Chapter 13, 14, 15, 16 Test

Question 1

What is the least common gynecologic malignancy?

Answer 1

fallopian tube carcinoma

Question 2

Identify the risk factor associated with endometrial cancer.

Answer 2

unopposed estrogen

Question 3

Tamoxaphin therapy for breast cancer raises the risks for:

Answer 3

leiomyosarcoma development

Question 4

What is used to help stage endometrial carcinoma?

Answer 4

involvement of the cervix

Question 5

Choose the differential for sonographic findings of hydrosalpinx in a 50 year old female patient.

Answer 5

fallopian tube carcinoma

Question 6

A rapid increase in uterine mass in a 30 year old woman raises suspicion for:

Answer 6

leiomyosarcoma

Question 7

Postcoital bleeding is a symptom of:

Answer 7

cervical cancer

Question 8

What type of uterine malformation results in daughters of DES users?

Answer 8

T shaped uterus

Question 9

Karyotype seen with a partial mole.

Answer 9

69xxx

Question 10

The extensive chorionic villi invasion is characteristic of a(n):

Answer 10

invasive mole

Question 11

What is the ovarian cyst that occurs with one-fourth of patients with placental trophoblastic disease?

Answer 11

theca lutein

Question 12

What drug increases the risk of endometrial cancer?

Answer 12

tamoxifen

Question 13

What is the sonographic finding for uterine sarcomas?

Answer 13

rapidly growing heterogenous mass

Question 14

Which of the following is a tumor marker for colon, stomach, breast, or ovarian carcinoma?

Answer 14

Carcinoembryonic antigen (CEA)

Question 15

Identify the malignant ovarian tumor that is the result of metastasis to the ovary.

Answer 15

Krukenberg tumor

Question 16

Which of the following is pseudomyxoma peritonei?

Answer 16

mucinous material accumulation within the peritoneal cavity

Question 17

Risk factors for womans risk for developing ovarian cancer?

Answer 17

advanced age
nulliparity or low parity
delayed childbearing
early onset of menses
late menopause
postmenopausal estrogen use for more than 10 years
obesity
family history of ovarian or breast cancer

Question 18

Which neoplasm is associated with gonadal dysgenesis?

Answer 18

dysgerminoma

Question 19

Choose the least common malignant ovarian cancer.

Answer 19

Androblastoma

Question 20

An 18-year-old presents to the department with complaints of intermittent left lower quadrant pain. Though she has not missed any periods, her clinician ran a pregnancy test and it came up positive. The sonographic exam revealed a solid mass with calcifications and multiple small cysts in the left side apart from the uterus. What is the most likely cause for these findings?

Answer 20

immature teratoma

Question 21

Which form of ovarian cancer demonstrated prominent color doppler flow in septations?

Answer 21

dysgerminoma

Question 22

painful menstruation

Answer 22

dysmennorhea

Question 23

Which of the following is implantation of endometrial tissue outside of the uterus?

Answer 23

endometriosis

Question 24

Which term describes an infection of the fallopian tubes?

Answer 24

salpingitis

Question 25

Which is a complication of pelvic inflammatory disease?

Answer 25

ectopic pregnancy
infertility
chronic pelvic pain
tubo-ovarian abscess

Question 26

Select the complication of endometriosis?

Answer 26

endometrioma

Question 27

Which of the following area becomes infected with stage 2 pelvic inflammatory disease?

Answer 27

salpingitis

Question 28

Which of the following is a clinical presentation of pelvic inflammatory diease?

Answer 28

cervical motion tenderness

Question 29

Select the etiology for pelciv inflammatory disease.

Answer 29

epithelial

Question 30

Choose the term which describes the presence of ectopic endometrial tissue.

Answer 30

endometriosis

Question 31

How does the fallopian tube image in a patient with stage 2 pelvic inflammatory disease?

Answer 31

hypechoic with a cogwheel appearane

Question 32

How do the fallopian tube and ovary image with acute tubo-ovarian complex?

Answer 32

ovarian enlargement and adhesions result in ill defined tissue planes

Question 33

Which of the following are sonographic signs of endometriosis?

Answer 33

hypoechoic thickening or the presence of a nodule or mass with regular or irregular contours located in the posterior cervical region or pouch of Douglas

Question 34

True or False:
The sonographic appearance of the chinese ring IUD is a hyperechoic “S” device.

Answer 34

false

Question 35

True or false:
The sonographic appearance of the Lippes Loop IUD is a curved structure within the endometrium with posterior shadowing.

Answer 35

true

Question 36

True or false:
The sonographic appearance of the retrieval string of an IUD is a hypoechoic, linear structure

Answer 36

false

Question 37

myometrial penetration outside the endometrial cavity with an intact serosa

Answer 37

perforation/ extrauterine

Question 38

complete or partial migration through the external cervical device

Answer 38

displaced

Question 39

positioning or rotation within the lower uterine cavity or cervix

Answer 39

embedment

Question 40

complete or partial invasion through the myometrium and serosa

Answer 40

expulsion

Question 41

True or false:
The two types of IUCD are copper and hormone based (LING-IUD)

Answer 41

true

Question 42

True or false:
Transcervical tubal occlusion device is a form of permanent contraception using metallic coils or a silicone plug to obstruct the fallopian tubes.

Answer 42

true

Question 43

IUCD complications include:

Answer 43

embedment
expulsion
perforation
displacement