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SONOCAN OB Review > Uterine and Ovarian Pathology Review > Flashcards

Uterine and Ovarian Pathology Review Flashcards

1
Q

Abnormal accumulation of blood within the vagina is termed?

  1. Hydrometra
  2. Hematometra
  3. Hydrocolpos
  4. Hematocolpos
A

D

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2
Q

Risk factors associated with developing endometrial carcinoma include:
a. anorexia, multiparity, hypertension
b. obesity, diabetes mellitus, nulliparity
c. hypertension, obesity, thyroid disease
d. multiparity, thyroid disease, hormone replacement therapy

A

B

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3
Q

Hypervascularity within the endometrium is a characteristic finding in:
a. endometritis
b. adenomyosis
c. Asherman syndrome
d. endometrial hyperplasia

A

A

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4
Q

The most common ovarian malignancy occurring in childhood is a:
a. fibroma
b. thecoma
c. dysgerminoma
d. Brenner tumor

A

C

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5
Q

Which of the following is a common clinical symptom associated with adenomyosis?
a. amenorrhea
b. lower back pain
c. urinary frequency
d. uterine tenderness

A

D

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6
Q

A 50-year-old patient presents with a history of abdominal distention. In the left adnexa, a 10-cm, multilocular mass is identified. This mass most likely represents:
a. a cystadenoma
b. a cystic teratoma
c. theca lutein cysts
d. polycystic disease

A

A

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7
Q

The most common location for a uterine leiomyoma to develop is:
a. serosal
b. subserosal
c. intramural
d. submucosal

A

C

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8
Q

Inability to distinguish the endometrial cavity is a sonographic finding in:
a. infertility
b. tamoxifen therapy
c. Asherman syndrome
d. polycystic ovarian disease

A

C

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9
Q

Ovarian torsion is commonly associated with a coexisting:
a. uterine mass
b. hydrosalpinx
c. adnexal mass
d. ectopic pregnancy

A

C

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10
Q

Tamoxifen therapy is most likely to affect which of the following structures?
a. cervix
b. ovaries
c. myometrium
d. Endometrium

A

D

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11
Q

A reproductive-age patient demonstrates a complex adnexal mass with diffusely bright internal echoes. These sonographic findings most likely describe a:
a. dysgerminoma
b. cystic teratoma
c. hemorrhagic cyst
d. cystadenocarcinoma

A

B

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12
Q

The most common location of a cystic teratoma is:
a. lateral to the cervix
b. anterior to the fundus
c. superior to the fundus
d. adjacent to the isthmus

A

C

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13
Q

Obstruction of an inclusion cyst results in a(n):
a. nabothian cyst
b. cystic teratoma
c. endometrial polyp
d. serous cystadenoma

A

A

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14
Q

A fibroid is most likely to cause irregular uterine bleeding in which location?
a. cervical
b. subserosal
c. intramural
d. submucosal

A

B

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15
Q

Polycystic ovarian disease can result from:
a. high levels of hCG
b. unopposed estrogen
c. an endocrine imbalance
d. follicular hyperstimulation

A

C

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16
Q

The finding in this sonogram of an asymptomatic patient receiving antiestrogen therapy is most suspicious for:
a. a leiomyoma
b. adenomyosis
c. Asherman syndrome
d. an endometrial polyp

A

D

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17
Q

The finding in this sonogram, in a patient with a history of amenorrhea is most suspicious for:
a. hematometra
b. hematocolpos
c. septate uterus
d. endometrial hyperplasia

A

A

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18
Q

The arrow in this sonogram is most likely identifying a(n):
a. endometrioma
b. adenomyoma
c. subserosal leiomyoma
d. submucosal leiomyoma

A

C

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19
Q

Free fluid is identified in which of the following pelvic recesses?
a. prevesical space
b. retropubic space
c. retrouterine space
d. vesicouterine space

A

C

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20
Q

A 30-year-old patient presents with a history of left lower quadrant discomfort. Based on this clinical history, this sonogram is most suspicious for a(n):
a. endometrioma
b. cystic teratoma
c. ovarian carcinoma
d. tuboovarian abscess

A

B

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21
Q

This sagittal sonogram most likely displays:
a. endometritis
b. adenomyosis
c. endometriosis
d. Asherman syndrome

A

B

22
Q

Which of the following is a clinical symptom associated with this finding?
a. fever
b. dysmenorrhea
c. amenorrhea
d. dyspareunia

A

B

23
Q

The arrow in this sonogram is most likely identifying which of the following?
a. leiomyoma
b. adenomyosis
c. endometrial polyp
d. endometrial carcinoma

A

A

24
Q

Which clinical finding is most likely associated with this pathology?
a. amenorrhea
b. menorrhagia
c. dysmenorrhea
d. postmenopausal bleeding

A

B

25
Q

An asymptomatic patient presents with a history of an enlarged uterus. Based on this clinical history, the demonstrated pathology most likely represents a(n):
a. endometrioma
b. subserosal fibroids
c. intramural fibroids
d. submucosal fibroids

A

B

26
Q

This abnormality is located on the:
a. anterior surface of a retroverted uterus
b. posterior surface of a retroverted uterus
c. anterior surface of a retroflexed uterus
d. posterior surface of an anteverted uterus

A

A

27
Q

The sonographic findings are most suspicious for which of the following pathologies?
a. surface epithelial cysts
b. polycystic ovarian disease
c. overstimulation syndrome
d. normal physiological cysts

A

B

28
Q

Which of the following is a common symptom associated with this pathology?
a. pelvic pain
b. dysmenorrhea
c. irregular menses
d. abdominal distention

A

C

29
Q

A sagittal image of the uterus most likely displays a(n):
a. nabothian cyst
b. endometrial polyp
c. cervical malignancy
d. gartner duct cyst

A

A

30
Q

A patient presents with a history of irregular menses and a large pelvic mass. Based on this clinical history, the sonographic finding is most suspicious for:
a. surface epithelial cyst
b. a mucinous cystadenoma
c. polycystic ovarian disease
d. overstimulation syndrome

A

B

31
Q

A three-dimensional image of the uterus shows a:
a. bicornuate uterus
b. hypoechoic endometrial mass
c. hyperechoic endometrial mass
d. Normal- appearing endometrial cavity

A

C

32
Q

Which of the following describe the typical sonographic appearance of Asherman syndrome?
a. diffuse uterine enlargement
b. discrete hypoechoic myometrial mass
c. inability to distinguish an endometrial cavity
d. hypoechoic irregularity to the endometrial cavity

A

C

33
Q

A coexisting adnexal mass is commonly associated with which of the following ovarian pathologies?
a. cystadenoma
b. dysgerminoma
c. cystic teratoma
d. ovarian torsion

A

D

34
Q

Hirsutism is a clinical symptom of:
a. endometriosis
b. hematometrocolpos
c. Asherman syndrome
d. polycystic ovarian disease

A

D

35
Q

A rapid increasing pelvic mass is most suspicious for a(n):
a. leiomyoma
b. cystadenoma
c. endometrioma
d. cystic teratoma

A

B

36
Q

A small cluster of ovarian cysts is a common sonographic finding associated with:
a. theca lutein cysts
b. cystadenocarcinoma
c. surface epithelial cysts
d. polycystic ovarian disease

A

C

37
Q

Which of the following fibroid locations is most likely to cause menorrhagia?
a. cornual
b. intramural
c. subserosal
d. submucosal

A

D

38
Q

Which of the following ovarian neoplasms demonstrates sonographic characteristics similar to a leiomyoma?
a. thecoma
b. fibroma
c. dysgerminoma
d. cystic teratoma

A

B

39
Q

Multiple serpentine vascular structures within the myometrium in a patient complaining of abnormal bleeding following a recent dilation curettage procedure is most suspicious for which of the following abnormalities?
a. adenomyosis
b. endometriosis
c. arteriovenous fístula
d. Asherman syndrome

A

C

40
Q

Sonographic appearance of ovarian carcinoma is generally described as a(n):
a. irregular hypoechoic ovarian mass
b. smooth hyperechoic ovarian mass
c. irregular hypoechoic adnexal mass
d. irregular hyperechoic ovarian mass

A

A

41
Q

If a patient displays an endometrial thickness of 2.0 cm, it is considered:
a. suspicious for adenomyosis
b. within normal limits in a menarche patient
c. suspicious for proliferation of the endometrium
d. within normal limits regardless of menstrual status

A

C

42
Q

Which of the following ovarian abnormalities may contain skin and hair?
a. dysgerminoma
b. cystic teratoma
c. granulosa cell tumor
d. mucinous cystadenoma

A

B

43
Q

Multiparity is a risk factor associated with which of the following abnormalities?
a. adenomyosis
b. endometriosis
c. nabothian cyst
d. polycystic ovarian disease

A

A

44
Q

Which of the following ovarian neoplasms will most likely demonstrate posterior acoustic shadowing?
a. fibroma
b. thecoma
c. dysgerminoma
d. Brenner tumor

A

B

45
Q

A patient presents with a history of an intramural leiomyoma. An intramural leiomyoma:
a. alters the perimetrium
b. distorts the endometrium
c. distorts the myometrium
d. extends into the endometrium

A

C

46
Q

A Gartner cyst is located within the:
a. uterus
b. cervix
c. vagina
d. oviduct

A

C

47
Q

A patient presents with a history of postmenopausal bleeding. A heterogeneous intrauterine mass is identified on sonography. On the basis of the clinical history, the sonographic findings are most suspicious for:
a. adenomyosis
b. endometrioma
c. leiomyosarcoma
d. endometrial hyperplasia

A

C

48
Q

Which of the following is the most common benign ovarian neoplasm?
a. fibroma
b. cystoadenoma
c. cystic teratoma
d. endometrioma

A

C

49
Q

An ill-defined, multilocular, complex ovarian mass is most suspicious for:
a. cystadenoma
b. theca lutein cysts
c. cystadenocarcinoma
d. granulosa cell tumor

A

C

50
Q

An ovarian mass combined with a pleural effusion and ascites resolving after surgery is known as:
a. Meigs syndrome
b. Turner syndrome
c. Asherman syndrome
d. Stein-Leventhal syndrome

A

A

SONOCAN OB Review (22 decks)

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