND TO RULE OUT A LESION CAUSING THE PRECOCIOUS PUBERTY.

Question 30

THIS DEVELOPS FROM THE OVARIAN FOLLICELS.

Answer 30

OVARIAN CYST

Question 31

WHAT IS THE NML SZ OF OVARIAN CYSTS?

Answer 31

3-7MM

Question 32

WHAT ARE LARGER CYSTS SEEN WITH?

Answer 32

TOXEMIA, DIABETES, & RH ISOIMMUNIZATION

- TORSION COMMON WITH LGR CYST

Question 33

THIS MAY OCCUR AT ANY AGE BUT USUALLY IN FEMALES < 20.IT OCCURS WHEN THE ADNEXA IS MOBILE.

Answer 33

OVARIAN TORSION

- MORE COMMON WITH CYSTS & TUMORS

Question 34

WHAT IS THE CLINICAL SYMPTOMS OF OVARIAN TORSION?

Answer 34

SEVERE ONSET OF ABDOMINAL PAIN

Question 35

WHAT ARE THE SONO FINDINGS FOR OVARIAN TORSION?

Answer 35

ENLARGED OVARY, FLUID IN CUL-DE-SAC, FLUID/DEBRIS SECONDARY TO HEMORRAGE

Question 36

THIS IS THE MOST COMMON, UNCOMMON OVARIAN TUMOR.

Answer 36

TERATOMA / DERMOID CYST

Question 37

WHAT ARE THE CLINICAL SYMPTOMS OF OVARIAN TERATOMAS?

Answer 37

ASYMPTOMATIC; INCREASED SIZE OF TUMOR MAY CAUSE ABDOMINAL PAIN OR DISTENTION.

Question 38

WHAT ARE THE SONO FINDINGS OF TERATOMAS?

Answer 38

CENTRAL COMPLEX/CYSTIC CAVITY WITH DEBRIS
DERMAL PLUG
FAT-FLUID LEVELS
CALCIFICATIONS

Question 39

WHAT TYPE OF TRD SHOULD BE USED FOR NEONATAL SCROTUMS?

Answer 39

HIGH FRQ LINEAR ARRAY TRD

Question 40

WHAT ARE THE CLINICAL AND SONO FINDINGS OF EPIDIDYMITIS?

Answer 40

SCROTAL SWELLING, PAIN

DOPPLER SHOWS INCREASED FLOW

Question 41

WHAT ARE THE CLINICAL & SONO FINDINGS OF TESTICULAR TORSION?

Answer 41

ACUTE PAIN, SWELLING
DOPPLER - ABSENCE OF FLOW
AFTER 4 -6 HRS TESTIS BECOME HYPOECHOIC FROM SWELLING AND EDEMA