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SONOCAN OB Review > Pelvic Anomty Review > Flashcards

Pelvic Anomty Review Flashcards

1
Q

Which pelvic ligament extends from the cornua of the uterus to the medial aspect of the ovary?
a. round
b. broad
c. cardinal
d. ovarian

A

D. Ovarian

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2
Q

Prominent anechoic structures near the periphery of the uterus most likely represent:
a. adenomyosis
b. arcuate vessels
c. nabothian cysts
d. physiological cysts

A

B. Arcuate vessels

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3
Q

Which segment of the fallopian tube may be visualized under normal conditions?
a. isthmus
b. ampulla
c. interstitial
d. infundibular

A

C. Interstitial

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4
Q

The region including the ovary and fallopian tube is termed the:
a. oviduct
b. adnexa
c. fimbriae ovarica
d. space of Retzius

A

C. Fimbriae Ovarica

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5
Q

Which segment of the fallopian tube connects with the uterus?
a. ampulla
b. isthmus
c. interstitial
d. infundibulum

A

C. Interstitial

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6
Q

The flanged portions of the iliac bones form the:
a. lateral border of the true pelvis
b. posterior border of the true pelvis
c. inferior border of the true pelvis
d. posterior border of the false pelvis

A
  1. Posterior boarder of the false pelvis
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7
Q

The fallopian tubes are:
a. covered by perineum.
b. contained in the inferior portion of the round ligament.
c. derived from the nonfused caudal portion of the müllerian ducts.
d. contained in the superior portion of the broad ligament.

A

D. Contained in the superior portion of the broad ligament

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8
Q

When measuring endometrial thickness, calipers are placed from:
a. superior interface to inferior interface
b. echogenic interface to echogenic interface
c. echogenic interface to hypoechoic interface
d. hypoechoic interface to hypoechoic interface

A

B. Echogenic interface to echogenic interface

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9
Q

The ovary is attached to the pelvic sidewall by the:
a. broad ligament
b. round ligament
c. ovarian ligament
d. suspensory ligament

A

D. Suspension ligament

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10
Q

Failure of the müllerian ducts to fuse will most likely result in:
a. uterine septate
b. uterine agenesis
c. bicornuate uterus
d. uterine didelphys

A

D. Uterine didephyis

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11
Q

Which of the following correctly measures endometrial thickness?
a. anterior–posterior dimension in the coronal plane
b. transverse dimension in the coronal plane
c. anterior–posterior dimension in the sagittal plane
d. anterior–posterior diameter in the transverse plane

A

C. Anterior - posterior dimension in the sagittal plane

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12
Q

Which of the following most accurately describes the perimetrium?
a. The perimetrium lines the uterine cavity
b. The perimetrium is composed of smooth muscle
c. The serosal surface of the uterus is termed the perimetrium
d. The perimetrium is composed of connective tissue and large blood vessels

A

The serial surface of the uterus is termed the perimetrium

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13
Q

Secondary blood supply to the ovaries is through the:
a. arcuate arteries
b. uterine arteries
c. ovarian arteries
d. hypogastric arteries

A

B. Uterine arteries

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14
Q

The vesicouterine pouch is located:
a. posterior to the uterus and anterior to the rectum
b. anterior to the uterus and posterior to the urinary bladder
c. posterior to the symphysis pubis and anterior to the uterus
d. anterior to the symphysis pubis and posterior to the rectus abdominis

A

B. Anterior to the uterus and posterior to the urinary bladder

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15
Q

In premenarche, the size of the uterine cervix is expected to be:
a. half the size of the corpus
b. equal to the uterine corpus
c. twice as large as the corpus
d. equal to the uterine fundus

A

C. Twice as large as the corpus

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16
Q

This sagittal image of the uterus most likely represents a:
a. septate uterus
b. bicornuate uterus
c. menarche uterus
d. postmenopausal uterus

A

d. Post menopausal uterus

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17
Q
A

A. Anteversion

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18
Q
A

B. Lavator ani

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19
Q
A

C. Pouch of Douglas

Vesicourterine pouch is anterior

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20
Q

The position of the uterus is:
a. anteverted
b. anteflexed
c. retroflexed
d. retroverted

A

A. Anteverted

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21
Q

The ovary is most likely demonstrating a(n):
a. pyosalpinx
b. ectopic pregnancy
c. benign neoplasm
d. anatomical variant

A

D. Anatomical variant

22
Q

The sonogram is most suspicious for a(n):
a. arcuate uterus
b. septate uterus
c. uterine didelphys
d. bicornuate uterus

A

D. Bicornuate uterus

23
Q

The arrows in the sonogram are most likely identifying:
a. leiomyomas
b. adenomyosis
c. arcuate vessels
d. uterine arteries

A

C. Arcuate vessels

24
Q

The hyperechoic linear structures lateral to the uterus most likely represent the:
a. fallopian tubes
b. broad ligaments
c. round ligaments
d. ovarian ligaments

A

B. Broad ligaments

25
Q

The hypoechoic structure identified by the arrow most likely represents the:
a. pelvis bone
b. levator ani muscle
c. piriformis muscle
d. obturator internus muscle

A

D. Obturator internus muscle

26
Q

The coronal sonogram most likely identifies:
a. arcuate uterus
b. didelphys uterus
c. septate uterus
d. bicornuate uterus

A

D. Bicornuate uterus

27
Q

Identification of free fluid in the pelvis is located in the:
a. prevesical and retrouterine spaces
b. retrouterine and retropubic spaces
c. vesicouterine and retrouterine spaces
d. retrouterine, vesicouterine, and retropubic spaces

A

C. Vesicouterine and retrouterine spaces

28
Q
A

D. Retro version

29
Q
A

D. Bladder diverticulum

30
Q

The sonogram is most likely demonstrating:
a. septate uterus
b. arcuate uterus
c. didelphys uterus
d. bicornuate uterus

A

A. Septate uterus

31
Q

The sonogram is most likely demonstrating:
a. septate uterus
b. arcuate uterus
c. didelphys uterus
d. bicornuate uterus

A

A. Septate uterus

32
Q

Which of the following attaches to the ovary?
a. peritoneum
b. broad ligament
c. tunica albuginea
d. ovarian ligament

A

B. Broad ligament

33
Q

Ovarian volume is lowest during the:
a. luteal phase
b. ovulatory phase
c. menstrual phase
d. periovulatory phase

A

A. Luteal phase

34
Q

The fallopian tube divides into which of the following segments?
a. fimbria, isthmus, cornua, ampulla
b. isthmus, ampulla, cornua, interstitial
c. ampulla, infundibulum, fimbria, isthmus
d. interstitial, isthmus, ampulla, infundibulum

A

D. Interstitial, isthmus, ampulla, infundibulum

35
Q

Visualization of pelvic ligaments appears on sonography as:
a. hypoechoic ovoid structures
b. hyperechoic linear structures
c. hyperechoic tubular structures
d. hypoechoic tortuous structures

A

B. Hyperechoic linear structures

36
Q

The cornua of the uterus is located between the:
a. corpus and fundus of the uterus
b. corpus and cervix of the uterus
c. uterine fundus and fallopian tube
d. uterine corpus and fallopian tube

A

C. Uterus fundus and fallopian tubes

37
Q

The spiral artery provides the primary blood supply to which of the following pelvic structures?
a. vagina
b. ovaries
c. endometrium
d. fallopian tubes

A

C. Endometrium

38
Q

Congenital uterine anomalies are associated with coexisting anomalies of the:
a. ovaries
b. kidneys
c. oviducts
d. adrenal glands

A

B. Kidneys

39
Q

Which uterine anomaly most likely demonstrates a slight indentation of the fundal contour?
a. septate
b. didelphys
c. bicornuate
d. unicornuate

A

A. Septate

40
Q

It is common to visualize a small amount of free fluid in the:
a. prevesical space
b. space of Retzius
c. retrouterine space
d. vesicouterine space

A

C. Retrouterine space

41
Q

The section of time previous to the onset of menstruation is termed:
a. puberty
b. menarche
c. premenarche
d. perimenopause

A

C. Premenacarhe

42
Q

Which of the following is a surface region located below the pelvic floor?
a. mesentery
b. omentum
c. perineum
d. peritoneum

A

C. Perineum

43
Q

Which congenital uterine anomaly does not distort the normal contour of the fundus?
a. arcuate
b. unicornuate
c. didelphys
d. bicornuate

A

A. Arcuate

44
Q

Partial fusion of the caudal müllerian ducts will most likely result in an anomaly of the:
a. uterus
b. ovary
c. vagina
d. fallopian tube

A

A. Uterus

45
Q

The pelvis is divided into the true and false pelvis by the:
a. iliac bones
b. broad ligaments
c. iliopectineal line
d. iliopsoas muscles

A

C. Iliopectineal line

46
Q

The pelvic floor is formed by pelvic:
a. bones and muscles
b. bones and ligaments
c. organs and ligaments
d. ligaments and muscles

A

D. Ligaments and muscles

47
Q

The uterosacral ligament extends from the lateral margins of the sacrum to the:
a. cornua
b. superior cervix
c. inferior fundus
d. inferior vagina

A

B. Superior cervix

48
Q

The innermost layer of the myometrium is termed the:
a. basal zone
b. functional zone
c. junctional zone
d. albuginea zone

A

C. Junctional zone

49
Q

In the menarche patient, the endometrial thickness should not exceed:
a. 8 mm
b. 10 mm
c. 14 mm
d. 20 mm

A

C. 14mm

50
Q

Which of the following structures is not lined by the peritoneum?
a. cervix
b. ovary
c. bowel
d. oviduct

A

B. Ovary

51
Q

Ovarian volume is the highest during the:
a. luteal phase
b. follicular phase
c. menstrual phase
d. periovulatory phase

A

D. Periovulartory phase

SONOCAN OB Review (11 decks)

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