Pop Quiz #2 Flashcards

1
Q
Oral contraceptive pills prevent conception by inhibiting:
menses
ovulation
dysfunctional uterine bleeding
fibroid growth
none of the above
A

ovulation

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2
Q

Menarche is a term that refers to:

  • the development of 2ndary sex characteristics
  • irregular menses
  • heavy menses
  • the onset of menses
A

the onset of menses

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3
Q

The effect of tamoxifen therapy on the endometrium may be:

  • endometrial hyperplasia
  • increased endometrial thickness
  • endometrial cyst formation
  • endometrial cancer
  • more than one of the above
A

more than one of the above

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4
Q
A pt presents w/ a sudden onset of LLQ pain. Her serum hCG is pending. Her LMP was 2 and 1/2 weeks ago. The sonographer identifies a 4cm adnexal mass w/ low level echoes & posterior acoustic enhancement. What's the most likely diagnosis?
endometrioma
ovarian torsion
hemorrhagic ovarian cyst
mucinous cystadenoma
A

hemorrhagic ovarian cyst

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5
Q

A pediatric uterus is shaped differently than that of a menstruating female. Which of the following is observed sonographically in a female neonate?

  • a prominent cervix that is approximately twice the size of the corpus
  • a very thin, tubular shaped uterus
  • non-visualization of the uterus and vagina, as they aren’t yet developed
  • endometrial tissue that occupies 3/4 of the uterine volume
A

a prominent cervix that is approximately twice the size of the corpus

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6
Q
"Dermoid plug", "dermoid mesh," and "tip of the Iceberg" all describe which kind of pelvic pathology?
Malpositioned IUD
Stage III PID
Meigs' syndrome
Mucincous cystadenocarcinoma
None of the above
A

None of the above

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7
Q

All of the following are muscles of the pelvic floor except:
Piriformis
Coccygeus
Levator ani

A

Piriformis

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8
Q
The most common cause of postmenopausal bleeding is:
Endometrial carcinoma
Cervical carcinoma
Endometrial atrophy
Ovarian thecoma
A

Endometrial atrophy

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9
Q

The uterine artery has a typical Doppler waveform w/ which of the following characteristics?

  • Low velocity, low resistence
  • High velocity, high resistence
  • High velocity, low resistance except during menses
  • Low velocity, high resistance except during menses
A

High velocity, high resistence

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10
Q

Which of the following isn’t a sonographic feature of leiomyomas?

  • Discrete hypoechoic mass w/ posterior acoustic enhancement
  • Complex, well circumscribed attenuating uterine mass
  • Distortion of the normal uterine contour
  • Displacement of the normal linear endometrial “stripe”
A

Discrete hypoechoic mass w/ posterior acoustic enhancement

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11
Q

US eval of the infertility pt is indicated in all of the following circumstances except:

  • Monitor follicular growth
  • Confirm IUD placement
  • Guide oocyte retrieval
  • Guide gamete intrafallopian tube transfer
  • Diagnose hyperstimulated ovaries
A

*Confirm IUD placement

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12
Q

Ovarian malignance can spread via:

  • Direct invasion of adjacent structures
  • The lymphatic system
  • Peritoneal fluid transport to other regions of the abdomino-pelvic cavity
  • All of the above
A

All of the above

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13
Q

Which of the following wouldn’t be a sonographic finding w/ a suspected malignant ovarian mass?

  • Complex mass w/ both solid & cystic components
  • Predominantly cystic mass w/ thick septations and papillary projections
  • Complex mass w/ areas of posterior acoustic shadowing
  • Peritoneal ascites and bilateral solid ovarian masses
A

Peritoneal ascites and bilateral solid ovarian masses

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14
Q

Hypothalmic disease, which induces the pituitary to secrete gonadotropins earlier than usual, results in which of the following?

  • Dysgerminoma tumor of the ovary
  • Precocious puberty
  • Hematometrocolpos
  • Endometriosis
A

Precocious puberty

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15
Q
The normal postmenopausal endometrium measures:
3-5mm
4-8mm
5-10mm
no more than 12 mm
A

3-5mm

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16
Q
The ovarian ligament attaches the ovary to the:
Uterine cornu
Pelvic sidewall
Anterior aspect of the broad ligament
Anterior abdominal wall
A

Uterine cornu

17
Q
Common locations for free intraperitoneal fluid in the pelvis include all of the following except:
Morrison's pouch
Uterovesicular space
Post cul-de-sac
Ant cul-de-sac
A

Morrison’s pouch

18
Q
Unopposed estrogen admin. may cause all of the following except:
Serous cystadenocarcinoma
Endometrial hyperplasia
Postmenopausal bleeding 
Increase in endo thickness
A

Serous cystadenocarcinoma

19
Q

Which embryologic ductal systems are responsible for the formation of the uterus, cervix, and vagina?

  • Mullerian duct and omphalomesenteric duct
  • Urogenital sinus and mullerian duct
  • Ductus arteriosus and urogenital sinus
  • Wolffian duct and Gartner’s duct
A

Urogenital sinus and mullerian duct

20
Q

Which of the following statements is true about endometrial polyps?

a. Polyps are imaged well w/ sonohysterography
b. Endo. polyps aren’t visualized w/ endovag sonography alone
c. Color Doppler may be helpful in identifying a vascular stalk of a polyp
d. A and C only
e. All of the above

A

A and C only

21
Q
Female causes of infertility include all of the following except:
PCOS
Endometriosis
Chronic PID
Bicornuate uterus
None of the above
A

None of the above

22
Q
A diffuse region in the post. myometrium that's hypoechoic and contains small cystic spaces most likely describes:
Nabothian cyst
Adenomyosis
Endometriosis
Endometrial carcinoma
A

Adenomyosis

23
Q
Endometrial hyperplasia may be caused by all of the following except:
PCOS
Thecoma of the ovary
Persistent anovulatory cycles
Oral contraceptive pills
A

Oral contraceptive pills

24
Q
A 38 yr pt presents w/ an enlarged uterus on pelvic exam, and vague complaints of pelvic pain. A large mass is seen in the fundal mymetrium, w/ a sonolucent component in the center. What's the most likely diagnosis?
Invasive endometrial carcinoma
PID
Degenerating myoma
Endometrioma
A

Degenerating myoma

25
Q
Abnormal vaginal bleeding may be associated w/ all of the following except:
Endometritis
Thecoma
Multiple myomas
Endometrial polyp
None of the above
A

None of the above