Gyn Path Imaging (Clark)

Question 1

In general, ____ and ____ are good for looking at small fields of view such as local diseases of ovaries and uterus

Answer 1

ultrasound and MRI

Question 2

____ and ____ are good for looking at wide fields of view for distant disease and staging

Answer 2

CT and PET imaging

Question 3

what are two situations in which a CT is definitely not the best imaging choice?

Answer 3

women of childbearing age; low pelvic pathology anyone

Question 4

most common type of cervical cancer

Answer 4

squamous cell; remember that cervical cancer is best detected by physical exam, pap or colposcopy - not imaging until later stages

Question 5

All of the following are part of the clinical management of abnormal bleeding except:

A. History and exam

B. Lab studies

C. Transvaginal ultrasound

D. Screening for endometrial disease

E. Endometrial biopsy

Answer 5

D. There is no such screening for endometrial disease.

Question 6

in premenopausal women, an endometrial thickness of > ____mm is considered abnormal whereas in postmenopausal women, a thickenss of >____ mm is abnormal.

Answer 6

15mm; 5mm

Question 7

This is a:

Answer 7

Endometrial polyp

• Thought to be related in some way to hyperestrogenism
• Most common in the fundus, but can occur anywhere
• Can be sessile, pedunculated, broad-based, and multiple

Question 8

This is a:

Answer 8

leiomyoma

Typical gross appearance: well circumscribed, bulging, whitish, trabeculated and whorled

Question 9

this is a rare uterine tumor that is treated with resection and chemo/XRT, has poor survival rates, and generally spreads hematogenously

Answer 9

leiomyosarcoma

Question 10

type or uterine tumor that is considered a “low grade” sarcoma, has a high risk of indolent pelvic recurrence (25-50%), and often can be treated with hormone (progestin) therapy and resection

Answer 10

endometrial stromal sarcoma

Question 11

The most common symptom of a pelvic mass is:

A. Pelvic heaviness

B. Polyuria

C. Dyspnea

D. Increasing abdominal girth

E. None

Answer 11

E. All of the foils listed may be presenting symptoms, but most commonly pelvic masses present asymptomatically.

Question 12

True or false: the best way to diagnose pelvic inflammatory disease is by ultrasound.

Answer 12

False. PID is a clinical diagnosis which involves a physical exam, a history, and a lab evaluation

Question 13

an X-ray test that relies on contrast material to look at the inside of the uterus and fallopian tubes and the area around them; it often is done for women who are having trouble conceiving

Answer 13

hysterosalpingogram