Chapter 18 Review Questions Ovaries and Fallopian Tubes

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The sonographic appearance of an ovarian dermoid tumor in which only the anterior elements of the mass can be seen, while the greater part of the mass is obscured by shadowing is consistent with:

"Tip of the iceberg sign"

Which of the following sonographic findings would not increase the likelihood of and ovarian malignancy?

Anechoic components with acoustic enhancement

Hairlike projections within the Fallopian tube are called

Cilia

Sonographically, which of the following would most likely be confused for a pedunculated fibroid rumor because of its solid appearing structure? Serous cystadenoma Mucinous cystadenoma Fibroma Theca lutein cyst

Fibroma

With what ovarian tumor is Meigs syndrome most likely associated?

Fibroma

The fingerlike extensions of the Fallopian tube are called

Fimbria

The dominant follicle prior to ovulation is termed the

Graafian follicle

Normal ovarian flow is said to be

High resistant during menstruation and low resistant at the time of ovulation

The most distal part of the Fallopian tube is the

Infundibulum

The short and narrow segment of the Fallopian tube distal to the interstitial segment is the

Isthmus

What ovarian tumor will most likely have a moth-eaten appearance on sonography?

Krukenberg tumor

During a pelvic sonogram, you visualize a small cyst located adjacent to the ovary. What is the most likely etiology of this cyst?

Parovarian cyst

The longest and most tortuous segment of the Fallopian tube is the

Ampulla

After the Graafian follicle ruptures, the remaining structure is termed the

Corpus luteum

The cystic mass commonly noted with a pregnancy is the:

Corpus luteum

The most common benign ovarian tumor is the:

Cystic teratoma

Blood within the Fallopian tube is termed

Hematosalpinx

Which of the following is the correct formula for calculating ovarian volume?

Length x width x height x 0.5233

Which of the following is associated with the "whirlpool sign"?

Ovarian torsion

All of the following and exam masses may appear sonographically similar to a uterine lei onto mars EXCEPT

Parovarian cyst

What substance does hysterosalpingography utilize for the visualization of the uterine cavity and Fallopian tubes?

Radiographic contrast

A 55-year-old patient presents to the sonography department with a history of pelvic pressure, abdominal swelling, and abnormal uterine bleeding. A pelvic sonogram reveals a large, multiloculated cystic mass with papillary projections. What is the most likely diagnosis?

Serous cystadenocarcinoma

Which of the following is the most common malignancy of the ovary?

Serous cystadenocarcinoma

The ovarian cysts that are most often bilateral and are associated with markedly elevated levels of hCG are the:

Theca lutein cysts

Which of the following is an estrogen-producing ovarian tumor?

Thecoma

The segment of the Fallopian tube were fertilization typically occurs is the

Ampulla

The ovarian tumor associated with an elevated serum lactate dehydrogenase is the

Dysgerminoma

Which of the following is a tumor of ectopic endometrial tissue?

Endometrioma

Which of the following is also referred to as a chocolate cyst?

Endometrioma

What would be a predisposing condition that would increase the risk for suffering from ovarian torsion?

Ovarian Cyst

A 24 year old female patient presents to the emergency department with severe right lower quadrant pain, nausea, and vomiting. The sonographic examination reveals an enlarged ovary with no detectable Doppler signal. What is the most likely diagnosis?

Ovarian Torsion

What ovarian mass is associated with virilization?

Sertoli-Leydig cell tumor

A patient with an ovarian mass presents with an elevated serum AFP. Which of the following would be the most likely? Ovarian fibroma Ovarian thecoma Cystic teratoma Yolk sac tumor

Yolk sac tumor

The ovarian mass that contains fat, sebum, and teeth is the:

Dermoid

An endometrioma most likely appears as a:

Mostly cystic mass with low level echoes

The malignant ovarian mass that is associated with pseudomyxoma peritonei is the

Mucinous cystadenocarcinoma

The inner layer of the wall of the Fallopian tube is the

Mucosal layer

Pus within the Fallopian tube is termed

Pyosalpinx

The ovarian cyst associated with gestational trophoblastic disease is the

Theca lutein cyst

The mailignant ovarian tumor with gastrointestinal origin is the

Krukenberg tumor


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