Pop Quiz #2 Flashcards
Oral contraceptive pills prevent conception by inhibiting: menses ovulation dysfunctional uterine bleeding fibroid growth none of the above
ovulation
Menarche is a term that refers to:
- the development of 2ndary sex characteristics
- irregular menses
- heavy menses
- the onset of menses
the onset of menses
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
more than one of the above
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
hemorrhagic ovarian cyst
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 prominent cervix that is approximately twice the size of the corpus
"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
None of the above
All of the following are muscles of the pelvic floor except:
Piriformis
Coccygeus
Levator ani
Piriformis
The most common cause of postmenopausal bleeding is: Endometrial carcinoma Cervical carcinoma Endometrial atrophy Ovarian thecoma
Endometrial atrophy
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
High velocity, high resistence
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”
Discrete hypoechoic mass w/ posterior acoustic enhancement
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
*Confirm IUD placement
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
All of the above
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
Peritoneal ascites and bilateral solid ovarian masses
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
Precocious puberty
The normal postmenopausal endometrium measures: 3-5mm 4-8mm 5-10mm no more than 12 mm
3-5mm
The ovarian ligament attaches the ovary to the: Uterine cornu Pelvic sidewall Anterior aspect of the broad ligament Anterior abdominal wall
Uterine cornu
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
Morrison’s pouch
Unopposed estrogen admin. may cause all of the following except: Serous cystadenocarcinoma Endometrial hyperplasia Postmenopausal bleeding Increase in endo thickness
Serous cystadenocarcinoma
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
Urogenital sinus and mullerian duct
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 and C only
Female causes of infertility include all of the following except: PCOS Endometriosis Chronic PID Bicornuate uterus None of the above
None of the above
A diffuse region in the post. myometrium that's hypoechoic and contains small cystic spaces most likely describes: Nabothian cyst Adenomyosis Endometriosis Endometrial carcinoma
Adenomyosis
Endometrial hyperplasia may be caused by all of the following except: PCOS Thecoma of the ovary Persistent anovulatory cycles Oral contraceptive pills
Oral contraceptive pills
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
Degenerating myoma
Abnormal vaginal bleeding may be associated w/ all of the following except: Endometritis Thecoma Multiple myomas Endometrial polyp None of the above
None of the above
