Chapter 10

Question 1

Malignant tumors, benign tumors and inflammatory conditions are not related to:

Answer 1

Hypoxia

Question 2

Select the true statement regarding ACR practice guidelines for an ultrasound examination of the female pelvis:

Answer 2

Use the lowest possible sonographic exposure settings to gain the necessary diagnostic information.

Question 3

Choose the most appropriate transducer frequency for a transabdominal pelvic sonogram when more depth penetration is needed.

Answer 3

2.5 MHz

Question 4

A full urinary bladder enhances uterine visualization, but frequently causes a suboptimal ______ Doppler exam owing to the angle of incidence.

Answer 4

Uterine artery

Question 5

If a cystic mass is suspected during a full bladder pelvic ultrasound examination, the patient should:

Answer 5

Void the urinary bladder and further investigate the pelvis

Question 6

Which position provides the best visualization of free fluid in the pouch of Douglas during an endovaginal ultrasound examination?

Answer 6

Lithotomy with a slight reverse Trendelenburg

Question 7

Quantitative measurements of Doppler studies include:

Answer 7

Measurements of estimating absolute blood velocities, assessment of vascular impedances, and quantifying flow disturbances

Question 8

With constant perfusion pressure, the flow ____ as the impedance to flow ___.

Answer 8

Increases, decreases

Question 9

Resistive Index (RI) calculates:

Answer 9

The peak systolic velocity to the end diastolic velocity

Question 10

Suspicion for vascular occlusion occurs when a :

Answer 10

High resistance pattern is detected where low resistance is normally seen

Question 11

A correct angle of _____ is required when analyzing vascular flow to determine its velocity by a Doppler shift.

Answer 11

Less than 60 degrees

Question 12

Normal arterial flow is seen as:

Answer 12

Alternating quick uptake systolic peak followed by a lower diastolic flow

Question 13

What is laminar flow?

Answer 13

Blood velocity traveling highest in the mid vessel

Question 14

Name the vessel (appearing as a tubular structure) often seen sonographically in the outer uterine myometrium.

Answer 14

Arcuate artery

Question 15

The functional layer of the endometriums blood supply is by the:

Answer 15

Radial and spiral arteries

Question 16

An arteriovenous malformation (AVM):

Answer 16

Is typically acquired through surgery or trauma

Question 17

Choose a statement that is not related to pelvic congestion.

Answer 17

Frequently diagnosed in nulliparous women

Question 18

The best description of classic ovarian torsion is:

Answer 18

An enlarged, edematous ovary with multiple small peripheral follicles and little or no vascular flow

Question 19

Complex cysts of the pelvis are:

Answer 19

Difficult to discriminate because benign and malignant characteristics can be similar

Question 20

Which statement is correct?

Answer 20

High resistance flow has a low end-diastolic value with a high peak systolic value