OB/GYN TEST 4

Dysgerminoma

A 19 year old patient enters your department due to abnormal lab values, increased AFP. While scanning you notice a hypoechoic solid mass. Based on the sonographic findings, which of the following do you suspect?

Peritoneal Inclusion Cysts

A 21 year old female reports to your ultrasound a history of PID, gravida 1 para 0, This image was taken midline transvaginally. Based on her history and department for a routine pelvic ultrasound due to pelvic pain. While taking her history she states she has image, which do you suspect?

A Tubo-Ovarian abscess

A 24 year old woman has fever, vaginal discharge, and intense pelvic pain. Trandabdominal and transvaginal images demonstrate a complex, multiloculated irregular mass in the pouch of Douglas. This Clinical presentation most likely represents which one of the following?

Endometrioma

A 25 year old woman complains of painful menstrual cycles and infertility. Transabdominal and transvaginal images demonstrate a hypoechoic well-defined adnexal mass containing homogeneous. low level echoes. Normal ovaries are seen bilaterally. This sonographic appearance most likely represents which one of the following?

Dermoid

A fumor may mimic gas or feces in the pelvis are which one of the following masses?

D. thick with irregular walls and septations

A mucinous cystadenoma is all of the following except: A. A large cystic mass with multilocular cystic spaces B. Unilateral C. The most common cystic tumor D. Thick with irregular walls and septations

Sertolil-Leydig Tumor

A patient presents to the ultrasound department for a routine ultrasound. She has a history of elevated androgen lab values. While scanning you notice an echogenic, solid mass. Which of the following ovarian neoplasms may the sonogrpaher suspect?

Demonstrating an ipsilateral ovary separate from the cyst

A specific diagnosis of a paraovarian cyst is possible only by:

Dermoid

A tumor that may mimic gas or feces in the pelvis is which one of the following masses

C. More common in perimenopausal patients

All of the following are true regarding ovarian torsion except: A. Patient may present with acute unilateral pain, nausea, and vomiting B. Pre-existing ovarian cysts increase the risk of developing torsion C. More common in perimenopausal patients D. Typically seen as an enlarged ovary with absent color and spectral Doppler flow

C. No septations; simple cystic sonographic appearance

All of the following statements regarding mucinous tumors are true except: A. When ruptured, fill the peritoneal cavity with pseudomyoma peritoneal B. Can be either benign or malignant C. No septations; simple cystic sonographic appearance D. All of the above are true

B.Androblastoma

All of the following tumors produce estrogen except: a. Granulosa Cell Tumor B. Androblastoma C. Thecoma D. All of the above produce estrogen

Twice

An ovary is generally considered abnormal if its volume is atleast ________ the size of the contralateral ovary.

CA-125

Biological tumor marker that is elevated in the blood of most women with ovarian cancer:

D. Enlarged uterus

Clinical signs of Stein-Leventhal syndrome are all of the following except: a. Infertility b. Obesity C. Amenorrhea d. Hirsutism e. Enlarged uterus

Rounded

In PCOS, the ovaries have which one of the following shapes?

PCOS

Increased production of LH than FSH is a result of what condition?

GI

Krukenberg tumor is a specific type of ovarian cancer that arises from the

False

Meig's syndrome is the association of ascites and pelvic effusions with a fibrous ovarian fumor

Multiparity

Of the following clinical signs, which is not associated with endometriosis?

arcuate vessels

Prominent anechoic structures near the periphery of the uterus most likely represent:

Posterior shadowing

Sonographic criteria for a simple ovarian cyst include all of the following except:

Endometritis

Stage I of PID will include which of the following:

Dysuria, Dysmenorrhea, Dyspareunia, Dyschezia

The 4 "D's" of endometriosis are:

Corpus luteal

The most common adnexal mass found during early pregngncy is which one of the following cysts ?

False

Theca-lutein cysts are associated with high levels of estrogen.

Human chorionic gonadotropin (hCG)

Theco-lutein cysts are associated with high levels of which one of the following hormones?

Tip of the iceberg

Thế dermoid tumor is typically associated with which one of the following ultrasound signs?

Arcuate

What artery feeds the outer periphery of the uterus?

Low resistance

When dopplering ovaries, you will narmally see a ________ waveform.

Dysgerminoma

Which of the following is homologous to testicular seminomas?

Dysgerminoma

Which of the following is most commonly seen in pregnancy?

A. Thinly septated

Which of the following is not a typical characteristic of a malignant neoplasm? a. Thinly septated b. Irregular borders c. Solid elements d. Mural Nodules

Functional Ovarian Cysts

Which of the following is the most common cause of ovarian enlargement in young womene

Ovarian torsion

Which of the following is the most common complication with a benign cystic teratoma?

Benign Cystic Teratoma

Which of the following is the most common germ cell tumor of the ovary?

C. Adenocarcinoma is the most common histological finding

Which of the following is true regarding fallopian tube carcinoma: a Occurs most frequently in the proximal end of the fallopian tube b. Commonly seen in premenopausal women C. Adenocarcinoma is the most common histological finding D. Sonographically appears as a sausage-shaped, cystic mass with no internal echoes

Endodermal Sinus Tumor

Which of the following ovarian neplasms will have an increased level of serum alpha-fetoprotein?

Theca-Lutein Cysts

Which of the following ovarian pathologies will always be bilateral?

Stage III

Which of the following stages of endometriosis is associated with ovarian involvement?

Follicular

Which one of the following cysts oCcurs when a dominant follicle does not succeed in ovulating, but remains active although immature?

Polycystic ovarian syndrome

Which one of the following endocrine disorders is associated with chronic anovulation?

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

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

Cystic lesion with well-defined borders

While scanning a 34 year old patient you notice this lesion in the right adnexa, Which of the following best describes its sonographic appearance?

Ovarian Carcinoma

While scanning a 45 year old woman with a history of breast cancer and partial hysterectomy you make note of a complex lesion in the left adnexa measuring 10.2 cm. No normal left ovary can be identified, right ovary appears normal, Which of the following should you consider?

Ovarian Hyperstimulation Syndrome

While scanning a patient is receiving infertility medication to induce ovulation monthly, you notice bilateral enlarged ovaries and severe pain. Which of the following do you suspect?

Meig's syndrome

___________ is the association of ascites and pleural effusion with a fibrous ovarian tumor.

Thecoma

which one of the following masses is g rare but benign ovarian neoplasm most often seen in postmenopausal women?

Superiorly

Following a hysterectomy, ovaries may migrate: