Chapter 43: Patho the Adnexa

Question 1

An infection that involves the fallopian tubes and the ovary is called what?

Answer 1

a tuboovarian abscess (TOA)

Question 2

Risk factors in PID include all except which of the following?

• early sexual contact
• single sexual partner
• sexually transmitted disease
• IUD

Answer 2

single sexual partner

Question 3

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

Answer 3

a hx of PID indicates a decreased risk of ectopic pregnancy

Question 4

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

Answer 4

the tube is best seen TA

Question 5

What is an infection of the fallopian tube called?

Answer 5

salpingitis

Question 6

PID is an inclusive term that refers to all pelvic infections except:

Answer 6

endometriosis

Question 7

The most common etiology of PID is :

Answer 7

sexually transmitted disease

Question 8

Fusion of the inflamed dilated tube and ovary is called?

Answer 8

Tuboovarian complex

Question 9

Infection within the uterine serosa and broad ligaments is called:

Answer 9

parametritis

Question 10

Clinical symptoms of PID may include:

a. fever
b. dull pelvic ache
c. no symptoms
d. all of the above

Answer 10

all of the above

Question 11

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

Answer 11

c. hydrosalpinx

Question 12

Son findings of PID include all except which of the following?

a. endometritis
b. endometriosis
c. periovarian inflammation
d. salpingitis

Answer 12

b. endometriosis

Question 13

Enlarged ovaries with multiple cysts and indistinct margins describe:

Answer 13

periovarian inflammation

Question 14

Sexually transmitted PID is spread via the

Answer 14

mucosa

Question 15

Perihepatic inflammation ascending from a pelvic infection is called:

Answer 15

Fitz-Hugh-Curtis syndrome

Question 16

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:

Answer 16

hydrosalpinx

Question 17

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 :

Answer 17

a tuboovarian abscess

Question 18

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:

Answer 18

endometrioma

Question 19

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

Answer 19

b. endometriosis is easily diagnosed by sonography

Question 20

Inflammation of the serous membrane lining the abdominal cavity and covering the viscera is

Answer 20

peritonitis

Question 21

A complex pelvic mass is usually a

Answer 21

complex cul-de-sac mass that distorts the pelvic anatomy