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Ultrasound OBGYN > Class 4 > Flashcards

Class 4 Flashcards

1
Q

True or False: Congenital Anomalies of the genital system are common

A

False - Congenital anomalies are rare

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2
Q

True or False: Congenital Anomalies of the genital system have an incidence of 0.1 - 0.5

A

True

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3
Q

True or False: Congenital Anomalies of the genital system usually have NO SYMPTOMS

A

True

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4
Q

True or False: Congenital Anomalies of the genital system can mimic other pathology

A

True

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5
Q

True or False: Congenital Anomalies of the genital system occur without malformations of the urinary system 50% of the time

A

False - 50% OF TIME OCCUR WITH MALFORMATIONS OF URINARY SYSTEM

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6
Q

What are the 3 most common causes of congenital anomalies of the genital system?

A
  • Total or partial atresia of the Mullerian Ducts
  • Failure of Mullerian Ducts to fuse
  • Failure of uterovaginal septum to disappear
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7
Q

In anomalies of the vagina, when do symptoms begin?

A

Puberty

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8
Q

What are the signs and symptoms of anomalies of the vagina?

A

Signs and symptoms include pelvic pain, dysmenorrhea, dyspareunia, delayed onset of menses

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9
Q

What causes anomalies of the vagina

A

CAUSE: obstruction at some level of uterus, cervix, or vagina

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10
Q

What is HEMATOCOLPOS?

A

retention of blood in vagina

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11
Q

What is HEMATOMETRA?

A

retention of menstrual blood in uterus

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12
Q

What is HEMATOMETROCOLPOS?

A

retention of menstrual blood in uterus and vagina

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13
Q

What is VAGINAL AGENESIS?

A

absent vagina

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14
Q

What is VAGINAL ATRESIA?

A

lack of vaginal development

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15
Q

What are the most common UTERINE ANOMALIES?

A

The most common uterine anomalies are septate uterus, bicornuate uterus, and didelphic uterus

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16
Q

True or False: Uterine anomalies may be found with vaginal anomalies

A

True

17
Q

What are some causes of UTERINE ANOMALIES?

A
  • Failure of septum to disappear
  • Failure of ducts to fuse
  • Partial fusion of ducts
18
Q

What is ARCUATE UTERUS?

A

Slight indentation of fundus

19
Q

What is UTERUS SUBSEPTUS?

A

Failure of septum to reabsorb completely; separation of uterine corpus

20
Q

What is UTERUS BICORNIS?

A

Uterus has two horns (bicervical or unicervical)

21
Q

What is UTERUS DIDELPHYS?

A

Two uteri and two cervices & vaginas

22
Q

What is Diethylstibestrol Syndrome?

A
  • Drug given pregnant mothers to prevent miscarriage
  • Caused reproductive tract anomalies in the fetus
  • Most common anomalies are bands in uterus, uterine wall defects, and T shaped uterus
23
Q

True or False: Fallopian Tube Anomalies are common

A

False: Fallopian Tube Anomalies are rare

24
Q

Fallopian Tube Anomalies can be?

A
  • ABSENT
  • DOUBLING ON ONE SIDE
  • ATRESIA OF A PORTION (INFERTILITY OR ECTOPIC PREGNANCY)
25
Q

What are possible Ovarian Anomalies?

A
  • ABSENCE OF OVARIES (RARE)
  • FALLOPIAN TUBES ALSO ABSENT
  • SUPERNUMERARY OVARIES
  • ACCESSORY OVARIAN TISSUE
26
Q

Paraovarian Cysts are FOUND where?

A

In the Broad Ligament

27
Q

Paraovarian Cyst ARISE from where?

A

Rosenmuller’s Organ

28
Q

What is a HYDATID CYST OF MORGANGNI?

A

A type of paraovarian cyst (pedunculated)

29
Q

Where are Garter’s Duct Cyst found?

A

They are found in the anterolateral portion of the vagina

30
Q

Garter’s Duct Cysts are a REMNANT of what?

A

The Wolfian Duct System

31
Q

US Appearance of Garter’s Duct Cyst

A

Appears as an Anechoic Mass in Vagina

32
Q

True or False: Garter’s Duct Cyst AREN’T prone to infection

A

False

33
Q

Congenital Anomalies in pregnancy: Anomalies tend to be obliterated on US after how many weeks of gestation?

A

22 weeks

34
Q

True or False: In anomalies with 2 separate uteri, it is possible to get pregnant in both

A

True

35
Q

Higher Rates of premature labor and Labor complications are found in what kind of congenital anomaly?

A

Congenital Anomalies in Pregnancy

36
Q

What are some pitfalls of Congenital Anomalies in pregnancy US?

A

Sonographer misinterpretation of

  • Pedunculated or subserosal fibroid
  • Ovarian Mass

Ultrasound OBGYN (9 decks)

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