GYN Questions Ch 7
105 What is the most common neoplasm of the uterus
Leiomyoma
476 Which of the following characteristics is most suspicious of malignant ascites?
Loculated fluid with loops of bowel adherent and fixed to the abdominal wall
161 The pathological condition characterized by a solid ovarian tumor, right pleural effusion, and ascites is:
Meig's syndrome
517 The onset of menses is also referred to as:
Menarche
174 Which of the following cannot be included in the category of the cystic masses in the vagina?
Nabotian cysts
494 Which of the following statements regarding leiomyoma is false?
Normally increases in size after menopause
466 Para
Number of pregnancies that have continued to viability
247 Which one of the following lubricants should not be used on latex probe covers?
Oil-based products
458 Ovulation is assume to occurs
On the 14th day of the menstrual cycle
413 The blood supply to the ovaries comes from which of the following?
Ovarian artery and uterine artery
242 Where are the ovaries normally located?
Ovarian fossa
387 Causes for abnormal vaginal bleeding do not include which one of the following?
Ovarian torsion
412 What is the most common cause for ovarian torsion?
Ovarian tumors
500 The hydatid cyst of Morgagni is:
Paramesonephric cysts
121 Congenital abnormalities of the uterus result from improper fusion of which of the following structures?
Paramesonephric ducts
499 An anechoic, smooth-walled cyst is identified in a patient who has had hysterectomy/oophorectomy. Which of the following should be included in the differential diagnosis?
Paraovarian, ovarian remnant, mesonephric, and inclusion cysts
71 What is the most commonly visualized pelvic muscle that is often mistaken for ovary?
Piriformis muscle
72 What are the 3 peritoneal spaces in the pelvic cavity?
Posterior cul de sac, anterior cul de sac, and prevesical space
416 WHich of the folliowng is an early sign /symptom of endometrial cancer?
Postmenopausal vaginal bleeding
71 What is the most dependent portion of the peritoneum called?
Pouch of Douglas
74 What are the AIUM guidelines for cleaning and preparing a transvaginal probe?
Pre clean with mild non abrasive soap and water, immerse in high level disinfecting solution, and disposable probe covers
126 Which of the following best describes endometriosis?
Presence of endometrial glands in stroma outside if the uterine cavity
414 ovaries that have been overstimulated by infertility medication are at risk for which of the following?
Producing grossly enlarged cysts and torsion. (possibly even fullness, nausea,more rarely ascites and effusion because fluid shift.)
110 In what stage of the menstrual cycle would be an ideal time to evaluate the endometrium for a polyp?
Proliferative
98 Which of the following best describes Krukenburg tumors?
Secondary to metastatic ovarian neoplasms, usually of gastric or colonic primary origin, and usually bilateral solid masses.
115 WHat are the uterine layers?
Serosal, myometrial, endometrial
100 What is another name for polycystic ovarian syndrome?
Stein-Leventhal syndrome
127 What is the most common location for a dermoid cyst?
Superior to the uterine fundus
70. What two ligaments are not true ligaments?
Suspensory and broad ligaments
81 Which of the following is not true of dysgerminoma?
That it is not malignant. (It is)
111 The date of the last menstrual period is counted from
The date when menstrual bleeding began
103 Which of the following does the term trophoblastic denote?
The extra-embryonic peripheral cells of the blastocyst
88 WHich of the following types of ovarian cyst is commonly associated with hydatiform mole?
Theca lutein cysts
99 Which of the following is not a true characteristic of serous cystadenoma?
Thick septations
124 During the secretory phase, the endometrium appears
Thickened and echogenic (days 15-28 post menstration)
123 During periovulatory phase, the endometrium appears:
Thickened and hypoechoic medially with an echogenic basal layer (days 10-14mm post menstration)
122 During the early proliferative phase, the endometrium appears:
Thin, echogenic line, 4-8mm (days 5-9 post menstration)
106 A complex adnexal mass is identified in a patient with tenderness and elevated temperature and white blood cell count (cbc). What is the most likely diagnosis?
Tubo-ovarian abscess
496 Which is the following statements about stromal tumors is false?
Types include fibromas, thecomas, and Brenner tumors.
472 Which of the following structures is most likely not seen in a postpartum pelvic sonogram?
Umbilicus
168 Which of the following is not part of the adnexa
Urinary bladder
512 Female infertility may be caused by which of the following:
Uterine synechiae, PCOS, Asherman's syndrome, and adenomyosis
69 Which uterine ligament is responsible for uterine orientation?
Uterosacral ligament
477 The abbreviation VBAC refers to:
Vaginal birth after cesarean section
107Which of the following is true of mucinous cystadenocarcinoma?
Which ruptured can result in pseudomyxoma peritonei
501 The formula for determining ovarian volume is:
d1xd2xd3x0.523
246 When a sonographic procedure is to be performed that requires a needle insertion. The sonographer should use which one of the following types of gel?
sterile gel
516 Meig's syndrome consists of all the following except:
uterine tumor
104 What is the mean diameter of a dominant follicular cyst at the time of ovulation?
20-25mm
467 Trimester
3 month period during gestation
108 The endometrial lining in postmenopasual woman NOT on hormone replacement should be less than
3mm
83What is the measurement of the normal adult ovaries?
3x2x2cm
109 The endometrial lining in postmenopausal women on hormone replacement therapy should be less than
5mm
113What percentage of patients diagnosed with hydatidiform mole will usually follow a benign course?
80%
119 What is the normal size of a multiparous uterus?
9x6x5cm
470 Which of the following components of the ultrasound system exposes a patient to greater potential risk?
A cracked transducer probe
515 When performing a spectral Doppler evaluation of the ovary during the pre-ovulatory phase, which of the following is false?
A waveform has a decreased diastolic flow
463 Nulligravida
A woman who has never been pregnant
465 Multigravida
A women who has been pregnant several times
460 Multipara
A women who has given birth 2 or more times
462 Primigravida
A women who has given birth one time to a viable infant
461 Nullipara
A women who has never given birth to a viable infant
459 Gravida
A women who is pregnant
464 Primigravida
A women who is prgenant for the first time
468Puerpartum refers to the period:
Beginning with the expulsion of the placenta
300 Adenomyosis is:
Benign penetration and growth of endometrial glands and storms into the myometrium
415 Which of the following is not a characteristic of ovarian torsion in adults?
Bilateral salpingo-oophorectomy
102 Which of the following characteristics of color Doppler energy is true?
CDE is based on the amplitude of the soundwave
23. Fluid in the endometrial cavity in a post-menopausal patient may be associated with which of the following?
Cervical stenosis
114The uterus can be divided into regions. Which of the following choices lists them from inferior to superior?
Cervix, isthmus, corpus, fundus
74 An invasive mole is also known as:
Chorioadenoma destruens
490- What is the most common congenital intrauterine viral infection?
Cytomegalovirus
87 A simple cyst may exhibit all of the following except:
DIstal acoustic shadowing is associated with a solid mass
125 Women with endometriosis may have
Dyspareunia(pain during sex), metromenorrhia, and dysmenorrhea
82Which of the following is least likely to be true of dermoid tumors?
Encountered more in women over 40
96 An ovarian mass identified on sonogram is complex, predominantly hypoechoic with septations. The patient complains of severe pain during menses. What is the most likely diagnosis.
Endometrioma
112 Which of the following diagnosis's does not mimic the sonographic appearance of hydatidiform mole?
Endometriosis
514The anterior pituarity gland is responsible for the production of which of the following?
FSH andLH
101 What is the etiology of complete hydatitiform mole?
Fertilization of an empty ovum with normal diploid karyotype and no embryo
474 Which of the following is a least likely cause of abdominal pain and pelvic ascites>
Fibroid uterus
77 In what portion of the fallopian tube does fertilization usually occur?
Fimbrae
375 Pain in the right upper quadrant sue to adhesions and inflammation between the liver and the diaphragm secondary to ascending pelvic infection is known as:
Fitz-Hugh-Curtis syndrome
498 Hydrosalphix may be differentiated from a multicystic ovarian mass on sonogram by:
Following the cystic spaces to ensure that they all communicate
167Which of the following is not a cause for PID and its contribution to infertility?
Genital herpes
497Endomterioma may appear sonographically similar to:
Hemorrhagic cysts
495 A 24-year-old presents for an ultrasound with a markedly elevated serumB HCG. Her sonogram demonstrates multiple small anechoic spaces about 3-5mm in the uterine cavity. What is this finding most likely to be?
Hydropic villi
492 What is the most common cause for hematocolpos?
Imperforate hymen
243 Abnormal accumulation of intraperitoneal fluid becomes trapped by adhesions in a patient with history of previous surgery is most likely caused by which of the following?
Inclusion cyst
Fitz-Hugh-Curtis Syndrome:
Inflammationof the liver capsule and diaphragm secondary to bacerial spread, from the pelvis to the RUQ. Seen with PID
488 A large fibriod uterus is seen on the ultrasound. The sonographer should scan what organ?
Kidneys (for hydronephrosis), large above 14 cm can compress distal ureter
15. A 60-year-old woman with primary adenocarcinoma of the stomach now presents with a large complex right ovarian mass and ascites. What is the most likely diagnosis:
Krukenburg's tumor