Chapter 44 - Pathologies of Ovaries

Question 1

1. Theca-lutein cysts are associated with high levels of which of the following hormones?
   a. Estrogen
   b. Progesterone
   c. Luteinizing hormone
   d. Human chorionic gondotropin (HCG)

Answer 1

D

Question 2

• *2. A hypo echoic mass adjacent to the ovary is most likely which of the following masses?
  a. Teratoma
  b. Endometrioma
  c. Paraovarian cyst
  d. Mucinous cystadenoma

Answer 2

b. Endometrioma

Question 3

3. A tumor that may mimic gas or feces in the pelvis is which of the following masses?
   a. Leiomyoma
   b. Lipoma
   c. Granulosa
   d. Dermoid

Answer 3

d. Dermoid

Question 4

4. The demoid tumor is typically associated with which one of the following ultrasound signs?
   a. Sandwich
   b. Silhouette
   c. Tip of the iceberg
   d. Mickey Mouse

Answer 4

c. Tip of the iceberg

Question 5

5. Which one of the following cysts occurs when a dominant follicle does not succeed in ovulating but remains active although immature?
   a. Nabothian
   b. Corpus luteum
   c. Follicular
   d. Paraovarian

Answer 5

c. Follicular

Question 6

6. The most common adnexal mass found during early pregnancy is which one of the following cysts? a. Corpus luteal b. Theca-lutein c. Follicular d. Paraovarian

Answer 6

A

Question 7

7. A mucinous cystadenoma is all of the following except:
   a. Large cystic mass with multilocular cystic spaces
   b. Unilateral
   c. Most common cystic tumor
   d. Thick with irregular walls and septations

Answer 7

D

Question 8

8. Mucinous cystadenocarcinoma most frequently occurs in women over the age of___ years
   a. 20
   b. 30
   С. 40
   d. 50

Answer 8

C

Question 9

9. Which one of the following pelvic organs is more commonly involved with metastatic disease?
   a. Uterus
   b. Ovaries
   c. Bladder
   d. Fallopian tubes

Answer 9

b. Ovaries

Question 10

10. T he normal ovary exhibits which one of the following characteristic appearances?
    a. Heterogeneous echotexture
    b. Homogeneous echotexture
    c. Central hypoechoic medulla
    d. Both a heterogeneous echotexture and a central hypoechoic medulla

Answer 10

b. Homogeneous echotexture

Question 11

11. Simple ovarian cysts in postmenopausal women are not likely malignant when measuring less than centimeters (cm)
    a. 3
    b. 4
    c. 5
    d. 6

Answer 11

C

Question 12

12. Sonographic criteria for a simple ovarian cyst include all of the following except: a. Anechoic appearance b. Smooth walls c. Posterior shadowing d. Acoustic enhancement

Answer 12

C

Question 13

13. An ovary is generally considered abnormal if its volume is ____ the size of the contralateral ovary
    a. One half
    b. Twice
    c. Three times
    d. One quarter

Answer 13

B

Question 14

14. Which one of the following statements about polycystic ovarian syndrome (PCOS) is false? a. PCOS includes amenorrhea. b. PCOS includes early pregnancy loss. c. PCOS occurs in the middle-to-late 30s. d. PCOS includes hirsutism.

Answer 14

C

Question 15

15. In PCOS, the ovaries have which one of the following shapes?
    a. Rounded
    b. Irregular
    c. Elongated
    d. Smooth

Answer 15

A

Question 16

16. Paraovarian cysts arise from which one of the following structures?
    a. Fallopian tube
    b. Round ligament
    c. Peritoneum
    d. Broad ligament

Answer 16

D

Question 17

17. A specific diagnosis of a paraovarian cyst is possible only by:
    a. Intervening surgically
    b. Demonstrating an ipsilateral ovary separate from the cyst
    c. Demonstrating thin deformable walls
    d. Demonstrating a lack of peripheral blood flow

Answer 17

B

Question 18

18. the Ovarian carcinoma is classified into four stages. Stage llis limited to which one of following?
    a. Pelvis
    b. One ovary
    c. Broad ligament
    d. Two ovaries

Answer 18

A

Question 19

19. The most common benign tumor of the ovary is which one of the following mas ses?
    a. Serous cystadenoma
    b. Endometrioma
    c. Dermoid
    d. Mucinous cystadenoma

Answer 19

C

Question 20

20. Which one of the following masses is a rare but benign ovarian neoplasm most often seen in postmenopausal women?
    a. Fibroma
    b. Thecoma
    c. Granulosa
    d. Dysgerminoma

Answer 20

B

Question 21

21. Functioning endometrial tissue is present outside of the uterus in which one of the following common conditions?
    a. Adenomyosis
    b. Endometriosis
    c. Endometritis
    d. Hemorrhagic cyst

Answer 21

B

Question 22

22. Th e partial or complete rotation of the ovarian pedicle on its axis is defined as which one of the following?
    a. Hemorrhagic cyst
    b. Endometrioma
    c. Paraovarian cyst
    d. Ovarian torsion

Answer 22

D

Question 23

23. Which one of the following statements about ovarian torsion is false?
    a. Ovarian torsion is usually associated with a mass.
    b. Torsion frequently involves the ovary and the fallopian tube.
    c. The ovary appears enlarged.
    d. The left ovary is three times more likely to develop torsion than the right.

Answer 23

D

Question 24

24. Which one of the following pelvic organs is more involved with metastatic disease?
    a. Uterus
    b. Fallopian tube
    c. Ovary
    d. Bladder

Answer 24

c. Ovary

Question 25

25. Which if the following endocrine disorders is associated with chronic anovulation? a. Polycystic ovarian syndrome b. Endometriosis c. Ovarian hyperstimulation syndrome d. Theca-luetien cysts

Answer 25

A