Chapter 15: Gynecologic Sonography Overview Flashcards

1
Q

the area located posterior to the broad ligaments, adjacent to uterus, which contains the ovaries and fallopian tubes

A

adnexa

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2
Q

A protein produced by the fetal yolk sac, fetal gastrointestinal tract, and the fetal liver; may also be produced by some malignant tumors

A

alpha-fetoprotein

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3
Q

birth defect in which the external genitalia appear recognizably neither male nor female

A

ambiguous genitalia

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4
Q

the absence of menstruation

A

amenorrhea

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5
Q

a collection of abdominal fluid within the peritoneal cavity

A

ascites

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6
Q

a tumor marker in the blood that can indicate certain types of cancers such as cancer of the ovary, endometrium, breast, gastrointestinal tract, and lungs; stands for cancer antigen 125

A

CA-125

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7
Q

a diagnostic modality that utilizes ionizing radiation to produce images of the human body in cross-sectional and reconstructed 3D formats

A

computed tomography

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8
Q

difficult or painful menstruation

A

dysmennorhea

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9
Q

painful sexual intercourse

A

dyspareunia

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10
Q

painful or difficult urination

A

dysuria

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11
Q

the sonographic appearance of a structure

A

echotexture

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12
Q

a pregnancy located outside of the endometrial cavity of the uterus

A

ectopic pregnancy

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13
Q

a means of looking inside the human body by utilizing an endoscope

A

endoscopy

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14
Q

the distinct layering of fluids within a cyst or cystic structure that is caused by the presence of at least two different fluid compositions

A

fluid-fluid level

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15
Q

a catheter placed into the urinary bladder via the urethra that is used to drain urine; it can also be clamped and used to temporarily distend the bladder for pelvic sonography

A

Foley catheter

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16
Q

a laboratory value that indicates the amount of red blood cells in the blood

A

hematocrit

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17
Q

excessive hair growth in women in areas where hair growth is normally negligable

A

hirsutism

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18
Q

a hormone produced by the trophoblastic cells of the early placenta; may also be used as a tumor marker in nongravid patients and males

A

human chorionic gonadotropin

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19
Q

the dilation of the renal collecting system resulting from the obstruction of flow of urine from the kidney(s) to the bladder; also referred to as pelvocaliectasis, peliecaliectasis, or pyelecalectasis

A

hydronephrosis

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20
Q

decreased or scant menstrual flow; regular timed menses but light flow

A

hypomennorhea

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21
Q

inability to control urination

A

incontinence

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22
Q

inability to conceive a child after 1 year of unprotected intercourse

A

infertility

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23
Q

a common form of birth control in which a small device is placed within the endometrium to prevent pregnancy; also referred to as an intrauterine contraceptive device

A

intrauterine device

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24
Q

an enzyme found within the blood that may be used to monitor renal function; may also be used as a tumor marker for some ovarian tumors

A

lactate dehydrogenase

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25
Q

an elevated white blood cell count

A

leukocytosis

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26
Q

a diagnostic modality that utilizes electromagnetic radiation to produce images of the human body in cross-sectional and reconstructed 3D formats

A

MRI

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27
Q

ascites and pleural effusion in the presence of some benign ovarian tumors

A

Meigs syndrome

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28
Q

excessive or prolonged bleeding between periods

A

menometroorrhagia

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29
Q

abnormally heavy and prolonged menstruation

A

menorrhagia

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30
Q

irregular menstrual bleeding between periods; intermenstrual bleeding

A

metrorrhagia

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31
Q

having multiple chambers or compartments

A

multiloculated

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32
Q

growth or masses attached to the wall of a structure; most likely a cyst

A

mural nodules

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33
Q

a mass of tissue that contains abnormal cells; also called a tumor

A

neoplasm

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34
Q

a diagnostic imaging modality that utilizes the administration of radionuclides into the human body for an analysis of the function of organs, or for the treatment of various abnormalities

A

nuclear medicine

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35
Q

an abnormality that results from the ovary twisting on its mesenteric connection, consequently cutting off blood supply to the ovary

A

ovarian torsion

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36
Q

an infection of the female genital tract that may involve the ovaries, uterus, and/or fallopian tubes

A

pelvic inflammatory diseaes

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37
Q

kidney located within the pelvis

A

pelvic kidney

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38
Q

the abnormal accumulation of fluid in the pleural space

A

pleural effusion

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39
Q

a syndrome characterized by anovulatory cycles, infertility, hirsutism, amenorrhea, and obesity; may also be referred to as Stein-Leventhal syndrome

A

polycystic ovary syndrome

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40
Q

an intraperitoneal extension of mucin-secreting cells that results from the rupture of a malignant mucinous ovarian tumor or, possibly, a malignant tumor of the appendix

A

pseudomyxoma peritonei

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41
Q

a diagnostic imaging modality that uses ionizing radiation for imaging bones, organs, and some soft-tissue structures

A

radiography

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42
Q

separations; structures that divides something into different sections

A

septations

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43
Q

sonographic sign obtained during an endovaginal sonogram when gentle probe pressure is used to assess whether the anterior rectum and sigmoid colon glides freely across the posterior aspect of the uterus, cervix, and vaginal wall

A

sliding sign

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44
Q

an anechoic round mass that has smooth walls and demonstrates through transmission (acoustic enhancement)

A

simple cyst

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45
Q

a sonographic procedure that utilizes saline installation into the endometrial cavity and fallopian tubes to evaluate for internal abnormalities; also referred to as saline infusion sonohysterography

A

sonohysterogram

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46
Q

a breast cancer drug that inhibits the effects of estrogen in the breast

A

tamoxifen

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47
Q

sonogram that requires the transducer to be placed against the labia; often used for imaging of the cervix

A

translabial sonogram

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48
Q

a chromosomal aberration where one sex chromosome is absent; may also be referred to as monosomy x

A

Turner syndrome

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49
Q

having one chamber of compartment

A

unilocular

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50
Q

changes within the female that are caused by increased androgens; may lead to deepening of the voice and hirsutism

A

virilization

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51
Q

an inherited bleeding disorder that is characterized by low levels of a specific clotting protein in the blood referred to as von Willebrand factor, results in excessive bleeding and specifically vaginal bleeding in women

A

von Willebrand disease

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52
Q

without echoes

A

anechoic

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53
Q

having both cystic and solid components

A

complex

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54
Q

structure that produces echoes

A

echogenic

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55
Q

of differing composition

A

heterogenous

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56
Q

of uniform composition

A

homogenous

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57
Q

having many echoes

A

hyperechoic

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58
Q

having few echoes

A

hypoechoic

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59
Q

having the same echogenicity

A

isoechoic

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60
Q

Normal oral body temperature

A

98.6

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61
Q

Normal adult pulse

A

60-100 bpm

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62
Q

Normal adult blood pressure

A

120/8-

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63
Q

normal adult respiration

A

12-20 breaths per minute

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64
Q

If the sterility of an object is questionable, it is _____

A

not sterile

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65
Q

A sterile field ends at the level of the _____

A

tabletop

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66
Q

The _____ of a sterile gown is considered not sterile.

A

cuff

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67
Q

If one sterile person must pass another, they much pass _____

A

back to back

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68
Q

coughing, sneezing, or excessive talking over a sterile field leads to ______

A

contamination

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69
Q

caused by a large acoustic interface and subsequent production of false echoes

A

reverberation

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70
Q

produced by a strong specular reflector and results in a copy of the anatomy being placed deeper than the correct location

A

mirror image

71
Q

caused by attenuation of the sound beam

A

shadowing

72
Q

artifact that appears as a solid streak or a chain of parallel bands radiating away from a structure

A

ring-down artifact

73
Q

caused by air or bowel gas

A

dirty shadowing

74
Q

produced when the sound beam is barely attenuated through a fluid or a fluid-filled structure, May occassionaly by referred to as through transmission

A

acoustic enhancemen

75
Q

could be caused by low-gain, low-frequency, high wall filter, or too high velocity scale

A

absent Doppler signal

76
Q

Which of the following is an inherited bleeding disorder that is caused by low levels of a specific clotting protein in the blood?
a. Stein-Leventhal disease
b. Fitz-Hugh-Curtis disease
c. Meigs disease
d. von Willebrand disease

A

d

77
Q

What is the term for elevated white blood cell count?

A

leukocytosis

78
Q

What is another name for the anterior cul-de-sac?

A

vesicouterine pouch

79
Q

Which of the following is also referred to as the space of Retzius?
a. paracolic gutters
b. retropubic space
c. anterior cul-de-sac
d. posterior cul-de-sac

A

b

80
Q

Which of the following would be the least likely indication for a pelvic sonogram?
a. diarrhea
b. palpable pelvic mass
c. amenorrhea
d. screening for malignancy

A

a

81
Q

Which of the following would least likely be associated with a palpable pelvic mass?
a. ovarian hyperstimulation syndrome
b. leiomyoma
c. ovarian cyst
d. endometrial hypoplasia

A

d

82
Q

Which of the following is defined as painful or difficult urination?
a. dyspareiunia
b. nocturia
c. dyspnea
d. dysuria

A

d

83
Q

A linear structure coursing through an anechoic cyst separating it into two separate cavities may be referred to as a:

A

septation

84
Q

Which of the following would least likely indicate the presence of a complex cyst?
a. septation
b. mural nodule
c. acoustic enhancement
d. internal debris

A

c

85
Q

Which of the following is a protein produced by the fetal yolk sac, fetal gastrointestinal tract, fetal liver, and by some malignant tumors?
a. lactate dehydrogenase
b. Ca-125
c. alpha-fetoprotein
d. human chorionic gonadotropin

A

c

86
Q

What term describes the echogenicity of a simple ovarian cyst?

A

anechoic

87
Q

The “S” in STAR criteria stands for:

A

Smooth walls

88
Q

Which of the following is defined as pain during intercourse?
a. dysuria
b. dysmennorhea
c. dyspareunia
d. hirsutism

A

c

89
Q

Which of the following is defined as excessive hair growth in women in areas where hair growth is normally negligable?
a. dyspareunia
b. hirsutism
c. Meigs syndrome
d. polycystic ovarian syndrome

A

b

90
Q

Which of the following laboratory tests may be used as a tumor marker for an ovarian dysgerminoma?
a. lactate dehydrogenase
b. alpha-fetoprotein
c. CA-125
d. Tamoxifen

A

a

91
Q

All of the following are associated with acute pelvic pain except:
a. pelvic inflammatory disease
b. ruptured ovarian hemorrhagic cyst
c. perforated IUD
d. Asherman syndrome

A

d

92
Q

Which of the following is best defined as intermenstrual bleeding?
a. dysmennorhea
b. menorrhagia
c. menometrohagia
d. metrorrhagia

A

d

93
Q

Having the same echogenicity means:

A

isoechoic

94
Q

Which of the following would typically not be associated with amennorhea?
a. Asherman syndrome
b. polycystic ovarian syndrome
c. pregnancy
d. adenomyosis

A

d

95
Q

Which of the following is best defined as difficult or painful menstruation?
a. dysmennorhea
b. dyspareunia
c. dysuria
d. menorrhagia

A

a

96
Q

What term relates to the number of pregnancies a patient has had?

A

Gravida

97
Q

Which of the following definitions best describes the term adnexa?
a. the area posterior to the uterus, between the uterus and the rectum
b. the area located posterior to the broad ligaments and adjacent to the uterus
c. the area anterior to the uterus, between the uterus and the urinary bladder
d. the area lateral to the iliac crest and posterior to the pubic symphysis

A

b

98
Q

All of the following statements are true of endovaginal imaging except:
a. endovaginal imaging requires a full bladder
b. endovaginal imaging leads to reduced waiting time for the patient and quicker medical management
c. endovaginal imaging offers improved resolution of the endometrium, uterus, and ovaries, especially in the obese patient
d. enodvaginal imaging is contraindicated for pediatric patients and for those with an intact hymen

A

a

99
Q

What laboratory value would be most useful to evaluate in a patient with suspected internal hemorrhage?

A

hematocrit

100
Q

What abnormality results from the ovary twisting on its mesenteric connection?

A

ovarian torsion

101
Q

Which of the following most often leads to an elevation of CA-125?
a. ovarian carcinoma
b. Fitz-Hugh-Curtis syndrome
c. ovarian torsion
d. Ovarian hyperstimulation syndrome

A

a

102
Q

When does the CDC recommend that alcohol-based hand rub be combined with handwashing?

A

when your hands are visibly soiled

103
Q

The best way to communicate with a patient who speaks a language other than your own is to use:

A

a trained medical interpreter

104
Q

What artifact would be seen posterior to a tooth within a cystic teratoma?

A

shadowing

105
Q

Which of the following is best described as an artifact that is produced by a strong reflector and results in a copy of the anatomy being placed deeper than the correct location?
a. reverberation
b. mirror image
c. acoustic shadowing
d. comet tail

A

b

106
Q

Which of the following statements is not true concerning transabdominal pelvic imaging?
a. transabdominal imaging of the pelvis provides a global view of the entire pelvis
b. transabdominal imaging lacks the detail of endovaginal imaging
c. obese patients and patients with a retroverted or retroflexed uterus present a unique challenge to the transabdominal technique
d. Transabdominal imaging is contraindicated for pediatric patients

A

d

107
Q

Malignant ovarian tumors may leak mucinous material, and this condition is known as:

A

pseudomyxoma peritonei

108
Q

All of the following are proper techniques for providing patient care for patients during a pelvic sonogram except:
a. all transducers and their cords should be cleaned before performing a pelvic sonogram
b. endovaginal transducers should be cleaned with a high-level disinfectant
c. a probe cover should be placed on the transducer for transabdominal imaging to prevent the spread of infection
d. a sterile jelly should be used as a lubricant for endovaginal imaging

A

c

109
Q

The breast cancer drug that inhibits the effects of estrogen in the breast is:

A

tamoxifenW

110
Q

Which of the following statements would be considered an acceptable disadvantage of endovaginal imaging?
a. endovaginal imaging has a limited field of view
b. the resolution of endovaginal imaging is reduced compared to transabdominal imaging
c. endovaginal imaging is more time consuming than transabdominal imaging
d. endovaginal imaging can be performed only by female sonographers

A

a

111
Q

What artifact could be noted emanating from air or gas within the endometrium in a patient with endometritis?

A

ring-down

112
Q

What Doppler artifact occurs when the Doppler sampling rate is not high enough to display the Doppler shift frequency?

A

aliasing

113
Q

Which of the following would be least likely to cause abdominal distention?
a. ascites
b. multiple leiomyoma
c. ovarian hyperstimulation syndrome
d. polycystic ovarian syndrome

A

d

114
Q

All of the following are common indications for a pelvic sonogram except:
a. evaluation of congenital anomalies
b. evaluation of pelvic anatomy immediately following a motor vehicle accident
c. localization of an IUD
d. postmenopausal bleeding

A

b

115
Q

Precocious puberty is best defined as:

A

pubertal development before the age of 8

116
Q

Amennorhea is defined as:

A

lack of menstrual flow

117
Q

occurs when the Doppler sampling rate is not high enough to accurately display the Doppler frequency shift

A

aliasing

118
Q

caused by inappropriately high Doppler settings

A

Doppler noise

119
Q

caused by sound beam striking a vessel at a 90 degree angle, producing an area void of color

A

flow directional abnormalities

120
Q

occurs behind strong, granular, and irregular surfaces like crystals, calculi, or calcifications

A

twinkle artifact

121
Q

between pubic bone and urinary bladder

A

retropubic space

122
Q

also referred to as space of Retzius

A

retropubic space

123
Q

extend alongside ascending and descending colon on both sides of abdomen

A

paracolic gutters

124
Q

between the urinary bladder and rectum in males

A

posterior cul-de-sace

125
Q

also referred to as rectovesical pouch

A

posterior cul-de-sac

126
Q

between the uterus and rectum in females

A

posterior cul-de-sac

127
Q

also referred to as pouch of Douglas

A

posterior cul-de-sac

128
Q

between the urinary bladder and the uterus

A

anterior cul-de-sac

129
Q

also called the vesicouterine pouch

A

anterior cul-de-sac

130
Q

STAR critieria

A

smooth walls or borders
through transmission
anechoic
round in shape

131
Q

provides a global view of the pelvis

A

transabdominal

132
Q

number of pregnancies

A

gravida

133
Q

number of pregnancies carried to term

A

para

134
Q

Detected for rare ovarian tumors, developing gestation

A

HcG

135
Q

lab value that should be evaluated in cases of suspected ectopic pregnancy

A

hematocrit

136
Q

Low hematocrit indicates:

A

bleeding

137
Q

elevated white blood cell count

A

leukocytosisk

138
Q

Patients who has some form of “itis”, or possibly even as abscess, have an abnormal _______

A

white blood cell count

139
Q

Most common cause of nosocomial infection

A

urinary tract infection

140
Q

apply to blood, non intact skin, mucous membranes, contaminated equipment, and all other body fluids except sweat

A

standard precautions

141
Q

Most effective means of protecting spread of infection

A

proper handwashing and hand cleaning

142
Q

practices used to render an object or area free of pathogenic microorganisms

A

medical asepsis

143
Q

Invasive procedures commonly performed in sonography department include

A

sonohysterogram
organ biopsies
mass biopsies
abscess drainages

144
Q

allows for easy storage and comparison between sonographic findings and straightforward correlation between other image modality findings

A

PACS

145
Q

The higher the frequency, the ____ the penetration abilities, the ____ the resolution

A

lower
better

146
Q

Transabdominal transducers employ frequencies lower than __ MHz

A

6

147
Q

Transvaginal transducers typically employ frequencies ___ MHz or greater

A

7.5

148
Q

used for imaging very superficial structures

A

standoff pad

149
Q

ability to accurately obtain volumetric measurements of structures

A

3D imaging

150
Q

______ is much more common in adolescence

A

ovarian torsion

151
Q

Adnexal or ovarian torsion is associated with:

A

large ovarian or adnexal cyst or mass
excessive mobility of adnexal structures

152
Q

condition in which newborn’s external genitalia are recognizably neither male nor female

A

ambiguous genitalia

153
Q

most common disorder of sex development

A

Turner syndrome

154
Q

also referred to as monosomy X

A

Turner syndrome

155
Q

gonadal dysfunction
short stature
webbing of skin on neck

A

Turner syndrome

156
Q

kidney located within the pelvic

A

pelvic kidney

157
Q

fluid that can collect in the pelvis

A

ascites

158
Q

pelvic ascites can be associated with:

A

ovarian tumors
ectopic pregnancies
cirrhosis
portal hypertension

159
Q

pelvic ascites, pleural effusion, and a benign ovarian mass

A

Meigs syndrome

160
Q

malignant ovarian tumors that leak mucinous material

A

pseudomyxoma peritnei

161
Q

A simple cyst should have _____, demonstrate ______, be completely _____, and be _____ in shape.

A

smooth walls
through transmission
anechoic
round

162
Q

An advantage of ______ imaging, is that it offers improved resolution of the endometrium, uterus, and ovaries, especially in the obese patient.

A

endovaginal

163
Q

The number of pregnancies is _____, whereas ____ is the number of pregnancies that a patient carried to term.

A

gravida
para

164
Q

A decrease in _____ indicates bleeding.

A

hematocrit

165
Q

Which of the following would be associated with hirsutism?
a. polycystic ovary syndrome
b. meigs syndrome
c. adenomyosis
d. adenomyomatosis

A

a

166
Q

Which of the following would be caused by a large acoustic interface and subsequent product of false echoes?
a. posterior shadowing
b. acoustic enhancement
c. mirror image
d. reverberation

A

d

167
Q

Which of the following would be best defined as abnormally heavy menstrual flow?
a. menometrorrhagia
b. menorrhagia
c. metrorrhagia
d. hypomennorhea

A

b

168
Q

Which of the following would be best defined as regularly timed menses but light flow?
a. menometrorrhagia
b. mennorhagia
c. metrorrhagia
d. hypomennorhea

A

d

169
Q

All of the following would be relevant laboratory tests to evaluate before performing a routine pelvic sonogram except:
a. human chorionic gonadotropin
b. hematocrit
c. white blood cell count
d. lipase

A

d

170
Q

Which of the following could be described as an infection of the female genital tract that may involve the ovaries, uterus, and/or the fallopian tubes?
a. pseudomyxoma peritnei
b. pelvic inflammatory disease
c. polycystic ovarian disease
d. ovarian torsion

A

b

171
Q

Which of the following diagnostic tests is used to evaluate emitted radiation from the patient to asses the function of organs?
a. MRI
b. Nuclear medicine
c. radiography
d. CT

A

b

172
Q

Endovaginal transducers may be disinfected by submerging in a(n) ____-based solution

A

glutaraldehyde

173
Q

Leukocytosis would most likely be associated with:
a. multiple degenerating fibroids
b. ovarian teratoma
c. adenomyosis
d. pelvic inflammatory disease

A

d

174
Q
A