Pop Quiz #3

Question 1

Clinical symptoms associated w/ endometriosis include all of the following except:
Infertility
Dysmenorrhea
Palpable adnexal mass
Chronic pelvic pain
None of the above

Answer 1

None of the above

Question 2

The proximal fallopian tube traverses the cornu of the uterus. This part of the tube is called the:
Isthmic tube
Infundibulum
Interstitial tube
Ampullary tube
Fimbria

Answer 2

Interstitial tube

Question 3

Which of the following is the most compelling sonographic feature of a bicornuate uterus?

• Two uterine bodies seen adjacent to each other
• Divergence of the uterine cavity and widening of the uterine body superiorly
• Normal transverse uterine dimension w/ an apparent separation of the endometrial cavity
• None of the above

Answer 3

Divergence of the uterine cavity and widening of the uterine body superiorly

Question 4

After release of the ovum into the fallopian tube, which hormone is increasingly produced in anticipation of fertilization?
Progesterone
LH
hCG
FSH

Answer 4

progesterone

Question 5

The most common ovarian tumor of epithelial origin is the:
Serous cystadenoma
Mucinous cystadenoma
Brenner tumor
Endometroid tumor

Answer 5

Serous cystadenoma

Question 6

Dysgerminomas are characterized by all of the following except:

• Solid, echogenic ovarian mass
• Occurs most commonly in women under 30 yrs of age
• Malignant epithelial tumor
• Bilateral in 15% of cases

Answer 6

Malignant epithelial tumor

Question 7

Pts who are given pharmacologic drugs to stimulate follicle production are administered what agent to induce oocyte maturation?
Estrogen
Clomid
Pergonal
Hcg

Answer 7

Hcg

Question 8

An adnexal mass w/ low level echoes and posterior acoustic enhancement might describe:

• a teratoma
• an endometrioma
• hematosalpinx
• a hemorrhagic ovarian cyst
• more than one of the above

Answer 8

more than one of the above

Question 9

During the later secretory phase, the endometrium appears sonographically:

• Hyperechoic w/ posterior acoustic enhancement
• Complex w/ fluid-fluid levels
• Approximately 6 to 8mm in AP diameter
• W/ a distinct hypoechoic mucosa and echogenic basal region
• More than one of the above

Answer 9

Hyperechoic w/ posterior acoustic enhancement

Question 10

Women w/ a hx of PID are at risk for all of the following except:
Tubal scarring
Endometrial hyperplasia
Ectopic pregnancy
Peritonitis

Answer 10

Endometrial hyperplasia

Question 11

Sonographically, the endometrium measures what thickness immediately after the cessation of menses?
1 cm
2 mm
1 mm
4 mm

Answer 11

2 mm

Question 12

Ovarian cancer is the 4th leading cause of cancer death and the 5th most frequent cancer in women.
True
False

Answer 12

True

Question 13

The circumferential recesses around the external cervix, formed by the attachment of the vaginal walls, is (are) known as:
Vaginal fornices
External os
Cul-de-sac
Space of Retzius

Answer 13

Vaginal Fornices

Question 14

Rare malignant sarcomatous leiomyomas are sonographically distinguishable from the benign leiomyomas in most cases.
True
False

Answer 14

False

Question 15

Failure of the formation of the mullerian duct may result in all of the following except:
Supseptate uterus
Unicornuate uterus
Uterine agenesis
Absence of the upper vagina and cervix

Answer 15

Subseptate uterus

Question 16

Which of the following isn’t a sonographic finding w/ acute ovarian torsion?

• Small, echogenic ovary
• Absent color Doppler or spectral Doppler
• Possible arterial Doppler flow but absent venous flow
• Increased ovarian volume w/ multiple cortical follicles
• Complex adnexal mass

Answer 16

Small, echogenic ovary

Question 17

Primary amenorrhea denotes:

• The cessation of menses
• Menses has never occurred
• Absence of menses w/ polycystic ovarian syndrome
• None of the above

Answer 17

Menses has never occurred

Question 18

Physiologic cysts of the ovary include all of the following except:

• Polycystic ovaries
• Corpus luteum cyst of pregnancy
• Theca lutein cysts
• Follicular cysts

Answer 18

Polycystic ovaries

Question 19

All of the following are typically benign ovarian tumors except:
Teratoma
Fibroma
Brenner tumor
Thecoma
Dysgerminoma

Answer 19

Dysgerminoma

Question 20

The sonographic detection of air bubbles in the uterine cavity may be due to all of the following except:

• Recent instrumentation
• Endometrial hyperplasia
• Anaerobic organism infection
• More than one of the above

Answer 20

Endometrial hyperplasia

Question 21

Postmenopausal pts who receive sequential estrogen and progesterone will have what sonographic endometrial finding?

• Cyclic changes that resemble a premenopausal endometrium
• Cystic transformation of the endometrium
• An endometrial measurement no greater than 4mm at any time
• None of the above

Answer 21

Cyclic changes that resemble a premenopausal endometrium

Question 22

A benign ovarian tumor that contains elements of all 3 germ cell layers is:

• A dysgerminoma
• Always bilateral
• Not diagnosed until symptomatic
• Most typically an immature teratoma
• None of the above

Answer 22

None of the above

Question 23

The rectus abdominis muscle forms much of the:
Pelvic floor
Pelvic sidewall
Rectal margin
Anterior abdominal wall

Answer 23

Anterior abdominal wall

Question 24

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

Answer 24

None of the above

Question 25

The normal gestational sac grows at the approximate rate of:
1mm/day
2mm/day
1.5cm/wk
2.5cm/wk

Answer 25

1mm/day