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OB/GYN I > Ch. 45 Pathology of the Adnexa > Flashcards

Ch. 45 Pathology of the Adnexa Flashcards

1
Q

_______ is an inclusive term that refers to all pelvic infections

A

PID

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2
Q

PID stands for

A

pelvic inflammatory disease

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3
Q

______ is an infection/inflammation of the endometrium

A

endometritis

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4
Q

______ is an infection/inflammation of the fallopian tubes

A

salpingitis

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5
Q

______ is an infection/inflammation of the uterine wall

A

myometritis

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6
Q

______ is an infection/inflammation of the uterine serosa and broad ligaments

A

parametritis

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7
Q

_____ is an infection/inflammation of the ovary

A

oophoritis

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8
Q

TOA stands for

A

tubo-ovarian abscess

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9
Q

______ is an abscess involving the ovary and the fallopian tube

A

tubo-ovarian abscess

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10
Q

______ is a fluid collection in the fallopian tube

A

hydrosalpinx

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11
Q

______ is blood in the fallopian tube

A

hematosalpinx

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12
Q

______ is pus in the fallopian tube

A

pyosalpinx

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13
Q

______ is an infection/inflammation of the cervix

A

cervicitis

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14
Q

Which of the following is NOT a risk factor for PID

A

diabetes

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15
Q

A patient with PID is at increased risk for

A

ectopic pregnancy

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16
Q

Which of the following is NOT a cause of PID

A

endometriosis

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17
Q

Which of the following is NOT an example of an instrumental procedure done on the pelvis

A

cholecystectomy

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18
Q

The normal fallopian tube is commonly seen on sonographic exams

A

false

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19
Q

______ is helpful in distinguishing dilated fallopian tubes from vessels

A

color flow doppler/power

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20
Q

Which of the following is NOT a common cause of hydrosalpinx

A

intrauterine pregnancy IUP

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21
Q

The sonographic appearance of endometritis is

A

thick endometrium, possibly with fluid in the endometrial cavity

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22
Q

A complex mass with septations, irregular margins, commonly located in the cul de sac is probably

A

a tubo ovarian abscess

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23
Q

A thick-walled, hyperemic tube with nodules or diverticuli in the uterine adnexae is associated with

A

salpingitis

24
Q

_____ can obscure normal tissue planes, making borders difficult to see

A

PID

25
Q

_______ describes an infection of the pelvis that extends to involvement of the bladder, ureter and bowel

A

peritonitis

26
Q

______ is a condition in which functioning endometrial tissue is located outside the uterus

A

endometriosis

27
Q

Which of the following is NOT a common clinical symptom of endometriosis

A

amenorrhea

28
Q

_____ is characterized by tiny endometrial implants scattered throughout the pelvis

A

diffuse endometriosis

29
Q

______ is a localized form of endometriosis

A

endometrioma

30
Q

______ is another term for endometrioma

A

chocolate cyst

31
Q

A patient comes to the emergency room with intense pelvic pain. She has a fever and elevated white count. She gave birth to a little girl 5 days ago. What condition should the doctor suspect

A

endometritis

32
Q

A patient comes to the emergency room with intense pelvic pain. She has a fever and elevated white count. She gave birth to a little girl 5 days ago. What condition should the doctor suspect

A

endometritis and PID

33
Q

_____ is the ectopic occurrence of nests of endometrial tissue in the myometrium

A

adenomyosis

34
Q

Mrs. Smith is 42 years old. She went to the doctor complaining of heavy, painful periods. This was a fairly new symptom for her. On pelvic exam, the doctor thought the uterus felt large. He ordered a sonogram which revealed a hypoechoic, heterogeneous, large uterus. The radiologist recommended an MRI for confirmation of what suspected diagnosis

A

adenomyosis

35
Q

Is the interventional and post operative application transvaginal or transabdominal: aspirate benign cyst

A

both

36
Q

Is the interventional and post operative application transvaginal or transabdominal: drain TOA/abscess

A

TV

37
Q

Is the interventional and post operative application transvaginal or transabdominal: drain post operative fluid collections

A

both

38
Q

Is the interventional and post operative application transvaginal or transabdominal: biopsy solid pelvic masses

A

TV

39
Q

Is the interventional and post operative application transvaginal or transabdominal: evaluate post operative mass

A

both

40
Q

Is the interventional and post operative application transvaginal or transabdominal: follow post op hematoma

A

both

41
Q

Is the interventional and post operative application transvaginal or transabdominal: evaluate surgical site

A

TV

42
Q

Is the interventional and post operative application transvaginal or transabdominal: evaluate surgical site

A

TV

43
Q

What are the symptoms of PID

A

severe pelvic pain, fever, vaginal discharge, abnormal bleeding, history of infertility

44
Q

Patients with PID have an increased risk of

A

ectopic pregnancy

45
Q

Which route of infection for PID is most common

A

sexual transmission

46
Q

Clinical findings of PID

A

large/palpable/bilateral mass on pelvic exam, extreme pain on pelvic exam, vaginal discharge, fever

47
Q

PID has _____ vascularity and _______ flow which is an inflammatory response

A

increased, lower resistance

48
Q

Is there a doppler signal or peristalsis with hydrosalpinx or pyosalpinx

A

no

49
Q

Thick walled tube with increased vascular flow and nodules within the lumen

A

acute salpingitis

50
Q

Serosa of uterus/tube becomes sticky die to inflammation and sticks to ovary, forming a loculated pus collection (abscess)

A

TOA

51
Q

Does TOA require surgical drainage

A

no

52
Q

Difficult to see sonographically because impants very small

A

diffuse endometriosis

53
Q

Usually occurs due to PID

A

endometritis

54
Q

In endometriosis, if inflammation has spread to tubes/ovaries, we will see all findings of

A

PID

55
Q

In endometriosis, post partum, retained products of conception, placenta are difficult to differentiate from

A

hematoma, blood clots or inflammatory debris

56
Q

Nests of endometrial tissue within the myometrium

A

adenomyosis

57
Q

May be caused by multiple pregnancies and elevated estrogen levels

A

adenomyosis

OB/GYN I (13 decks)

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