Chapter 43: Patho the Adnexa Flashcards
An infection that involves the fallopian tubes and the ovary is called what?
a tuboovarian abscess (TOA)
Risk factors in PID include all except which of the following?
- early sexual contact
- single sexual partner
- sexually transmitted disease
- IUD
single sexual partner
Which of the following statements about PID is false?
- PID is almost always a bilateral collection of pus and fluid
- Patients may present with pelvic pain and a history of infertility
- PID includes vaginal discharge with bleeding
- A hx of PID indicates a decreased risk of ectopic pregnancy
a hx of PID indicates a decreased risk of ectopic pregnancy
Which statement about the fallopian tube is false?
- the normal lumen is usually not visualized
- detection is easier if fluid or pus is within the tube
- the tube is best seen transabdominally
- ascites is helpful to outline the tube
the tube is best seen TA
What is an infection of the fallopian tube called?
salpingitis
PID is an inclusive term that refers to all pelvic infections except:
endometriosis
The most common etiology of PID is :
sexually transmitted disease
Fusion of the inflamed dilated tube and ovary is called?
Tuboovarian complex
Infection within the uterine serosa and broad ligaments is called:
parametritis
Clinical symptoms of PID may include:
a. fever
b. dull pelvic ache
c. no symptoms
d. all of the above
all of the above
The differential considerations of a solid appearing adnexal mass include all except which of the following?:
a. endometrioma
b. hemorrhagic cyst
c. hydrosalpinx
d. pedunculated uterine fibroid
c. hydrosalpinx
Son findings of PID include all except which of the following?
a. endometritis
b. endometriosis
c. periovarian inflammation
d. salpingitis
b. endometriosis
Enlarged ovaries with multiple cysts and indistinct margins describe:
periovarian inflammation
Sexually transmitted PID is spread via the
mucosa
Perihepatic inflammation ascending from a pelvic infection is called:
Fitz-Hugh-Curtis syndrome
An asymptomatic 32 year -old woman is diagnosed with a left adnexal mass on physical exam. A prior history of PID has been reported. TA and EV imaging demonstrates an anechoic tubular structure in the left lower quadrant. This represents:
hydrosalpinx
A 24 year old woman presents with a fever, vaginal discharge, and intense pelvic pain. TA and EV imaging demonstrates a complex multiloculated irregular mass in the pouch of Douglas. This most likely represents :
a tuboovarian abscess
A 25 year old woman complains of painful menstrual cycles and infertility. TA and TV imaging demonstrating a hypoechoic well-defined adnexal mass. Normal ovaries are seen bilaterally. This most likely represents:
endometrioma
Which statement about diffuse endometriosis is false?
a. diffuse endometriosis is the most common form of endometriosis
b endometriosis is easily diagnosed by sonography
c. leads to disorganization of pelvic anatomy
d. patient may have history of infertility
b. endometriosis is easily diagnosed by sonography
Inflammation of the serous membrane lining the abdominal cavity and covering the viscera is
peritonitis
A complex pelvic mass is usually a
complex cul-de-sac mass that distorts the pelvic anatomy
