Hagen Chapter 41 Flashcards
Only \_\_\_\_\_% of women with postmenopausal bleeding have endometrial carcinoma. Select one: a. 10 b. 25 c. 50 d. 75
a. 10
A 3-day postpartum woman complains of intense pelvic pain. Sonographically, the uterus appears hypoechoic with an irregular endometrium. This condition most likely represents which one of the following? Select one: a. Adenomyosis b. Degenerating submucosal leiomyoma c. Endometritis d. Endometrial hyperplasia
c. endometritis
Which one of the following is the most common site for a leiomyoma to occur? Select one: a. Submucosal b. Subserosal c. Pedunculated d. Intramural
d. intramural
Which one of the following is most likely the result of an acquired condition with obstruction of the cervical canal? Select one: a. Leiomyoma b. Cervical carcinoma c. Cervical stenosis d. Adenomyosis
c. cervical stenosis
On ultrasound, the characteristic appearance of a degenerating leiomyoma is \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_. Select one: a. Homogeneous b. Heterogeneous c. Isoechoic d. Anechoic
b. heterogeneous
Hydrometra appears sonographically as a(n) _______________________.
Select one:
a. Sonolucent tubular structure in the adnexa
b. Echogenic thickening of the endometrium
c. Sonolucent fluid collection in the uterine canal
d. Sonolucent fluid collection in the uterus, cervix, and vagina
c. Sonolucent fluid collection in the uterine canal
Uterine arteriovenous malformation (AVM):
Select one:
a. Involves the endometrium.
b. Can be managed with dilation and curettage (D&C).
c. Involves the myometrium.
d. Is always acquired.
c. Involves the myometrium.
The size and shape of the normal uterus are related to all of the following except: Select one: a. Family history b. Age c. Hormonal status d. Parity
a. family history
In postmenopausal patients, an endometrial thickness of less than \_\_\_\_\_ millimeters (mm) reliably excludes an endometrial abnormality. Select one: a. 4 b. 5 c. 8 d. 10
b. 5
The most common cause of uterine calcification is which one of the following? Select one: a. Adenomyosis b. Endometritis c. Arcuate artery calcification d. Myomas
d. myomas
In which of the following structures might a Gartner's duct cyst be found? Select one: a. Fallopian tube b. Ovary c. Cervix d. Vagina
d. vagina
In a patient after an hysterectomy, the normal vaginal cuff should not exceed \_\_\_\_\_ centimeters (cm). Select one: a. 1 b. 2 c. 3 d. 4
b. 2
Which one of the following statements about adenomyosis is false?
Select one:
a. Elevated progesterone levels may promote the growth of myometrial islands of endometrium.
b. Adenomyosis can be managed with hormone therapy.
c. Adenomyosis may cause abnormal uterine bleeding.
d. Adenomyosis may cause pelvic pain during menstruation.
a. Elevated progesterone levels may promote the growth of myometrial islands of endometrium.
Which one of the following conditions is described as a hyperplastic protrusion of the epithelium of the cervix that may be broad based or pedunculated? Select one: a. Cervical stenosis b. Pyometrium c. Cervical polyps d. Cervical obstruction
c. Cervical polyps
Irregular, acyclic bleeding is defined as which one of the following? Select one: a. Menorrhagia b. Metrorrhea c. Dysmenorrhea d. Amenorrhea
b. Metrorrhea