CH 46 WB EVALUATING FEMALE INFERTILITY

Question 1

Infertility is the inability to conceive within ______ months with regular coitus.

Answer 1

12

Question 2

The role of the cervix in fertility is to provide a(n) _______ environment to harbor sperm.

Answer 2

nonhostile

Question 3

When assessing the endometrium, the sonographer wants to evaluate the ________ and _________ characteristics and to include evaluation for any ________ lesions.

Answer 3

thickness, echogenicity, intracavitary

Question 4

The congenital anomalies most easily assessed with ultrasound require evaluation for _________ uterus and _________ uterus.

Answer 4

bicornuate, didelphys

Question 5

________ uterus is associated with a low incidence of fertility complications.

Answer 5

bicornuate

Question 6

The fallopian tubes can be examined by ultrasound to evaluate for a hydrosalpinx and assess _______ by injecting saline into the tube and looking for spillage of fluid into the cul-de-sac or by using contrast to evaluate for spillage.

Answer 6

patency

Question 7

A follicle is selected to develop into a _______ follicle in response to follicle-stimulating hormone (FSH) and increase in estradiol.

Answer 7

dominant

Question 8

The dominant follicle will grow at a rate of approximately 2 to 3 mm per day until it reaches an average diameter of ____ mm.

Answer 8

22

Question 9

If serum estradiol is ________ and a large ovarian cyst is present, then oral contraceptives may be indicted to suppress follicular activity before ovarian stimulation therapy is started.

Answer 9

elavated

Question 10

A normal endometrial response associated with ovarian stimulation is increasing thickness from 2 to 3 mm to ______ mm.

Answer 10

12 to 14

Question 11

Complications associated with assisted reproductive technologies include ovarian ________ syndrome, multiple ______, and _______ pregnancy.

Answer 11

hyperstimulation , gestation, ectopic

Question 12

_________ is a syndrome that presents sonographically as enlarged ovaries with multiple cysts, abdominal ascites, and pleural effusions.

Answer 12

Ovarian hyperstimulation syndrome

Question 13

An ectopic pregnacy coexisting with an intrauterine pregnancy is a(n) ________ pregnancy.

Answer 13

heterotopic

Question 14

ID the abnormality demonstrated in this infusion sonography image

Answer 14

multiple fibroids

Question 15

which abnormality demonstrated in this infusion sonography image. may interfere with implantation?

Answer 15

submucosal fibroid w/ saline infusion sonography

Question 16

id the phase of the ovary shown in this image

Answer 16

ovarian follicular phase

Question 17

the transvaginal image of the ovary is found in what condition

Answer 17

hyperstimulation of the ovary

Question 18

technologies that use male and female gametes to assist the infertility patient to become pregnant; -these methods include in vitro fertilization, gamete transfer and intrafallopian transfer, zygote intrafallopian transfer

Answer 18

assisted reproductive technology (ART)

Question 19

a technique that follows IVF in which the fertilized ova are injected into the uterus through the cervix

Answer 19

embryo transfer

Question 20

a hormonal substance that stimulates the function of the testes and ovaries; -in females FSH and FH are gonadotropins

Answer 20

gonadotropin

Question 21

a glycoprotein secreted from placental trophoblastic cells (developing placenta cells); indicates pregnancy when lab test (urine) levels are elevated

Answer 21

human chorionic gonadotropin (hCG)

Question 22

the introduction of sperm into the uterus by mechanical or instrumental means rather than by sexual intercourse

Answer 22

intrauterine insemination

Question 23

a method of fertilizing the human ova outside the body by collecting the mature oocytes and placing them in a dish with a sample of sperm

Answer 23

in vitro fertilization (IVF)

Question 24

syndrome presents on US as enlarged ovaries w/ multiple cysts, abdominal ascites, and pleural effusions; common in pt who have undergone ovulation induction after the administration of follicle-stimulating hormone or a GnRH analogue followed by hCG

Answer 24

ovarian hyperstimulation syndrome (OHSS)

Question 25

controlled ovarian stimulation with clomiphene citrate or parenterally administered gonadotropins

Answer 25

ovarian induction therapy

Question 26

diminished reproductive capability

Answer 26

subfertility