chapter 17 questions Uterus and Vagina

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

8

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:

Gartner duct cyst

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

adenomyosis

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

amenorrhea

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

anteflexion

all of the following are sonographic findings consistent with adenomyosis except:

complex adnexal mass

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

hydrocolpos

Anechoic fluid noted distending the uterus and cervix within a pediatric patient is termed

hydrometrocolpos

which of the following would be most indicative of a leiomyosacroma?

rapid growth

pseudoprecocious puberty may be associated with all of the following except:

brain tumor

The location of a fibroid within the myometrium is termed:

intramural

the outer layer of the endometrium is the:

basal layer

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

The recesses of the vagina are the:

fornices

the superior portion of the cervix is the:

internal os

what section of the uterine 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

all of the following are clinical findings associated with leiomyoma except:

myometrial cysts

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

external os

which of the following would be considered the more common uterine anomaly?

septate uterus

the largest part of the uterus is the:

corpus

leiomyomas that project from a stalk are termed:

pedunculated

leiomyosarcoma of the uterus denotes:

The malignant counterpart of a fibroid

Normal position of the uterus is:

anteverted

The area of attachment of the fallopian tubes within the uterus is the

cornua

the inner mucosal lining of the uterus is the:

endometrium

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

fundus

absence of a menstruation is referred to as:

amenorrhea

difficult or painful intercourse is referred to as:

dyspareunia

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?

hematocolpos

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?

myometrial cysts with enlargement of the posterior uterine wall

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:

nabothian cyst

what leiomyoma location would have an increased risk to undergo torsion?

pedunculated

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

septate uterus

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

uterus didelphys

the rigid region of the uterus located between the vagina and the isthmus is the:

cervix


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