OBGYN Ch. 44 Test Review

6. The most common adnexal mass found during early pregnancy is which one of the following cysts? a. Corpus luteal b. Theca-lutein c. Follicular d. Paraovarian

a. Corpus luteal

18. the Ovarian carcinoma is classified into four stages. Stage llis limited to which one of following? a. Pelvis b. One ovary c. Broad ligament d. Two ovaries

a. Pelvis

25. Which if the following endocrine disorders is associated with chronic anovulation? a. Polycystic ovarian syndrome b. Endometriosis c. Ovarian hyperstimulation syndrome d. Theca-luetien cysts

a. Polycystic ovarian syndrome

15. In PCOS, the ovaries have which one of the following shapes? a. Rounded b. Irregular c. Elongated d. Smooth

a. Rounded

17. A specific diagnosis of a paraovarian cyst is possible only by: a. Intervening surgically b. Demonstrating an ipsilateral ovary separate from the cyst c. Demonstrating thin deformable walls d. Demonstrating a lack of peripheral blood flow

b. Demonstrating an ipsilateral ovary separate from the cyst

21. Functioning endometrial tissue is present outside of the uterus in which one of the following common conditions? a. Adenomyosis b. Endometriosis c. Endometritis d. Hemorrhagic cyst

b. Endometeriosis

**2. A hypo echoic mass adjacent to the ovary is most likely which of the following masses? a. Teratoma b. Endometrioma c. Paraovarian cyst d. Mucinous cystadenoma

b. Endometrioma

10. T he normal ovary exhibits which one of the following characteristic appearances? a. Heterogeneous echotexture b. Homogeneous echotexture c. Central hypoechoic medulla d. Both a heterogeneous echotexture and a central hypoechoic medulla

b. Homogeneous echotexture

9. Which one of the following pelvic organs is more commonly involved with metastatic disease? a. Uterus b. Ovaries c. Bladder d. Fallopian tubes

b. Ovaries

20. Which one of the following masses is a rare but benign ovarian neoplasm most often seen in postmenopausal women? a. Fibroma b. Thecoma c. Granulosa d. Dysgerminoma

b. Thecoma

13. An ovary is generally considered abnormal if its volume is ____ the size of the contralateral ovary a. One half b. Twice c. Three times d. One quarter

b. Twice

11. Simple ovarian cysts in postmenopausal women are not likely malignant when measuring less than centimeters (cm) a. 3 b. 4 c. 5 d. 6

c. 5

19. The most common benign tumor of the ovary is which one of the following mas ses? a. Serous cystadenoma b. Endometrioma c. Dermoid d. Mucinous cystadenoma

c. Dermoid

5. Which one of the following cysts occurs when a dominant follicle does not succeed in ovulating but remains active although immature? a. Nabothian b. Corpus luteum c. Follicular d. Paraovarian

c. Follicular

24. Which one of the following pelvic organs is more involved with metastatic disease? a. Uterus b. Fallopian tube c. Ovary d. Bladder

c. Ovary

14. Which one of the following statements about polycystic ovarian syndrome (PCOS) is false? a. PCOS includes amenorrhea. b. PCOS includes early pregnancy loss. c. PCOS occurs in the middle-to-late 30s. d. PCOS includes hirsutism.

c. PCOS occurs in the middle-to-late 30s.

12. Sonographic criteria for a simple ovarian cyst include all of the following except: a. Anechoic appearance b. Smooth walls c. Posterior shadowing d. Acoustic enhancement

c. Posterior Shadowing

4. The demoid tumor is typically associated with which one of the following ultrasound signs? a. Sandwich b. Silhouette c. Tip of the iceberg d. Mickey Mouse

c. Tip of the iceberg

16. Paraovarian cysts arise from which one of the following structures? a. Fallopian tube b. Round ligament c. Peritoneum d. Broad ligament

d. Broad ligament

3. A tumor that may mimic gas or feces in the pelvis is which of the following masses? a. Leiomyoma b. Lipoma c. Granulosa d. Dermoid

d. Dermoid

1. Theca-lutein cysts are associated with high levels of which of the following hormones? a. Estrogen b. Progesterone c. Luteinizing hormone d. Human chorionic gondotropin (HCG)

d. HCG

22. Th e partial or complete rotation of the ovarian pedicle on its axis is defined as which one of the following? a. Hemorrhagic cyst b. Endometrioma c. Paraovarian cyst d. Ovarian torsion

d. Ovarian torsion

23. Which one of the following statements about ovarian torsion is false? a. Ovarian torsion is usually associated with a mass. b. Torsion frequently involves the ovary and the fallopian tube. c. The ovary appears enlarged. d. The left ovary is three times more likely to develop torsion than the right.

d. The left ovary is three times more likely to develop torsion than the right.

7. A mucinous cystadenoma is all of the following except: a. Large cystic mass with multilocular cystic spaces b. Unilateral c. Most common cystic tumor d. Thick with irregular walls and septations

d. Thick with irregular walls and septations

8. Mucinous cystadenocarcinoma most frequently occurs in women over the age of___ years a. 20 b. 30 С. 40 d. 50

С. 40