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ARRT (Ob/gyn US) > Chapter 17 The Uterus And Vagina > Flashcards

Chapter 17 The Uterus And Vagina Flashcards

1
Q

The recesses of the vagina are the:

A

Fornices

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2
Q

The area of the attachment of the fallopian tubes to the uterus is the:

A

Cornua

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3
Q

The normal position of the uterus is:

A

Anteverted

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4
Q

Anechoic fluid noted distending the uterus and vagina within a pediatric patient is termed:

A

Hydrometrocolpos

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5
Q

The superior portion of the cervix is the:

A

Internal OS

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6
Q

The location of a fibroid within the myometrium is termed:

A

Intramural

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7
Q

Leiomyosarcoma of the uterus denotes:

A

The malignant counterpart of a fibroid

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8
Q

Congenital malformation of the uterus that results in complete duplication of the genital tract is:

A

Uterus didelphys

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9
Q

Leiomyomas that project from a stalk are termed:

A

Pedunculated

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10
Q

Abnormally heavy and prolonged MENSTRUAL flow BETWEEN periods is termed:

A

Menometrorrhagia

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11
Q

Precocious puberty is defined as the development of pubic hair, breasts, and the genitals before the age of:

A

8

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12
Q

The paired embryonic ducts that develop into the female urogenital tract are the:

A

Mullerian ducts

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13
Q

What is typically not a clinical complaint of women who are suffering from adenomyosis?

A

Amenorrhea

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14
Q

The surgical removal of a fibroid is termed:

A

Myomectomy

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15
Q

What leiomyoma location would have an increased risk to undergo torsion?

A

Pedunculated

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16
Q

The uterine position in which the corpus tilts forward and comes in contact with the cervix describes:

A

Anteflexion

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17
Q

A simple fluid accumulation within the vagina secondary to an imperforate hymen is:

A

Hydrocolpos

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18
Q

Patient complaining of abnormal distention, you visualize a large, hypoechoic mass distorting the anterior border of uterus. Where is the location of the mass?

A

Subserosal

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19
Q

The rigid region of the uterus location between the vagina and the isthmus is the:

A

Cervix

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20
Q

_____would be considered the more common uterine anomaly?

A

Septate uterus

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21
Q

The outer layer of the endometrium is the:

A

Basal layer

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22
Q

What section of the uterus is also referred to as the lower uterine segment?

A

Isthmus

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23
Q

The most superior widest portion of the uterus is the:

A

Fundus

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24
Q

The layer of the endometrium that is significantly altered as a result of normal stimulation during the mestrual cycle is:

A

Functional layer

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25
Q

Pseudoprecocious puberty may be associated with:

A

*Ovarian tumor
*Adrenal tumor
*Liver tumor

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26
Q

The invasion of endometrial tissue into the myometrium of the uterus is referred to:

A

Adenomyosis

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27
Q

Absence of a mensuration is referred to:

A

Amenorrhea

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28
Q

Difficult or painful intercourse is AKA:

A

Dyspareunia

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29
Q

The inner mucosal lining of the uterus is the:

A

Endometrium

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30
Q

The inferior portion of the cervix closest to the vagina is the:

A

Eternal OS

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31
Q

What would be most indicative of a leiomyosarcoma?

A

Rapid growth

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32
Q

The largest part of the uterus is the:

A

Corpus

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33
Q

What fibroid location would most likely result in abnormal uterine bleeding because of its relationship to the endometrium?

A

Submucosal

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34
Q

What congenital malformation of the uterus is common and has a clear association with an increased risk for spontaneous abortion?

A

Septate uterus

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35
Q

The normal position of the uterus is considered to be:

A

Anteversion or anteflexion

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36
Q

The uterus that is located on the right is referred to as:

A

Dextroverted uterus

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37
Q

The uterus that is located more on the left is referred to as:

A

Levoverted uterus

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38
Q

_____is used to obstruct the blood supply to the mass:

A

Uterine artery embolization

39
Q

The normal prepubertal uterus has a cervix to uterus ratio of:

40
Q

The endometrial cavity is located between the:

A

Two functional layers of the endometrium

41
Q

The______of the uterine wall is continuous with the fascia of the pelvis

A

Outermost layer (perimetrium)

42
Q

______ are the most common benign gynecologic tumors and the leading cause of hysterectomy and gynecologic surgery

A

Leiomyomas (leiomyomato)

43
Q

______, which is the narrowing of the endocervical canal, often leads to an abnormal quantity of fluid in the endocervical or endometrial canals

A

Cervical stenosis

44
Q

True precocious puberty is associated with:

A

Intracranial tumors or may simply be idiopathic

45
Q

The _____of the uterine wall constitutes the bulk of the uterine tissue, providing the area where contractile motion occurs

A

Middle layer (myometrium)

46
Q

The uterine wall consists of 3 layers:

A

*The outermost layer
*Middle layer
*Inner mucosal layer

47
Q

The vagina is composed of 3 layers:

A
  • Inner mucosal layer
  • Middle muscular layer
  • Outer layer (adventitia)
48
Q

The ______is the most superior and widest portion of the uterus

49
Q

The _____envelop the inferior aspect of the cervix

A

Vaginal fornices

50
Q

_______is when fluid accumulates within the uterus and vagina

A

Hydrometrocolpos

51
Q

______is when fluid accumulates within the vagina

A

Hydrocolpos

52
Q

______is when blood accumulates within the uterus and vagina

A

Hematometrocolpos

53
Q

______is when blood accumulates within the uterine cavity

A

Hematometra

54
Q

_______is when blood accumulates within the vagina

A

Hematocolpos

55
Q

_____is a congenital malformation of the uterus that results in a normal uterine contour with an endometrium that branches into two horns

A

Subseptate uterus

56
Q

_____is a subtle variant in which the endometrium has a concave contour at the uterine fundus

A

Arcuate uterus

57
Q

_____has two complete
separate uterine cavities separated by an anteroposterior septum

A

Septate uterus

58
Q

______is complete duplication of the vagina, cervix, and uterus

A

Uterus didelphys

59
Q

_______is a benign cyst(s) located within the cervix

A

Nabothian cysts

60
Q

______is a common uterine anomaly in which the endometrium divides into two horns

A

Bicornuate uterus

61
Q

_______ is the portion of the vagina remaining after a hysterectomy

A

Vaginal cuff

62
Q

_______is the secondary sexual development induced by sex steroids or from other sources such as ovarian tumors, adrenal tumors or steroid use

A

Pseudoprecocious puberty

63
Q

Leiomyosarcoma are more commonly found in ________ women

A

Perimenopausal or postmenopausal

64
Q

_______is the malignant counterpart of the normally benign leiomyoma

A

Leiomyosarcoma

65
Q

_______is the surgical removal of a fibroid and abdominally or laparoscopically

A

Myomectomy

66
Q

The medical treatment for fibroids is:

A

Hormone therapy

67
Q

_______are located adjacent to the endometrial cavity and often distort the shape of the endometrium

A

Submucosal fibroids

68
Q

______is a leiomyoma that distorts the shape of the endometrium

A

Submucosal (fibroid)

69
Q

______is the location of a leiomyoma in which the tumor grows outward and distorts the contour of uterus

A

Subserosal (fibroid)

70
Q

The most common location for fibroids is:

A

Intramural or within the myometrium

71
Q

A uterus that is distorted by multiple leiomyomas may be referred to as:

A

Fibroid uterus

72
Q

______is a benign, smooth muscle tumor of the uterus, may also be referred to as a fibroid or uterine myoma

73
Q

Focal adenomyosis in the form of a mass is termed:

A

Adenomyoma

74
Q

______is the benign invasion of endometrial tissue into the myometrium of the uterus

A

Adenomyosis

75
Q

The isthmus is the area located between the:

A

Corpus and cervix

76
Q

During pregnancy, the isthmus may be referred to as the:

A

Lower uterine segment

77
Q

The largest part of the uterus is the:

A

Corpus (Body)

78
Q

The uterus, vagina, and fallopian tubes develop from the:

A

Paired mullerian ducts

79
Q

______is when the uterine body tilts backward, without a bend where the cervix and body meet

A

Retroversion

80
Q

______is when the uterine body tilts backward and comes in contact with the cervix, forming an acute angle between the body and the cervix

A

Retroflexion

81
Q

_____is the typical version of the uterus where the uterine body tilts forward, forming a 90 degree angle with the cervix

A

Anteversion

82
Q

_____is when the uterine body tilts forward and come in contact with the cervix, forming an acute angle between the body and the cervix

A

Anteflexion

83
Q

_____is described as absent or incomplete breast development after the age of 12

A

Delayed puberty

84
Q

______is pubertal development before the age of 8

A

Precocious puberty

85
Q

_____is the most common female malignancy in women younger than age 50

A

Cervical carcinoma

86
Q

Clinical findings of a uterine leiomyoma (fibroid)

A
  1. Pelvic pressure
  2. Abnormal bleeding
  3. Palpable pelvic mass
  4. Enlarged, bulky uterus (if multiple)
  5. Urinary frequency
  6. Dysuria (painful urine)
  7. Constipation
  8. infertility
87
Q

Clinical finding of a nabothian

A
  1. Asymptomatic
88
Q

Clinical findings of a Gartner duct cyst

A
  1. Asymptomatic
89
Q

Sonographic findings of nabothian cyst

A
  1. Anechoic mass within the cervix
  2. May be multiple
  3. May be complex
90
Q

Sonographic findings of a Gartner duct cyst

A
  1. Anechoic mass within the vagina
91
Q

Sonographic findings of leiomyosarcoma

A
  1. Rapidly growing mass
  2. Hypoechoic
  3. Posterior shadowing
  4. calcifications or cystic components
  5. Multiple enlarged, irregularly shaped, diffusely heterogeneous
92
Q

Clinical findings of leiomyosarcoma (8):

A
  1. Pelvic pressure
  2. Menorrhagia (abnormal bleeding)
  3. Palpable pelvic mass
  4. Enlarged, bulky uterus (if multiple)
  5. Urinary frequency
  6. Dysuria
  7. Constipation
  8. infertility
93
Q

Sonographic findings of a uterine leiomyoma (fibroid)

A
  1. Hypoechoic mass
  2. Posterior shadowing
  3. Degenerating fibroids may have calcifications or cystic components
  4. Multiple fibroids appear as an enlarged, irregularly shaped, diffusely heterogeneous uterus
94
Q

Sonographic findings of adenomyosis (6):

A
  1. Enlarged uterus
  2. Hypoechoic or echogenic areas adjacent to endometrium
  3. Heterogeneous myometrium
  4. Myometrial cyst
  5. Ill-defined interface between myometrium and endometrium
  6. Thickening of the fundus or posterior myometrium

ARRT (Ob/gyn US) (18 decks)

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