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OBGYN REGISTRY PRACTICE > Pelvic Inflammatory Disease > Flashcards

Pelvic Inflammatory Disease Flashcards

1
Q

What is the radiographic procedure used to evaluate the patency of the
fallopian tubes?
A. Sonohysterography
B. Hysterosalpingography
C. Hysteroscopy
D. Hysteroscopic fallopian septoplasty

A

B. Hysterosalpingography

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2
Q

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

A

C. Hydrosalpinx

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3
Q

All of the following are considered risk factors for PID except:
A. IUD
B. Multiple sexual partners
C. Post childbirth
D. Uterine leiomyoma

A

D. Uterine leiomyoma

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4
Q

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

A

D. Hyperandrogenism

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5
Q

Which of the following is not a potential cause of PID is?
A. Intrauterine contraception use
B. Postabortion
C. Chlamydia
D. Pyelonephritis

A

D. Pyelonephritis

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6
Q

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

A

B. Uterine adhesions

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7
Q

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

A

D. PCOS

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8
Q

The most common initial clinical presentation of PID is:
A. Endometritis
B. Tubo-ovarian abscess
C. Vaginitis
D. Pyosalpinx

A

C. Vaginitis

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9
Q

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

A

B. Thin, hyperechoic endometrium

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10
Q

What is another name for an endometrioma?
A. Dermoid
B. Teratoma
C. Chocolate cyst
D. String of pearl

A

C. Chocolate cyst

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11
Q

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

A. Clinical findings of gallbladder disease as a result of PID

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12
Q

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

A. PID is typically a unilateral condition.

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13
Q

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

A

B. Endometrioma

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14
Q

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

A. Fitz-Hugh–Curtis syndrome

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15
Q

Assisted reproductive therapy can result in all of the following except:
A. Heterotopic pregnancy
B. Multiple gestations
C. OHS
D. Asherman syndrome

A

D. Asherman syndrome

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16
Q

Polycystic ovarian syndrome may also be referred to as:
A. Fitz-Hugh–Curtis syndrome
B. Plateau syndrome
C. Stein–Leventhal syndrome
D. Asherman syndrome

A

C. Stein–Leventhal syndrome

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17
Q

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

A

B. Polycystic ovarian disease

18
Q

What term is used to describe painful intercourse?
A. Dyspareunia
B. Dysuria
C. Dysmenorrhea
D. Dysconception

A

A. Dyspareunia

19
Q

The presence of functional, ectopic endometrial tissue outside the uterus
is termed:
A. Adenomyosis
B. Asherman syndrome
C. Fitz-Hugh–Curtis syndrome
D. Endometriosis

A

D. Endometriosis

20
Q

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

A. The presence of 10 or more small cysts along the periphery of the ovaries

21
Q

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

A

D. Thickened irregular endometrium, cul-de-sac fluid, and complex adnexal masses

22
Q

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

A. Previous intrauterine device use

23
Q

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

A

C. The inability to conceive a child after 1 year of unprotected intercourse

24
Q

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

A

C. Cystic mass with low-level echoes

25
Q

Amenorrhea, hirsutism, and obesity describe the clinical features of:
A. Fitz-Hugh–Curtis syndrome
B. Stein–Leventhal syndrome
C. Asherman syndrome
D. Endometriosis

A

B. Stein–Leventhal syndrome

26
Q

The sonographic evidence of a hyperemic fallopian tube is consistent
with:
A. Pyosalpinx
B. Hydrosalpinx
C. Endometritis
D. Salpingitis

A

D. Salpingitis

27
Q

The sonographic “string of pearls” sign is indicative of:
A. Polycystic ovary syndrome
B. Tubo-ovarian disease
C. PID
D. OHS

A

A. Polycystic ovary syndrome

28
Q

Complex-appearing fluid within the fallopian tubes seen with PID is most
likely:
A. Pyosalpinx
B. Pyometra
C. Hydrosalpinx
D. Hematometra

A

A. Pyosalpinx

29
Q

Sonographic findings of OHS include all of the following except:
A. Cystic enlargement of the ovaries
B. Ascites
C. Pleural effusions
D. Oliguria

A

D. Oliguria

30
Q

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

A

D. Asherman syndrome

31
Q

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

A. Theca lutein cysts

32
Q

What is another name for adhesions within the endometrial cavity?
A. Endometritis
B. Synechiae
C. Septation
D. Mural nodules

A

B. Synechiae

33
Q

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

A

D. OHS

34
Q

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

A

D. Ectopic pregnancy

35
Q

Patients with OHS are at increased risk for:
A. Ovarian torsion
B. Chlamydia
C. Gonorrhea
D. Vaginitis

A

A. Ovarian torsion

36
Q

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

A. Theca lutein cysts

37
Q

The presence of pus within the uterus defines:
A. Pyosalpinx
B. Pyometra
C. Pyocolpos
D. Pyomyoma

A

B. Pyometra

38
Q

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

A

C. Heterotopic pregnancy

39
Q

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

A

D. Stein–Leventhal syndrome

40
Q

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

A. Essure devices

OBGYN REGISTRY PRACTICE (17 decks)

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