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OBGYN 1 > Chapter 10, 11, and 12 Test > Flashcards

Chapter 10, 11, and 12 Test Flashcards

1
Q

Which term defines the physiologic process of growing new vessels?

A

angiogenesis

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2
Q

The doppler measurement take the highest systolic peak minus the highest diastolic peak divided by the highest systolic peak.

A

Pourcelot resistive index

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3
Q

Which vessel carries blood to the uterus?

A

uterine artery

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4
Q

Which of the following is a quantitative method of doppler analysis?
a. systolic and diastolic ratio
b. color doppler
c. power doppler
d. strain

A

a

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5
Q

Select the definition of a low-resistance arterial flow.
a. high systole, high diastole
b. high systole, low diastole
c. monophasic flow
d. High RI value

A

a

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6
Q

Select the optimal angle of incidence to obtain a spectral tracing.
a. 90 degrees
b. 60 degrees
c. 70 degrees
d. 65 degrees

A

60 degrees

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7
Q

Where does the uterine artery anastamose with the ovarian artery?

A

at the uterine cornua

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8
Q

Select the normal flow velocity in the nongravid uterine artery.
a. greater than 10 mm/sec
b. less than 5mm/sec
c. less than 5 and greater than 10 cm/sec
d. 5 to 10 cm/sec

A

d

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9
Q

Which of the following describes spectral doppler flow found surrounding the corpus luteal cyst?
a. low-resistance flow
b. high-resistance flow
c. high systolic peak
d. low, end diastolic velocity

A

a

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10
Q

What is a vascular plexus of arteries and veins without an intervening capillary network?

A

arteriovenous malformation

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11
Q

Select the term describing the increase in adrenal gland activity seen at the onset of puberty.

A

adrenarche

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12
Q

Where does a rhabdomyosarcoma develop?

A

in striated or skeletal muscle

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13
Q

What results in an individual with an X and O chromosome?

A

Turner syndrome

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14
Q

Select the sonographic findings for an ovarian malignancy.
a. complex adnexal mass with shadowing fecolith
b. cystic with multiple septations
c. solid ovarian mass without detectable flow
d. complex masses with hyperechoic zones and posterior shadowing

A

b

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15
Q

Select the formula to calculate ovarian volume?
a. L x W x H x 0.523
b. L x W x H
c. W x H
d. obtain an elipse measurement

A

a

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16
Q

What is the most common malignant lesion of the vagina in the pediatric patient?

A

rhabdomyosarcoma

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17
Q

Select the increased laboratory finding that corresponds to pelvic inflammatory disease.
a. gonadal sex steroids
b. serum testosterone to dihydrotestosterone
c. white blood cell
d. alpha-fetaprotein

A

c

18
Q

Which of the following describes hydrometra in the pediatric patient?
a. anechoic fluid collection within the uterus
b. cystic, pear shaped mass in the midline
c. complex fluid within the vagina
d. renal pelvis dilation

A

a

19
Q

What pathology demonstrates prominent arterial flow?

A

dysgerminoma

20
Q

Select the term for describing the failure of a woman to ovulate.
a. involute
b. hirsutism
c. anovulation
d. oligomenorrhea

A

c

21
Q

Choose the definition for a blood-filled ovarian cyst resulting from endometrial implants.
a. red degeneration
b. chorioadenoma destruens
c. placenta accrete
d. endometrioma

A

d

22
Q

Which of the following is a fluid-filled mass located in the cervical canal?
a. nabothian cyst
b. Gartner’s duct cyst
c. Endometrial polyps
d. myoma

A

a

23
Q

Which of the following is a focal area of decreased echogenicity within the myometrium?
a. Nabothian cyst
b. Leiomyoma
c. Paratubal cyst
d. Rabson-Mendenhall syndrome

A

b

24
Q

Select the physiologic ovarian cyst.
a. Gartner’s duct cyst
b. Hemorrhagic
c. Endometrium
d. Theca Lutein

A

d

25
Q

Which of the following is an acquired condition associated with polycystic ovaries?
a. steroidgenic enzyme deficiencies
b. lipoatrophic diabetes
c. Cushing syndrome
d. Congenital adrenal hyperplasia

A

c

26
Q

Which of the following describes the sonographic appearance of a mature teratoma?
a. echogenic foci with fluid/solid levels
b. unilocular, thin-walled cyst with low-level debris
c. ascites with a large multiseptate tumor
d. solid, hypoechoic mass with posterior enhancement

A

a

27
Q

A 35 year old woman presents with an acute onset of pain , bloating, and a palpable mass . During the sonographic examination, a unilocular mass with low-level debris and thin wall is observed. What is the most likely differential for these findings?

A

serous cystadenoma

28
Q

An 8 year old presents to the emergency department with a history of early onset of puberty, increasing abdominal girth, breast tenderness, and right sided pain. During the sonographic examination, a unilateral, multiloculated, 8 cm mass with low-level internal echoes images. What is the most likely differential for these findings?

A

Granulosa cell tumor

29
Q

Select the most common benign ovarian neoplasm.
a. Brenner tumor
b. Serous cystadenoma
c. Benign stromal
d. Cystic teratoma

A

d

30
Q

Identify the sonographic appearance of the endometrium in the patient with Asherman syndrome.
a. hypoechoic bridge like bands
b. triangular linear anechoic area at scar site
c. Hyperechoic areas within the myometrium
d. Calcifications

A

a

31
Q

Select the sonographic appearance for a leiomyoma.
a. Loculated complex mass with posterior enhancement
b. whorled internal architecture of a mass
c. 6 mm myometrial defect
d. endometrial membranes

A

b

32
Q

True or False:
A full bladder can cause suboptimal angles for Doppler in the uterine artery.

A

true

33
Q

True or False:
Suspicion for vascular occlusion occurs when a low resistance pattern is detected where flow resistance is normally seen.

A

false

34
Q

Normal arterial flow is seen as:

A

alternating quick uptake systolic peak followed by a lower diastolic flow

35
Q

True or False:
The functional layer of the endometrium is supplied by the straight artery.

A

false

36
Q

An arteriovenous malformation:

A

is typically acquired through surgery or traum

37
Q

The best description of classic ovarian torsion is:
a. free pelvic fluid
b. an oval structure with peripheral cyst measuring approximately 7 mm
c. an ovary with hypervascular patterns
d. an enlarged, edematous ovary with multiple small peripheral follicles and little or no vascular flow

A

d

38
Q

Complex masses of the pelvis are:

A

difficult to discriminate because benign and malignant characteristics can be similar

39
Q

The best method to visualize an adolescent vagina is by:

A

transabdominal sonography

40
Q

The most common urinary tract tumor discovered in the pediatric community is:

A

rhabdomyosarcoma

OBGYN 1 (18 decks)

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