CH 15-18 - OBGYN Review Quiz

How can the sonograpehr distinguish a nabothian cyst from a cervical carcinoma?

A cervical carcinoma will demonstrate a solid mass whereas a nabothian cyst will have all the characteristics of a simple cyst

Which of the following terms describes a straight uterus that tilts forward in the body forming a 90 degree angle with the vagina?

Anteverted

What is the preparation for a transabdominal pelvic exam?

Drink 32oz of water 1 hour prior to exam

What pelvic disorder will present with a history of dysmenorrhea and dysparenuia?

Endometriosis

What is the term used to describe the inner layer of the uterine wall?

Endometrium

Which method of interrogation of the female pelvis is best for demonstrating the endometrium?

Endovaginal scan

What part of the uterus enveloped by the vagina?

External os of cervix

A sonogram demonstrates a simple cystic mass altering the contour of the vagina and bladder. What does this most likely represent?

Gartner duct cyst

How would you describe the echotexture of the normal uterus?

Homogeneous

What happens to the corpus luteum if pregnancy occurs?

It can reach a size of up to 10cm but should resolve by 16 weeks gestation

Why endovaginal transducers utilize higher frequency ranges than transabdominal transducers?

Less penetration and higher resolution are required to image the structures closer to the transdcuer

A patient presents with mittelschmerz. Sonography demonstrated a small amount of free fluid in the right adnexa.What is the likely cause?

Ovulation

What is the term used to describe a cyst located in the broad ligament?

Paraovarian cyst

Which disorder presents with leukocytosis?

Pelvic inflammatory disease

What normal anatomic variant may be demonstrated on a pelvic sonogram?

Pelvic kidney

A patient presents with a history of hirsutism, amenorrhea, and enlarged ovaries. What should the sonographer be looking for on the exam?

Polycystic ovary syndrome (PCOS)

What is the most effective method for preventing the spread of disease in the clinical setting?

Proper handwashing

Which of the following exams would require surgical asepsis to be practiced?

Sonohysterogram

Which of the following can result in endometrial hyperplasia?

Tamoxifen therapy

What condition includes symptoms of ambiguous genitalia, short stature, and webbing of the skin on the back of the neck?

Turner syndrome

On sonographic examination, two cervical canals are identified with separate right and left uterine horns. Which uterine malformation is demonstrated?

Uterus didelphys

What does the term dextroverted mean?

A uterus that tilts to the right

Which of the following best describes a uterus that has two separate endometrial canals but one single cervix?

Bicornuate uterus

In which of the following situations would 3D sonography be most beneficial when imaging the female pelvis?

Provide accurate representation of the location of an intrauterine contraceptive device

Which of the following is a true statement with respect to fallopian tubes?

The fallopian tube is usually only identified if there is an obstruction and it is distended with fluid