Chapter 21 (PID and Infertility)

Question 1

Sonographic findings of tubular, anechoic structures within the adnexa are consistent with:

Answer 1

hydrosalpinx

Question 2

All of the following are considered risk factors for PID except:
A. IUCD
B. multiple sex partners
C. Post childbirth
D. Uterine Leiomyoma

Answer 2

D. Uterine Leiomyoma

Question 3

The most common cause of PID is:

Answer 3

Chlamydia

Question 4

A pt. has fever, chills, and vaginal discharge. Sonographically, what findings would you most likely not encounter?
A. culdesac fluid
B. uterine adhesions
C. dilated uterine tubes
D. ill-defined uterine border

Answer 4

b. uterine adhesions

Question 5

The most common initial clinical presentation of PID is:

Answer 5

vaginitis

Question 6

Son findings of the endometrium in a patient with a history of PID, fever, and elevated WBC count would include all of the following except:
A. ring-down artifact posterior to endometrium
B. thin, hyperechoic endometrium
C. endometrial fluid
D. thickened, irregular endometrium

Answer 6

B. thin, hyperechoic endometrium

Question 7

Fitz-Hugh-Curtis syndrome is described as:

Answer 7

clinical findings of gb disease as a result of PID

Question 8

T/F: PID is typically a unilateral condition?

Answer 8

FALSE

Question 9

The development of adhesions between the liver and diaphragm as a result of PID is termed:

Answer 9

Fitz-Hugh-Curtis syndrome

Question 10

Assisted reproductive therapy can result in all of the following except:
A. heterotopic pregnancy
B. multiple gestations
C. ovarian hyperstimulation syndrome
D. Asherman syndrome

Answer 10

D. Asherman syndrome

Question 11

PCOS is associated with:

Answer 11

Stein-Leventhal syndrome

Question 12

PID can lead to all of the following except:
A. Infertility
B. PCOS
C. Ectopic pregnancy
D. Scar formation in fallopian tubes

Answer 12

B. PCOS

Question 13

All of the following are sonographic findings of a tubo-ovarian abscess except:
A. presence of 10 or more small cysts along the periphery of the ovaries
B. Cul-de-sac fluid
C. thickened, irregular endometrium
D. fusion of the pelvic organs as a conglomerated mass

Answer 13

A. the presence of 10+ small cysts along the periphery of the ovaries

Question 14

Causes of female infertility include all of the following except:
A. previous IUD use
B. PCOS
C. Asherman syndrome
D. Endometriosis

Answer 14

A. previous IUD use

Question 15

Infertility is defined as :

Answer 15

inability to conceive a child after 1 year

Question 16

What is the sonographic appearance of a chocolate cyst?

Answer 16

cystic mass with low-level echoes

Question 17

Amenorrhea, hirsutism, and obesity describe:

Answer 17

Stein-Leventhal syndrome

Question 18

The sonographic evidence of a hyperemic fallopian tube is consistent with:

Answer 18

salpingitis

Question 19

String of pearls is associated with:

Answer 19

PCOS

Question 20

Son findings of ovarian hyperstimulation syndrome include all of the following except:
A. cystic enlargment of ovaries
B. ascites
C. pleural effusions
D. oliguria

Answer 20

D. oliguria

Question 21

The development of adhesions in the uterine cavity:

Answer 21

Asherman syndrome

Question 22

Ovarian hyperstimulation syndrome causes multiple large follicles to develop on the ovary termed:

Answer 22

theca lutein cysts

Question 23

Patients with ovarian hyperstimulation syndrome are at increased risk for:

Answer 23

ovarian torsion

Question 24

A 35 year old patient presents with history of tubal ligation and positive pregnancy test. What condition is highly suspected?

Answer 24

ectopic pregnancy

Question 25

Which of the following would be described as functional cysts that are found in the presence of elevated levels of HCG?

Answer 25

theca lutein cysts

Question 26

The presence of pus within the uterus defines:

Answer 26

pyometra

Question 27

The occurence of having both an IUP and an EUP at the same time describes:

Answer 27

heterotopic pregnancy

Question 28

Excessive hair growth in typically neglible places would be found with:

Answer 28

Stein-Leventhal syndrome