Pelvic Inflammatory Disease Flashcards
What is the radiographic procedure used to evaluate the patency of the
fallopian tubes?
A. Sonohysterography
B. Hysterosalpingography
C. Hysteroscopy
D. Hysteroscopic fallopian septoplasty
B. Hysterosalpingography
The sonographic finding of a tubular, simple-appearing, anechoic
structure within the adnexa is most consistent with:
A. Dyspareunia
B. Hematometra
C. Hydrosalpinx
D. Endometritis
C. Hydrosalpinx
All of the following are considered risk factors for PID except:
A. IUD
B. Multiple sexual partners
C. Post childbirth
D. Uterine leiomyoma
D. Uterine leiomyoma
Which of the following would be the least likely clinical finding for a
patient with endometriosis?
A. Pelvic pain
B. Dysmenorrhea
C. Painful bowel movements
D. Hyperandrogenism
D. Hyperandrogenism
Which of the following is not a potential cause of PID is?
A. Intrauterine contraception use
B. Postabortion
C. Chlamydia
D. Pyelonephritis
D. Pyelonephritis
A patient presents to the sonography department with a fever, chills, and
vaginal discharge. Sonographically, what findings would you most likely
not encounter?
A. Cul-de-sac fluid
B. Uterine adhesions
C. uterine tubes
D. Ill-defined uterine border
B. Uterine adhesions
A 26-year-old patient presents to the sonography department with a
history of infertility and oligomenorrhea. Sonographically, you discover
that the ovaries are enlarged and contain multiple, small follicles along
their periphery, with prominent echogenic stromal elements. What is the
most likely diagnosis?
A. Ovarian torsion
B. OHS
C. PID
D. PCOS
D. PCOS
The most common initial clinical presentation of PID is:
A. Endometritis
B. Tubo-ovarian abscess
C. Vaginitis
D. Pyosalpinx
C. Vaginitis
Sonographic findings of the endometrium in a patient with a history of PID, fever, and elevated white blood cell count would include all of the
following except:
A. Ring-down artifact posterior to the endometrium
B. Thin, hyperechoic endometrium
C. Endometrial fluid
D. Thickened, irregular endometrium
B. Thin, hyperechoic endometrium
What is another name for an endometrioma?
A. Dermoid
B. Teratoma
C. Chocolate cyst
D. String of pearl
C. Chocolate cyst
Fitz-Hugh–Curtis syndrome could be described as:
A. Clinical findings of gallbladder disease as a result of PID
B. The presence of uterine fibroids and adenomyosis in the gravid uterus
C. Coexisting intrauterine and extrauterine pregnancies
D. The presence of pyosalpinx, hydrosalpinx, and endometritis
A. Clinical findings of gallbladder disease as a result of PID
All of the following statements concerning PID are true except:
A. PID is typically a unilateral condition.
B. PID can be caused by douching.
C. PID can lead to a tubo-ovarian abscess.
D. Dyspareunia is a clinical finding in acute PID
A. PID is typically a unilateral condition.
A patient presents to the sonography department with complaints of
infertility and painful menstrual cycles. Sonographically, you discover a
cystic mass on the ovary consisting low-level echoes. Based on the
clinical and sonographic findings, what is the most likely diagnosis?
A. Cystic teratoma
B. Endometrioma
C. PID
D. OHS
B. Endometrioma
The development of adhesions between the liver and the diaphragm as a
result of PID is termed:
A. Fitz-Hugh–Curtis syndrome
B. Dandy–Walker syndrome
C. Stein–Leventhal syndrome
D. Asherman syndrome
A. Fitz-Hugh–Curtis syndrome
Assisted reproductive therapy can result in all of the following except:
A. Heterotopic pregnancy
B. Multiple gestations
C. OHS
D. Asherman syndrome
D. Asherman syndrome
Polycystic ovarian syndrome may also be referred to as:
A. Fitz-Hugh–Curtis syndrome
B. Plateau syndrome
C. Stein–Leventhal syndrome
D. Asherman syndrome
C. Stein–Leventhal syndrome
PID can lead to all of the following except:
A. Infertility
B. Polycystic ovarian disease
C. Ectopic pregnancy
D. Scar formation in the fallopian tubes
B. Polycystic ovarian disease
What term is used to describe painful intercourse?
A. Dyspareunia
B. Dysuria
C. Dysmenorrhea
D. Dysconception
A. Dyspareunia
The presence of functional, ectopic endometrial tissue outside the uterus
is termed:
A. Adenomyosis
B. Asherman syndrome
C. Fitz-Hugh–Curtis syndrome
D. Endometriosis
D. Endometriosis
All of the following are sonographic findings of a tubo-ovarian abscess
except:
A. The presence of 10 or more small cysts along the periphery of the ovaries
B. Cul-de-sac fluid
C. Thickened, irregular endometrium
D. Fusion of the pelvic organs as a conglomerated mass
A. The presence of 10 or more small cysts along the periphery of the ovaries
A patient presents to the sonography department with a history of
Chlamydia and suspected PID. Which of the following would be
indicative of the typical sonographic findings of PID?
A. Enlarged cervix, thin endometrium, and theca lutein cysts
B. Atrophic uterus, free fluid, and small ovaries
C. Bilateral, cystic enlargement of the ovaries with no detectable flow
D. Thickened irregular endometrium, cul-de-sac fluid, and complex adnexal masses
D. Thickened irregular endometrium, cul-de-sac fluid, and complex adnexal masses
Causes of female infertility include all of the following except:
A. Previous intrauterine device use
B. Polycystic ovary syndrome
C. Asherman syndrome
D. Endometriosis
A. Previous intrauterine device use
Infertility is defined as:
A. The inability to conceive a child after 2 years of unprotected
intercourse
B. The inability to conceive a child after 5 years of unprotected
intercourse
C. The inability to conceive a child after 1 year of unprotected intercourse
D. The inability to conceive a child after 3 months of unprotected
intercourse
C. The inability to conceive a child after 1 year of unprotected intercourse
A 25-year-old patient presents to the sonography department complaining
of pelvic pain, dyspareunia, and oligomenorrhea. An ovarian mass,
thought to be a chocolate cyst, is noted during the examination. Which of
the following is consistent with the sonographic appearance of a
chocolate cyst?
A. Simple-appearing anechoic mass
B. Echogenic mass with posterior shadowing
C. Cystic mass with low-level echoes
D. Anechoic mass with posterior shadowing
C. Cystic mass with low-level echoes
Amenorrhea, hirsutism, and obesity describe the clinical features of:
A. Fitz-Hugh–Curtis syndrome
B. Stein–Leventhal syndrome
C. Asherman syndrome
D. Endometriosis
B. Stein–Leventhal syndrome
The sonographic evidence of a hyperemic fallopian tube is consistent
with:
A. Pyosalpinx
B. Hydrosalpinx
C. Endometritis
D. Salpingitis
D. Salpingitis
The sonographic “string of pearls” sign is indicative of:
A. Polycystic ovary syndrome
B. Tubo-ovarian disease
C. PID
D. OHS
A. Polycystic ovary syndrome
Complex-appearing fluid within the fallopian tubes seen with PID is most
likely:
A. Pyosalpinx
B. Pyometra
C. Hydrosalpinx
D. Hematometra
A. Pyosalpinx
Sonographic findings of OHS include all of the following except:
A. Cystic enlargement of the ovaries
B. Ascites
C. Pleural effusions
D. Oliguria
D. Oliguria
The development of adhesions within the uterine cavity is termed:
A. Fitz-Hugh–Curtis syndrome
B. Dandy–Walker syndrome
C. Stein–Leventhal syndrome
D. Asherman syndrome
D. Asherman syndrome
OHS can cause multiple large follicles to develop on the ovaries termed:
A. Theca lutein cysts
B. Chocolate cysts
C. Corpus luteum cysts
D. Dermoid cysts
A. Theca lutein cysts
What is another name for adhesions within the endometrial cavity?
A. Endometritis
B. Synechiae
C. Septation
D. Mural nodules
B. Synechiae
A female patient presents to the sonography department with a clinical
history of Clomid treatment. She is complaining of nausea, vomiting, and
abdominal distension. What circumstance is most likely causing her
clinical symptoms?
A. Stein–Leventhal syndrome
B. Polycystic ovarian disease
C. Fitz-Hugh–Curtis syndrome
D. OHS
D. OHS
A 35-year-old patient presents to the sonography department with a
history of tubal ligation and positive pregnancy test. What condition
should be highly suspected?
A. Asherman syndrome
B. Polycystic ovarian disease
C. Endometriosis
D. Ectopic pregnancy
D. Ectopic pregnancy
Patients with OHS are at increased risk for:
A. Ovarian torsion
B. Chlamydia
C. Gonorrhea
D. Vaginitis
A. Ovarian torsion
Which of the following would be described as functional cysts that are
found in the presence of elevated levels of human chorionic
gonadotropin?
A. Theca lutein cysts
B. Chocolate cysts
C. Corpus luteum cysts
D. Endometrial cysts
A. Theca lutein cysts
The presence of pus within the uterus defines:
A. Pyosalpinx
B. Pyometra
C. Pyocolpos
D. Pyomyoma
B. Pyometra
The occurrence of having both an intrauterine and extrauterine pregnancy
at the same time describes:
A. PID
B. Ectopic pregnancy
C. Heterotopic pregnancy
D. Molar pregnancy
C. Heterotopic pregnancy
Excessive hair growth in women in areas where hair growth is normally negligible would be seen with:
A. Ectopic pregnancy
B. Fitz-Hugh–Curtis syndrome
C. Asherman syndrome
D. Stein–Leventhal syndrome
D. Stein–Leventhal syndrome
What form of permanent birth control would be seen sonographically as
echogenic, linear structures within the lumen of both isthmic portions of
the fallopian tubes?
A. Essure devices
B. ParaGards
C. Lippes loops
D. Mirenas
A. Essure devices
