Chapter 8 Benign Disease of the Female Pelvis Flashcards
What term describes the surgical removal of adhesions or scar tissue
Adhesiolysis
What term describes the failure of a woman to ovulate
Anovulation
Blood filled ovarian cyst resulting from endometrial implants
Endometrioma
What fluid filled mass is located in the cervical canal
Nabothian cyst
What is a focal area of decreased echogenicity within the myometrium
Leiomyoma
What is an acquired condition associated with polycystic ovaries
Cushing Syndrome
Which of the following describes the sonographic appearance of a mature teratoma
1`) Echogenic foci with fluid/ solid levels
2) Unilocular, thin walled cyst with low level debris
3) Ascites with a large multiseptate tumor
4) Solid, hypoechoic mass with posterior enhancement
1) Echogenic foci with fluid/solid levels
A 35 year old woman presents with an acute onset of pain with bloating and a palpable mass. During the sonographic exam , a unilocular mass with lower level debris and thin walls is observed. What is the most likely differential for these findings?
1) Thecoma
2) Brenner tumor
3) Serous cystadenoma
4) Gonadoblastoma
3) Serous cystadenoma
A 8 year old presents to the ER with a history of early onset of puberty, increasing abdominal girth, breast tenderness, and right-sided pain. During the sono exam, a unilateral, multiloculated 8 cm mass with low level internal echoes images. What is the most likely differential for these findings?
1) Theca cell tumor
2) Granulosa cell tumor
3) Fibrothecoma
4) Brenner tumor
2) Granulosa cell tumor
What is the most common benign ovarian neoplasm
Cystic teratoma
What is the sonographic appearance of the endometrium in the patient with Asherman syndrome
Hypoechoic bridge- like bands
What is the sonographic description for a leiomyoma
Whorled internal architecture of a mass
A patient with a recent transplant complains of pressure and urinary frequency. Sonographic imaging demonstrates a septated, well-defined mass lateral to the bladder. What is the most likely cause for this finding
Lymphocele
A 37 year old patient presents with complaints of a sudden onset of left lower pain, nausea, and vomiting. Her clinician palpated a large mass on the left side. The sonographic exam revealed a large, hyperechoic ovary. What step should the sonographer take to aid in diagnosis.
1) Move the focal zone anterior to the ovary
2) Decrease overall gain
3) Adjust TCG to make the ovary isoechoic
4) Check for flow with doppler
4) Check for flow with doppler
A 16 year old patient presents with complaints of a sudden onset of right lower pain, nausea, and vomitting. Her clinician palpated a large mass on the right side without rebound tenderness. The sonographic exam revealed a large ovary with dilated vessels and fluid in the posterior cul-de-sac. A color doppler study revealed lack of flow in the right ovary. What is the most likely cause for this finding?
1) Simple functional cyst
2) Ovarian torsion
3) Endometrioma
4) Polycystic ovarian syndrome
2) Ovarian torsion
Excessive hair of a woman
Hirsutism
Hemorrhage into a leiomyoma that has outgrown its blood supply
Red degeneration
Excessive secretion / production of androgens
Hyperandrogenism
Collapsing and rolling forward
Involute
Implantation of the placenta in the lower uterine segment or on the cervix
Placenta Previa
Increased testosterone levels associated with PCOS
Hyperandrogenemia
Form of carcinoma that grows into the uterine musculature
Chorioadenoma destruens
Growth of the placenta into the myometrium
Placenta Accrete
Select the cervical anomaly that does not cause bleeding
1) Leiomyoma
2) Polyp
3) Nabothian cyst
4) Hyperplasia
3) Nabothian cyst
What is the most common tumor of the female pelvis
Leiomyomas
A fibroma located within the myometrium is labeled
1) Subserosal/ serosal
2) Pedunculated
3) Intramural
4) Submucosal
3) Intramural
Anechoic or complex lesions of the superior anterolateral vagina wall are
Gartner’s duct cyst
The “right of fire” demonstrated peripherally when imaging a cyst with color or power doppler is related to
Corpus luteum cysts
What syndrome presents as triad of ascites, pleural effusion , and an ovarian neoplasm
Meigs syndrome
A posthysterectomy AP vaginal cuff should measure
Less than 2.2 cm
What do paraovarian cysts arise from
Adnexa
What are 3 other names for Leiomyomas
1) Myoma
2) Leiomyomata
3) Fibromyoma
The normal appendix measures what from outer edge to outer edge
less than 6 cm
If fallopian tubes are detected sonographically as tubular, tortuous, and fluid filled a diagnosis may be
1) Hydrosalpinx
2) Pyosalpinx
Ovarian torsion presents mostly on which side
Right
