Lesson 18 (Part 4)

Question 1

What are the 4 stages of the menstrual cycle?

Answer 1

1. Early proliferative
2. Late proliferative
3. Secretory phase
   - right before menses
4. Menses

Question 2

How thick is the uterus during the early proliferative phase?

Answer 2

5-7mm

Question 3

How long does the early proliferative phase last for?

Answer 3

5-13 days

Question 4

How thick is the uterus during the late proliferative phase?

Answer 4

less than 11mm

Question 5

How long does the late proliferative phase last for?

Answer 5

14-16 days

Question 6

How thick is the uterus during the secretory phase?

Answer 6

16mm

Question 7

How long does the late proliferative phase last for?

Answer 7

16-28 days

Question 8

How long does menses last for?

Answer 8

1-5 days

Question 9

Why do we scan the female pelvis? (2)

Answer 9

1. Pregnancy
   - can tell how far along they are
2. Pelvic pain
   - RLQ, LLQ, generalized, chronic, acute

Question 10

What kind of view does a transabdominal ultrasound give us?

Answer 10

A global view

Question 11

What are the limitations of a transabdominal ultrasound? (4)

Answer 11

1. Limited patients ability to hold and fill bladder
2. Obese patients
3. Retroverted uterus
   - beyond focal zone of transducer
4. Limited resolution depth

Question 12

How much does a patient have to drink to fill their bladder?

Answer 12

24-32 oz

- 1 hour prior to the exam

Question 13

How does a patient prep for a transabdominal pelvic ultrasound?

Answer 13

Fill their bladder

Question 14

Why does a patient need to fill their bladder? (3)

Answer 14

1. Displaces uterus from pelvis
2. Displaces gas filled bowel
3. Use as an acoustic window

Question 15

What are some technical difficulties with doing a transabdominal ultrasound? (4)

Answer 15

1. Obese patients
2. Surgical scars
   - artifacts
3. Barium or gas filled bowel
4. Abdominal dressings

Question 16

How do you prepare for a transvaginal ultrasound? (6)

Answer 16

1. Discuss what is involved
2. Verbal consent
3. Empty bladder
4. Use a 5 to 8 MHz transducer
5. Cover transducer with probe cover
6. Follow proper cleaning procedures after exam

Question 17

What are 8 advantages to doing a transvaginal ultrasound?

Answer 17

1. Better resolution higher frequency transducer
2. Obese patients dont make a difference
3. Patients dont have to fill their bladders
4. Can see a retroverted uterus
5. Better distinction adnexal masses and bowel
6. Better characterization of internal pelvic mass
7. Better detail of pelvic lesion
8. Better detail of endometrium

Question 18

What is a disadvantage of a transvaginal ultrasound?

Answer 18

Smaller field of view

Question 19

When would you nor perform a transvaginal ultrasound? (3)

Answer 19

1. They don’t want it
2. If they are having complications (bleeding) when they are pregnant
3. Very old women
   - 98 year old

Question 20

Where do the fallopian tubes run?

Answer 20

Laterally from the uterus in the upper free margin of the broad ligament

Question 21

How long is the fallopian tubes?

Answer 21

7-12cm in length

Question 22

How many portions s the fallopian tubes divided into?

Answer 22

4

Question 23

What are the 4 divisions of the fallopian tubes?

Answer 23

1. Intramural
2. Isthmus
3. Ampulla
4. Infundibulum

Question 24

What is the narrowest part of the fallopian tube?

Answer 24

Intramural

Question 25

How long is the intramural portion of the fallopian tube?

Answer 25

1cm

Question 26

Where is the intramural portion of the fallopian tube located?

Answer 26

Within the muscular uterine wall

Question 27

Isthmus (2)

Answer 27

1. Medial third of tube

2. Slightly wider and cordlike

Question 28

Ampulla

Answer 28

Tortuous, approx. ½ of tube

Question 29

What is the most distal portion of the fallopian tube?

Answer 29

Infundibulum

Question 30

What is the shape of the infundibulum?

Answer 30

Funnel shaped end

Question 31

What does the infundibulum open into?

Answer 31

The peritoneal cavity