Test 2 Flashcards

1
Q

4 divisions of uterus:

A

fundus, corpus, isthmus, and cervix

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2
Q

Outer most layer of uterine wall

A

serosal layer or perimetrium

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3
Q

middle layer of uterine wall

A

myometrium or muscular layer

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4
Q

inner mucosal layer of the uterus

A

endometrium

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5
Q

2 layers of endometrium

A

basal layer and functional layer

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6
Q

parity definition

A

number of births

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7
Q

gravida definition

A

how many times they have been pregnant

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8
Q

The ________________________ is often referred to as the fimbriated end of the fallopian tube because it contains fringelike extensions, called fimbriae, which move over the ovary directing the ovum into the fallopian tube after ovulation.

A

infundibulum

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9
Q

The transabdominal scan offers a ________________________ field of view for a general screening of the pelvic anatomy.

A

wider

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10
Q

The cervix lies ________________________ to the urinary bladder and urethra and anterior to the rectum and anus.

A

posterior

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11
Q

At the lateral borders of the uterine fundus are the ________________________, where the fallopian tubes enter the uterine cavity.

A

cornua

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12
Q

Position of the uterus when the entire uterus is tipped posteriorly so that the angle formed between the cervix and the vaginal canal is greater than 90 degrees

A

Retroverted

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13
Q

Steroidal hormone secreted by the theca interna and granulosa cells of the ovarian follicle that stimulates the development of female reproductive structures and secondary sexual characteristics; promotes the growth of endometrial tissue during the proliferative phase of the menstrual cycle

A

estrogen

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14
Q

Female egg; secondary oocyte released from the ovary at ovulation

A

ovum

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15
Q

Wide bands of fibromuscular tissue arising from the lateral aspects of the cervix and inserting along the lateral pelvic floor; a continuation of the broad ligament that provides rigid support for the cervix

A

cardinal ligament

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16
Q

Posterior portion of the broad ligament that is drawn out to enclose and hold the ovary in place

A

mesovarium

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17
Q

Position of the uterus when the uterine fundus bends forward toward the cervix

A

anteflexed

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18
Q

Paired ligaments that extend from the infundibulum of the fallopian tube and the lateral aspect of the ovary to the lateral pelvic wall

A

suspensory ligaments

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19
Q

Anatomic structure on the surface of the ovary, consisting of a spheroid of yellowish tissue that grows within the ruptured ovarian follicle after ovulation; acts as a short-lived endocrine organ that secretes progesterone to maintain the decidual layer of the endometrium should conception occur

A

corpus luteum

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20
Q

Broad fold of peritoneum draped over the fallopian tubes, uterus, and ovaries; extends from the sides of the uterus to the side walls of the pelvis, dividing the pelvis from side to side and creating the vesicouterine pouch anterior to the uterus and the rectouterine pouch posteriorly; it is divided into mesometrium, mesosalpinx, and mesovarium

A

broad ligament

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21
Q

Upper portion of the broad ligament that encloses the fallopian tubes

A

mesosalpinx

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22
Q

Posterior portion of the cardinal ligament that extends from the cervix to the sacrum

A

uterosacral ligament

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23
Q

Serous membrane enveloping the uterus

A

perimetrium

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24
Q

Located between the anterior bladder wall and the pubic symphysis; contains extraperitoneal fat

A

Pouch of Retzius

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25
Q

Position of the uterus when the uterus is tipped slightly forward so that the cervix forms a 90-degree angle or less with the vaginal canal; most common uterine position

A

anteverted

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26
Q

Position of the uterus when the uterine fundus bends posteriorly upon the cervix

A

retroflexed

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27
Q

Paired ligaments that originate at the uterine cornua, anterior to the fallopian tubes, and course anterolaterally within the broad ligament to insert into the fascia of the labia majora; hold the uterus forward in its anteverted position

A

round ligaments

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28
Q

Steroidal hormone produced by the corpus luteum that helps prepare and maintain the endometrium for arrival and implantation of an embryo

A

progesterone

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29
Q

Paired ligament that extends from the inferior and/or medial pole of the ovary to the uterine cornua

A

ovarian ligaments

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30
Q

The largest organ in the normal female pelvis when the urinary bladder is empty is the________________________.

A

uterus

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31
Q

Days 10 to 14 of the menstrual cycle; ovulation occurs; the endometrium increases in thickness and echogenicity; has trilaminar appearance.

A

late proliferative phase

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32
Q

Days 5 to 9 of the menstrual cycle; endometrium appears as a single thin stripe with a hypoechoic halo encompassing it.

A

early proliferative phase

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33
Q

Abnormally heavy or long menstrual periods

A

menorrhagia

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34
Q

Absence of menstruation

A

amenorrhagia

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35
Q

Refers to cessation of menstruation

A

menopause

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36
Q

Abnormally light menstrual periods

A

oligomenorrhea

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37
Q

Pain associated with menstruation

A

dysmenorrhea

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38
Q

Refers to the onset of menstruation and the commencement of cyclic menstrual function; usually occurs between 11 and 13 years of age

A

menarche

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39
Q

Periodic flow of blood and cellular debris that occurs during menstruation

A

menses

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40
Q

Time period in young girls before the onset of menstruation

A

premenarche

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41
Q

Technique that uses a catheter inserted into the endometrial cavity, with instillation of saline solution or contrast medium to fill the endometrial cavity for the purpose of demonstrating abnormalities within the cavity or uterine tubes.

A

sonohysterography

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42
Q

The point where the uterus bends anteriorly (anteversion) or posteriorly (retroversion) with an empty bladder is the ________________________.

A

isthmus

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43
Q

Days 15 to 28 of the menstrual cycle; the endometrium is at its greatest thickness and echogenicity with posterior enhancement

A

secretory phase

44
Q

Small vessels found along the periphery of the uterus.

A

arcuate vessels

45
Q

The average uterine position is considered to be ________________________ and anteflexed.

A

anteverted

46
Q

A ________________________ examination is performed with an empty bladder and allows the use of a higher-frequency transducer, typically 7.5 to 10 MHz.

A

transvaginal

47
Q

The ________________________ tubes are contained in the upper margin of the broad ligament and extend from the uterine cornua of the uterus laterally where they curve over the ovary.

A

fallopian

48
Q

The cervix is constricted at its upper end by the ________________________ os and at its lower end by the external os.

A

internal

49
Q

The ovaries are usually located ________________________ to the external iliac vessels and________________________ to the internal iliac vessels and ureter.

A

medial/anterior

50
Q

The approach that requires a full urinary bladder for use as an “acoustic window” and typically necessitates the use of a 3.5- to 5-MHz transducer for adequate penetration is the ________________________ approach.

A

transabdominal

51
Q

Days 1 to 4 of the menstrual cycle; endometrial canal appears as a hypoechoic central line representing blood and tissue.

A

menstruation

52
Q

during pregnancy, the isthmus may be referred to as the ……..

A

lower uterine segment

53
Q

3 layers of vagina

A

inner mucosal layer, middle muscular layer, and an outer layer referred to as adventitia

54
Q

3 layers of uterine wall

A

perimetrium or serosal layer
myometrium
endometrium

55
Q

adult nulliparous uterus size

A

6-8.5cm in length and 2-4cm AP diameter

56
Q

adult multiparous uterus size

A

8-10.5cm length, 3-5cm AP diameter

57
Q

postmenopausal uterus measures

A

3.5-7.5cm in length and 1.7-3.3cm AP diameter

58
Q

uterus that is located more on the left is referrred to as ……..

A

levoverted uterus

59
Q

uterus that is located more on the right is referred to as …..

A

dextroverted uterus

60
Q

word parts
colpo-
metra-

A

colpo- vagina
metra- uterus

61
Q

is the invasion of endometrial tissue into the myometrium and is a common cause of abnormal uterine bleeding

A

adenomyosis

62
Q

adenomyosis is often present in the uterus afflicted with ……..

A

fibroid tumors

63
Q

Clinical Findings
uterine enlargement
boggy, tender uterus
dysmenorrhea
menometrorrhagia
pelvic paid
dyschezia
dyspareunia
multiparous

A

Adenomyosis

64
Q

sonographic findings
-diffusely enlarged uterus
-hypoechoic or echogenic areas adjacent to endometrium
-heterogeneous myometrium
-myometrial cysts
-ill defined interface between myometrium and endometrium
-thickening of the fundus or posterior myometrium

A

adenomyosis

65
Q

is a benign, smooth muscular tumor of the uterus that may also be referred to as a fibroid or uterine myoma

A

leiomyoma

66
Q

CLINICAL FINDINGS
pelvic pressure
menorrhagia
palpable abdominal mass
enlarged uterus
urinary frequency
dysuria
constipation
possible infertility

A

Leiomyoma

67
Q

Sonographic findings
-appear as solid, hypoechoic masses that produce posterior shadowing
-may have calcification or cystic components

A

leiomyoma

68
Q

within the myomerium

A

intramural

69
Q

fibroid that grows outward and distorts the contour of the uterus

A

subserosal

70
Q

fibroid that are pedunculated or those associated with the broad ligament could resemble adnexal masses

A

subserosal fibroid

71
Q

fibroid located adjacent to the endometrial cavity and distort the shape of the endometrium

A

submucosal

72
Q

clinical findings
pelvic pressure and pain
menorrhagia
palpable abdominal mass
enlarged bulky uterus
urinary frequency
dysuria
constipation

A

leiomyosarcoma

73
Q

sonographic findings
-rapidly growing mass within the uterus
-hypoechoic mass within the uterus
-posterior shadowing
-degenerating fibroids may have calcification or cystic components
-multiple fibroids appear as an enlarged, irregularly shaped, diffusely heterogeneous uterus

A

leiomyosarcoma

74
Q

………. are common findings on routine sonographic examination

A

nabothian cyst

75
Q

sonographic findings
anechoic mass within the cervix
may be multiple
may be complex

A

nabothian cyst

76
Q

Injection of sterile saline into the endometrial cavity under ultrasound guidance

A

sonohysterography

77
Q

The uterine anomaly that results in the failure of midline septum to reabsorb.

A

septate uterus

78
Q

Portion of the canal of the uterine cervix that is lined with squamous epithelium

A

ectocervix

79
Q

Benign invasive growth of the endometrium that may cause heavy, painful menstrual bleeding

A

adenomyosis

80
Q

Acquired condition with obstruction of the cervical canal

A

cervical stenosis

81
Q

The uterine anomaly that results in the development of one uterine horn.

A

unicornate uterus

82
Q

The rare uterine malformation that is classically associated with “in-utero” exposure of DES (diethylstilbestrol)

A

t-shaped uterus

83
Q

Obstruction of the uterus and/or the vagina characterized by an accumulation of fluid

A

hydrometra

84
Q

Most common type of leiomyoma; deforms the myometrium

A

intramural leiomyoma

85
Q

Infection within the endometrium of the uterus

A

endometritis

86
Q

Hyperplastic protrusion of the epithelium of the cervix; may be broad-based or pedunculated

A

cervical polyp

87
Q

Pedunculated or sessile well-defined mass attached to the endometrial cavity

A

endometrial polyp

88
Q

Irregular, acyclic bleeding

A

metrorrhea

89
Q

Obstruction of the uterus and/or the vagina characterized by an accumulation of pus

A

pyometra

90
Q

Type of leiomyoma that may become pedunculated and appear as an extrauterine mass

A

subserosal leiomyoma

91
Q

Most common type of cervical cancer

A

squamous cell carcinoma

92
Q

Benign tiny cyst within the cervix

A

nabothian cyst

93
Q

Malignancy characterized by abnormal thickening of the endometrial cavity; usually associated with irregular bleeding in perimenopausal and in postmenopausal women

A

endometrial carcinoma

94
Q

Obstruction of the uterus and/or vagina characterized by an accumulation of blood

A

hematometra

95
Q

Type of leiomyoma found to deform the endometrial cavity and cause heavy or irregular menses

A

submucosal leiomyoma

96
Q

An antiestrogen drug used in treating some breast carcinomas; reported to cause growth in leiomyomas

A

tamoxifen

97
Q

The uterine anomaly that occurs when there is complete failure of fusion of the Müllerian ducts.

A

uterine didelphys

98
Q

Benign condition that results from estrogen stimulation to the endometrium without the influence of progestin; frequent cause of bleeding

A

endometrial hyperplasia

99
Q

Small cyst within the vagina

A

Gartner’s duct cyst

100
Q

Scraping with a curette to remove the contents of the uterus, as is done following inevitable or incomplete abortion; to obtain specimens for use in diagnosis; and to remove growths, such as polyps

A

curettage

101
Q

Most common benign gynecologic tumor in women during their reproductive years

A

leiomyoma

102
Q

The uterine anomaly that occurs when there is partial non-fusion of the Müllerian ducts at the level of the fundus.

A

bicornuate uterus

103
Q

The uterine anomaly characterized by a mild indentation of the endometrium at the uterine fundus

A

arcuate uterus

104
Q

Pain associated with menstruation

A

dysmenorrhea

105
Q

anechoic or complex mass within the vagina

A

gartner duct cyst

106
Q

benign cyst that is located in one of the bartholin glands in the region of the vulva

A

bartholin duct cyst

107
Q

pubertal development before the age of 7

A

precocious puberty