Chapter 42 - Evaluation of Female Pelvis Flashcards

1
Q
  1. Depending on the menstrual cycle, the inner lining of the uterine cavity that appears echogenic to hypoechoic on ultrasound is which one of the following structures? a. Myometrium b. Perineum c. Endouterine d. Endometrium
A

D - Endometrium

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2
Q
  1. Menarche may be defined as which one of the following? a. The state after reaching puberty during which menses occur every 21 to 28 days b. When menses have ceased permanently c. Time before the onset of menses d. Midcycle
A

A

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3
Q
  1. The Doppler measurement that takes the highest systolic peak minus the highest diastolic peak divided by the highest systolic peak is which one of the following? a. Pulsatility index b. Mean Doppler gradient c . Pourcelot resistive index d. Mean systolic measurement
A

C - Pourcelot Pulsatalility Index

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4
Q
  1. Which of the following are small vessels found along the periphery of the uterus? a. Uterine arteries b. Arcuate vessels c. liac arteries d. Peripheral vessels
A

B - Arcuate vessels

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5
Q
  1. Which one of the following refers to a horizontal plane through the longitudinal axis of the body to image structures from anterior to posterior? a. Transverse b. Axial c. Sagittal d. Coronal
A

D - Coronal plane

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6
Q
  1. The Doppler measurement that uses peak systole minus peak diastole divided by the mean over one cardiac cycle is the _____ index a. Pulsatility b. Resistive c. Mean systolic d. Mean diastolic
A

A - Pulsatility

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7
Q
  1. The endometrium is at its greatest thickness and echogenicity with posterior enhancement in which one of the following phases? a. Menses b. Proliferative c. Ovulatory d. Luteal
A

D - Luteal

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8
Q
  1. The difference between the peak systole and the peak diastole is the ____ ratio. a. LS ratio b. S/D ratio c. D/S ratio d. CI ratio
A

B - S/D ratio

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9
Q
  1. Which one of the following techniques uses a catheter inserted into the endometrial cavity with the insertion of saline or contrast media to fill the endometrial cavity to demonstrate abnormalities within the cavity or uterine tube? a. Transvaginal b. Perineal c. Sonohysterography d. Transendometrography
A

C - Sonohysterography

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10
Q
  1. To image the fundus of the uterus with transvaginal sonography, the transducer should be angled so that the handle is positioned as described in which one of the following? a. Closer to the bed b. Farther from the bed c. Lateral to the patient d. Perpendicular to the patient
A

A -

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11
Q
  1. With endovaginal sonography, the cervix of an anteverted uterus is seen in the ____ of the screen, whereas the fundus of the anteverted uterus is found in the _____ of the screen. a. Upper portion; lower portion b. Right side; lower portion c. Left side; right side d. Right side; left side
A

D

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12
Q
  1. The thickness of the endometrium should be measured in which one of the following a. Transverse b. Longitudinal c. Coronal d. Oblique
A

B - Longitudinal

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13
Q
  1. The transvaginal transducer should be soaked in disinfectant between uses for a minimum of _____ a. 3 to 5 minutes b. 10 to 20 minutes c. 30 to 60 minutes d. 1 to 2 hours
A

B - 10 to 20 minutes

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14
Q

14 - Symmetrical bilateral pelvic masses are likely to be which one of the following? a. Ovarian cysts b. Uterine fibroids c. Pelvic muscles d. Iliac vessels

A

C - Symmetric

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15
Q
  1. The middle layer of the uterus is which one of the following a. Serosa b. Endometrium c. Body d. Myometrium
A

D - Myometrium

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16
Q
  1. The thin outer layer of the uterus is separated from the immediate layer by which one of the following? a. Peripheral arteries b. Uterine arteries c. Arcuate vessels d. Radial arteries
A

C - arcuate

17
Q
  1. Flexion refers to the axis of the uterine body relative to the _____ a. Fundus b. Cervix c. Vagina d. Cornua
A

B - cervix

18
Q
  1. In transvaginal scanning, the scanning plane that is 90 degrees from the sagittal plane is the _____ plane a. Transverse b. Parasagittal c. Axial d. Coronal
A

D - Coronal

19
Q
  1. Nabothian cysts are found near which one of the following anatomic structures? a. Isthmus b. Vagina c. Endocervical canal d. Peritoneum
A

C - Endocervical

20
Q
  1. Arcuate artery calcifications are observed in patients who are ____ a. Pregnant b. Perimenopausal c. Postmenopausal d. Premenopausal
A

C - Calcified

21
Q
  1. Whi ch one of the following techniques is the best way to measure the ce rvical-fundal dimension of the uterus? a. Transvaginal b. Translabial c. Transabdominal d. Endorectal
A

C - Transabdominal

22
Q
  1. Sonohysterography is usually performed on premenopausal women between days ____ and ____ of the menstrual cycle. a. 3 and 5 b. 6 and 10 c. 10 and 14 d. 21 and 28
A

B - 6 & 10

23
Q
  1. Limitations of translabial scanning may be overcome by which one of the following? a. Emptying the patient’s bladder b. Elevating the patient’s head c. Elevating the patient’s hips d. Assuming the left lateral decubitus position
A

C - elevating the patients hips

24
Q
  1. After the transducer has been soaked in a Cidex-type solution, which one of the following is an important step to ensure safe handling? a. Check the cord for damage b. Check the transducer face for damage. c. Immediately place it into a protective container. d. Thoroughly rinse the transducer with water
A

B - check the transducer

25
Q
  1. On transabdominal imaging of the female pelvis, the distended urinary bladder: a. Is an acoustic window to view the pelvic anatomy. b. Serves as a “cystic” reference. c. Displaces the bowel into the false pelvis. d. Is all of the above.
A

D - All of the above