The Uterus and Vagina

which of the following is typically not a clinical complaint of women who are suffering from adenomyosis

amenorrhea

a 24 yr old female patient presents to the sonography dept 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

gartner duct cyst

a 13yr old girl presents to the sonography dept w a hx of cyclic pain, abdominal swelling, and amenorrhea. sonographically you visualize an enlarged uterus and a distended vagina that contains anechoic fluid w debris. what is the most likely diagnosis

hematocolpos

anechoic fluid noted distending the uterus and vagina w/in a pediatric patient is termed

hydrometrocolpos

all of the following are clinical finding associated with leiomyoma except

infertility palpable pelvic mass menorrhagia EXCEPT myometrial cysts

a patient presents to the sonography dept for a pelvic sonogram with a hx of adenomyosis that was diagnosed following an MRI of the pelvic. what are the most likely sonographic findings

myometrial cysts with enlargement of the posterior uterine wall

a 38yr old female patient presents to the sonography dept for a pelvic sonogram with an indication of pelvic pain. upon sonographic interrogation, the sonographer notes an anechoic mass within the cervix. this mass most likely represents a

nabothian cyst

pseudoprecocious puberty may be associated with all of the following except

ovarian tumor adrenal tumor liver tumor EXCEPT brain tumor

precocious puberty is defined as the development of pubic hair, breasts, and the genitals before the age of

8

all of the following are sonographic findings consistent with adenomyosis except

complex adnexal mass

absence of a menstruation is referred to as

amenorrhea

leiomyosarcoma of the uterus denotes

the malignant counterpart of a fibroid

the superior portion of the cervix is the

internal os

the location of a fibroid within the myometrium is termed

intramural

what section of the uterus is also referred to as the lower uterine segment

isthmus

abnormally heavy and prolonged menstrual flow between periods is termed

menometrorrhagia

the paired embryonic ducts that develop into the female urogenital tract are the

mullerian ducts

the surgical removal of a fibroid is termed

myomectomy

the normal position of the uterus is

anteverted

difficult or painful intercourse is referred to as

dyspareunia

the inferior portion of the cervix closest to the vagina is the

external os

the recesses of the vagina are the

fornicles

the layer of the endometrium that is significantly altered as a result of hormonal stimulation during the menstrual cycle is the

functional layer

the most superior and widest portion of the uterus is the

fundus

A simple fluid accumulation within the vagina secondary to an imperforate hymen is

hydrocolps

the inner mucosal lining of the uterus is the

endometrium

leiomyomas that project from a stalk are termed

pedunculated

the invasion of endometrial tissue into the myometrium of the uterus is referred to as

adenomyosis

the uterine position in which the corpus tilts forward and comes in contact with the cervix describes

anteflexion

what leiomyoma location would have an increased risk to undergo torsion

pedunculated

which if the following would be considered the more common uterine anomaly

septate uterus

congenital malformation of the uterus that results in complete duplication of the genital tract is

uterus didelphys

the area of attachment of the fallopian tubes to the uterus is the

cornua

the largest part of the uterus is the

corpus

which of the following would be most indicative of a leiomyosarcoma

rapid growth

what congenital malformation of the uterus is common and has a clear association with an increased risk for spontaneous abortion

septate uterus

which of the following fibroid locations would most likely result in abnormal uterine bleeding because of its relationship to the endometrium

submucosal

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

subserosal