The Uterus & Vagina Quiz Flashcards

1
Q

Which of the following fibroid locations would most likely result in abnormal uterine bleeding because of its relationship to the
endometrium?
A. Submucosal
B. Intramural
C. Subserosal
D. Subserosal pedunculated

A

A. Submucosal

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2
Q

All of the following are sonographic findings consistent with
adenomyosis except:
A. Diffuse, enlarged uterus
B. Myometrial cysts
C. Hypoechoic areas adjacent to the endometrium
D. Complex adnexal mass

A

D. Complex adnexal mass

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3
Q

The largest part of the uterus is the:
A. Corpus
B. Isthmus
C. Cervix
D. Fundus

A

A. Corpus

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4
Q

Which of the following would be most indicative of a leiomyosarcoma?
A. Vaginal bleeding
B. Rapid growth
C. Dysuria
D. Large hypoechoic mass

A

B. Rapid growth

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5
Q

The inferior portion of the cervix closest to the vagina is the:
A. Cornu
B. Internal os
C. External os
D. Inferior fornix

A

C. External os

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6
Q

The inner mucosal lining of the uterus is the:
A. Myometrium
B. Endometrium
C. Serosal layer
D. Perimetrium

A

B. Endometrium

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7
Q

Difficult or painful intercourse is referred to as:
A. Dysuria
B. Dysmenorrhea
C. Dyspareunia
D. Hydrocolpos

A

C. Dyspareunia

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8
Q

What congenital malformation of the uterus is common and has a clear
association with an increased risk for spontaneous abortion?
A. Anteflexed uterus
B. uterus
C. Dextroverted uterus
D. Septate uterus

A

D. Septate uterus

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9
Q

Absence of a menstruation is referred to as:
A. Dysuria
B. Dysmenorrhea
C. Amenorrhea
D. Menorrhagia

A

C. Amenorrhea

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10
Q

The invasion of endometrial tissue into the myometrium of the uterus is
referred to as:
A. Amenorrhea
B. Endometriosis
C. Adenomyomatosis
D. Adenomyosis

A

D. Adenomyosis

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11
Q

Pseudoprecocious puberty may be associated with all of the following
except:
A. Ovarian tumor
B. Adrenal tumor
C. Liver tumor
D. Brain tumor

A

D. Brain tumor

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12
Q

The layer of the endometrium that is significantly altered as a result of
hormonal stimulation during the menstrual cycle is the:
A. Myometrium
B. Endometrial cavity
C. Functional layer
D. Basal layer

A

C. Functional layer

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13
Q

The most superior and widest portion of the uterus is the:
A. Corpus
B. Isthmus
C. Cervix
D. Fundus

A

D. Fundus

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14
Q

A 24-year-old female patient presents to the sonography department for a
pelvic sonogram with an indication of pelvic pain. Upon sonographic
interrogation, the sonographer notes an anechoic mass within the vagina.
This mass most likely represents a:
A. Nabothian cyst
B. Gartner duct cyst
C. Dandy-Walker cyst
D. Ovarian cyst

A

B. Gartner duct cyst

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15
Q

What section of the uterus is also referred to as the lower uterine
segment?
A. Cervix
B. Isthmus
C. Fundus
D. Cornu

A

B. Isthmus

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16
Q

The outer layer of the endometrium is the:
A. Myometrium
B. Endometrial cavity
C. Functional layer
D. Basal layer

A

D. Basal layer

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17
Q

Which of the following would be considered the more common uterine
anomaly?
A. Bicornis univernus
B. Bicornis bicollis
C. Uterus didelphys
D. Septate uterus

A

D. Septate uterus

18
Q

The rigid region of the uterus located between the vagina and the isthmus
is the:
A. Cornu
B. Corpus
C. Cervix
D. Fundus

A

C. Cervix

19
Q

Upon sonographic evaluation of a patient complaining of abnormal
distention, you visualize a large, hypoechoic mass distorting the anterior
border of the uterus. What is the most likely location of this mass?
A. Intramural
B. Subserosal
C. Submucosal
D. Intracavitary pedunculated

A

B. Subserosal

20
Q

A simple fluid accumulation within the vagina secondary to an
imperforate hymen is:
A. Hydrometrocolpos
B. Hydrocolpos
C. Hematometra
D. Hematocolpos

A

B. Hydrocolpos

21
Q

The uterine position in which the corpus tilts forward and comes in
contact with the cervix describes:
A. Anteflexion
B. Anteversion
C. Retroflexion
D. Retroversion

A

A. Anteflexion

22
Q

What leiomyoma location would have an increased risk to undergo
torsion?
A. Subserosal
B. Intracavitary
C. Pedunculated
D. Submucosal

A

C. Pedunculated

23
Q

A 13-year-old girl presents to the sonography department with a history
of cyclic pain, abdominal swelling, and amenorrhea. Sonographically,
you visualize an enlarged uterus and a distended vagina that contains
anechoic fluid with debris. What is the most likely diagnosis?
A. Cervical stenosis
B. Adenomyosis
C. Endometriosis
D. Hematocolpos

A

D. Hematocolpos

24
Q

All of the following are clinical findings associated with leiomyoma
except:
A. Myometrial cysts
B. Infertility
C. Palpable pelvic mass
D. Menorrhagia

A

A. Myometrial cysts

25
Q

The surgical removal of a fibroid is termed:
A. Hysterosonogram
B. Total abdominal hysterectomy
C. Myomectomy
D. Uterine artery embolization

A

C. Myomectomy

26
Q

Which of the following is typically not a clinical complaint of women
who are suffering from adenomyosis?
A. Amenorrhea
B. Dysmenorrhea
C. Dyspareunia
D. Menometrorrhagia

A

A. Amenorrhea

27
Q

The paired embryonic ducts that develop into the female urogenital tract
are the:
A. Fallopian ducts
B. Wolffian ducts
C. Gartner ducts
D. Müllerian ducts

A

D. Müllerian ducts

28
Q

Precocious puberty is defined as the development of pubic hair, breasts,
and the genitals before the age of:
A. 13
B. 8
C. 5
D. 10

A

B. 8

29
Q

Abnormally heavy and prolonged menstrual flow between periods is
termed:
A. Menometrorrhagia
B. Menarche
C. Menorrhagia
D. Dysmenorrhea

A

A. Menometrorrhagia

30
Q

Leiomyomas that project from a stalk are termed:
A. Submucosal
B. Intramural
C. Subserosal
D. Pedunculated

A

D. Pedunculated

31
Q

Congenital malformation of the uterus that results in complete
duplication of the genital tract is:
A. Unicornuate uterus
B. Bicornis bicollis
C. Uterus didelphys
D. Subseptate uterus

A

C. Uterus didelphys

32
Q

A 38-year-old female patient presents to the sonography department for a
pelvic sonogram with an indication of pelvic pain. Upon sonography
interrogation, the sonographer notes an anechoic mass within the cervix.
This mass most likely represents a:
A. Nabothian cyst
B. Benign follicular cyst
C. Dermoid cyst
D. Gartner duct cyst

A

A. Nabothian cyst

33
Q

Leiomyosarcoma of the uterus denotes:
A. The benign invasion of endometrial tissue into the myometrium
B. The ectopic location of endometrial tissue in the adnexa
C. The malignant counterpart of a fibroid
D. An anechoic, simple cyst located within the cervix

A

C. The malignant counterpart of a fibroid

34
Q

The location of a fibroid within the myometrium is termed:
A. Submucosal
B. Intracavitary
C. Subserosal
D. Intramural

A

D. Intramural

35
Q

The superior portion of the cervix is the:
A. Cornu
B. Corpus
C. Internal os
D. External os

A

C. Internal os

36
Q

Anechoic fluid noted distending the uterus and vagina within a pediatric
patient is termed:
A. Hydrocolpos
B. Hydrometrocolpos
C. Hydrometra
D. Hematometrocolpos

A

B. Hydrometrocolpos

37
Q

The normal position of the uterus is:
A. Retroverted
B. Retroflexed
C. Anteverted
D. Dysverted

A

C. Anteverted

38
Q

The recesses of the vagina are the:
A. Cornu
B. Isthmi
C. Fornices
D. Parity

A

C. Fornices

38
Q

The area of attachment of the fallopian tubes to the uterus is the:
A. Fundus
B. Corpus
C. Isthmus
D. Cornua

A

D.Cornua

39
Q

A patient presents to the sonography department for a pelvic sonogram
with a history of adenomyosis that was diagnosed following an MRI of
the pelvis. What are the most likely sonographic findings?
A. Complex, bilateral adnexal masses
B. Myometrial cysts with enlargement of the posterior uterine wall
C. Endometrial thinning and cervical dilation
D. Uterine atrophy with bilateral ovarian cysts

A

B. Myometrial cysts with enlargement of the posterior uterine wall