Hagen Chapter 42

Question 1

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

Answer 1

c. 5

Question 2

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

Answer 2

c. ovary

Question 3

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

Answer 3

c. PCOS occurs in the middle-to-late 30s.

Question 4

Mucinous cystadenocarcinoma most frequently occurs in women over the age of \_\_\_\_\_\_\_ years.
Select one:
a. 20
b. 30
c. 40 
d. 50

Answer 4

c. 40

Question 5

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

Answer 5

d. Thick with irregular walls and septations

Question 6

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

Answer 6

d. broad ligament

Question 7

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

Answer 7

c. Tip of the iceberg

Question 8

A hypoechoic mass adjacent to the ovary is most likely which one of the following masses?
Select one:
a. Teratoma
b. Endometrioma 
c. Paraovarian cyst
d. Mucinous cystadenoma

Answer 8

b. Endometrioma

Question 9

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

Answer 9

b. Thecoma

Question 10

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

Answer 10

c. Follicular

Question 11

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

Answer 11

d. dermoid

Question 12

The most common benign tumor of the ovary is which one of the following masses?
Select one:
a. Serous cystadenoma
b. Endometrioma
c. Dermoid
d. Mucinous cystadenoma

Answer 12

c. dermoid

Question 13

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

Answer 13

c. Posterior shadowing

Question 14

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

Answer 14

d. ovarian torsion

Question 15

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

Answer 15

a. pelvis

Question 16

An ovary is generally considered abnormal if its volume is \_\_\_\_\_ the size of the contralateral ovary.
Select one:
a. One half
b. Twice 
c. Three times
d. One quarter

Answer 16

b twice

Question 17

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

Answer 17

b. Endometriosis

Question 18

Which one of the following statements about ovarian torsion is false?
Select one:
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 18

d. The left ovary is three times more likely to develop torsion than the right.

Question 19

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

Answer 19

a. Corpus luteal

Question 20

Theca-lutein cysts are associated with high levels of which one of the following hormones?
Select one:
a. Estrogen
b. Progesterone
c. Luteinizing hormone
d. Human chorionic gonadotropin (hCG)

Answer 20

d. Human chorionic gonadotropin (hCG)

Question 21

Which one of the following endocrine disorders is associated with chronic anovulation?
Select one:
a. Polycystic ovarian syndrome 
b. Endometriosis
c. Ovarian hyperstimulation syndrome
d. Theca-lutein cysts

Answer 21

a. Polycystic ovarian syndrome

Question 22

A specific diagnosis of a paraovarian cyst is possible only by:
Select one:
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 22

b. Demonstrating an ipsilateral ovary separate from the cyst

Question 23

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

Answer 23

a. Rounded

Question 24

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

Answer 24

b. Homogeneous echotexture

Question 25

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

Answer 25

b. ovaries