Gynecology 2 Quiz Questions

What days does the early proliferative phase occur?

5-9 days

Select the optimal angle of incidence to obtain a spectral tracing when using Doppler on a uterine artery

60 degrees

The image is from a 40 yo woman who presents with complaints of an enlarged, tender uterus with abnormal bleeding. She has a pregnancy history of G4P3A1. After viewing the image what is the most likely differential diagnosis for the patient, accounting for symptoms and sonographic findings?

Adenomyosis

Which of the following best describes hydrometra in the pediatric patient?

Anechoic fluid collection within the uterus

Select the etiology for PID

Ascending infection

Which is the name of the synthetic estrogen, used between 1940-1971, to aid in pregnancy maintenance. It resulted in a t-shaped uterus in female children.

Diethylstilbestrol (DES)

Females have a higher incidence of rhabdomyosarcoma by a 16:1 ratio T or F

False

Hydrosalpinx is fluid collection in a scarred or blocked cervix T or F

False

Identify the sonographic appearance of endometrium in the patient with asherman's syndrome.

Hypoechoic bridge like bands within the endometrium

Select the formula used to calculate ovarian volume

LxWxHx0.523

A 16 yo patient complains of a sudden onset of RLQ pain N/V. Her clinician palpated a large mass on the right side without rebound tenderness. THe sonographic examination revealed a large ovary with dilated vessels and fluid in the posterior cul de sac. A color doppler study revealed lack of flow in the right ovary. What is the most likely cause for this finding.

Ovarian torsion

In a newborn female, the uterus is prominent and thickened with a brightly echogenic endometrial lining caused by in-utero hormonal stimulation. T or F

True

What results in an individual with an X and O chromosome?

Turner syndrome

Which term describes the surgical removal of adhesions or scar tissue?

adhesiolysis

this term describes a rare condition in which an infant's external genitals do not appear to be clearly male or female

ambiguous genitalia

Select the term describing the increase in adrenal gland activity seen a the onset of puberty

andrenarche

Which term defines the physiologic process of growing new vessels?

angiogenesis

select the term describing the failure of a woman to ovulate

anovulation

Which term defines a vascular plexus of arteries and veins without an intervening capillary network?

arteriovenous malformations (AVM)

Where does the uterine artery anastomose with the ovarian artery?

at the uterine cornua

Which of the following is a clinical presentation of PID

cervical motion tenderness

Select the most common benign ovarian neoplasm

cystic teratoma

Identify the method that reduces image motion

decrease sector size

Which of the following finding would most likely be the result of endometriosis

discrete adnexal mass with peripheral doppler flow

Choose the definition for a blood filled ovarian cyst resulting from endometrial implants

endometrioma

Which of the following is a complication of endometriosis

endometrioma

Choose the term that describes the presence of ectopic endometrial tissue

endometriosis

Which of the following is the term of the condition when implantation of endometrial tissue is outside the uterus

endometriosis

Select the definition of a low-resistance arterial flow

high systole, high diastole

During a sonographic evaluation, this anechoic tubular structure (with some echoes within), images to the left of the uterus. What is the most likely differential finding.

hydrosalpinx

Where does a rhabdomyosarcoma develop?

in striated or skeletal muscles

select the abnormal uterine artery spectral doppler finding

lack of flow

Where should the sonographer obtain the uterine artery Doppler?

laterally at the cervical level

Which of the following is a focal area (tumor) of decreased echogenicity within the myometrium

leiomyoma

Which of the following describes spectral doppler flow found surrounding the corpus luteum cyst?

low resistance flow

Which of the following is a fluid filled mass located in or adjacent to the cervical canal?

nabothian cyst

What is the most common malignant lesion of the vagina in a pediatric patient? This often presents itself as a cluster of cysts protruding from the vagina.

rhabdomyosarcoma

Which vessel carries blood toward the uterus

uterine artery