318 Uterine Pathology Exam 1

An asymptomatic 65-year old patient presents to the ultrasound department with pelvic pain but no vaginal bleeding. Her endometrial thickness should not exceed: a. 6 mm b. 8 mm c. 5 mm d. 3 mm

8 mm

A change in menstrual bleeding associated with lesions within the uterus relates to: a. Dysfunctional uterine bleeding b. Abnormal uterine bleeding c. PID d. Fibroids

Abnormal uterine bleeding

Ectopic endometrial tissue within the uterus that leads to abnormal uterine bleeding is termed: a. Endometriosis b. Adenomyosis c. Fibroids d. Endometrial hyperplasia

Adenomyosis

The absence of menstrual bleeding is termed: a. Amenorrhea b. Dysmenorrheal c. Oligomenorrhea d. Polymenorrhea

Amenorrhea

Causes of postmenopausal bleeding include all of the following except: a. Asherman syndrome b. Endometrial atrophy c. Endometrial hyperplasia d. Intracavitary fibroids

Asherman syndrome

The development of adhesions within the uterine cavity is termed: a. Fitz-Hugh-curtis syndrome b. Dandy walker syndrome c. Stein levanthal syndrome d. Asherman syndrome

Asherman syndrome

The best description for endometrial polyp is: a. Malignant nodules that cause bleeding b. Benign lesions associated with cervical stenosis c. Malignant nodules that are associated with endometrial atrophy d. Benign nodules of hyperplastic endometrial tissue

Benign nodules of hyperplastic endometrial tissue

____ can be used as a tumor marker for endometrial carcinoma. a. CR-124 b. CE-125 c. CA-125 d. CA-45

CA-125

The most common cause of PID is: a. IUD use b. Postabortion c. Ruptured appendix d. Chlamydia

Chlamydia

Fitz-Hugh-Curtis syndrome is describes as: a. Clinical findings of GB disease as a result of PID b. The presence of uterine fibroids and adenomyosis in the gravid uterus c. Co-existing intrauterine and extrauterine pregnancies d. The presence of pyosalpinx, hydrosalpinx, and endometritis

Clinical findings of GB disease as a result of PID

All of the following are sonographic findings consistent with adenomyosis except: a. Diffuse, enlarged uterus b. Myometrial cysts c. Hypoechoic areas adjacent to the endometrium d. Complex adnexal mass

Complex adnexal mass

Endometrial polyps are associated with all of the following except: a. Intermenstrual bleeding b. Tamoxifen therapy c. Prolapsed through the cervix d. Coronary heart disease

Coronary heart disease

The removal of tissue from the endometrium by scraping is termed: a. Dilatation b. Curettage c. Sonohysterography d. Hysteroscopy

Curettage

Tamoxifen effects on the endometrium will sonographically appear as: a. Cystic changes within a thickened endometrium b. Cystic areas within a thin endometrium c. Thin endometrium d. No apparent effect on endometrial thickness or appearance

Cystic changes within a thickened endometrium

The sonographic findings of an endometrial polyp include: a. Diffuse thickening of the endometrium b. Menometrorrhagia c. Intermenstrual bleeding d. Infertility

Diffuse thickening of the endometrium

Painful and difficult menstruation is termed: a. Menorrhagia b. Dysmenorrhea c. Metrorrhagia d. Amenorrhea

Dysmenorrhea

The most common cause of postmenopausal bleeding is: a. Endometrial CA b. Endometrial atrophy c. Endometrial leiomyoma d. Cervical CA

Endometrial CA

The most common female genital tract malignancy is: a. Ovarian CA b. Cervical CA c. Endometrial CA d. PID

Endometrial CA

Unopposed estrogen therapy has been shown to increase the risk for developing: a. Alzheimer disease b. Colon CA c. Coronary heart disease d. Endometrial CA

Endometrial CA

Asherman syndrome is associated with: a. Uterine leiomyoma b. Endometrial polyps c. Endometrial adhesions d. Ovarian fibroma

Endometrial adhesions

A 60 year old patient presents to the emergency department with sudden onset of vaginal bleeding. The sonographic examination reveals an endometrium that measure 4 mm. There are no other significant sonographic findings. What is the most likely diagnosis? a. Endometrial atrophy b. Endometrial CA c. Endometrial polyp d. Cervical stenosis

Endometrial atrophy

A 68 year old patient presents to the ultrasound department complaining of vaginal bleeding. The most likely cause of her bleeding is: a. Endometrial CA b. Endometrial polyps c. Endometrial atrophy d. Endometrial fibroids

Endometrial atrophy

Endometrial hyperplasia may be caused by all of the following except: a. Hormone replacement therapy (HRT) b. Estrogen replacement therapy c. Endometrial atrophy d. Tamoxifen

Endometrial atrophy

An increase in the number of endometrial cells is termed: a. Endometrial hyperplasia b. Endometrial atrophy c. Endometrial CA d. Polyps

Endometrial hyperplasia

Tamoxifen has been linked with all of the following except: a. Endometrial polyps b. Endometrial hyperplasia c. Endometrial leiomyoma d. Endometrial CA

Endometrial leiomyoma

A 34 year old patient presents to the ultrasound department for an EV ultrasound complaining of intermenstrual bleeding. The sonographic findings include a focal irregularity and enlargement of an area of the endometrium. The most likely diagnosis is: a. Endometrial polyp b. Endometrial CA c. Endometrial atrophy d. Intramural leiomyoma

Endometrial polyp

The presence of functional, ectopic endometrial tissue outside of the uterus is termed: a. Adenomyosis b. Asherman syndrome c. Fitz-Hugh-Curtis syndrome d. Endometriosis

Endometriosis

The development of adhesions between the liver and diaphragm as a result of PID is termed: a. Fitz -Hugh-Curtis syndrome b. Dandy-walker syndrome c. Stein-leventhal syndrome d. Asherman syndrome

Fitz -Hugh-Curtis syndrome

A 24-year old female patient presents to the ultrasound department for a pelvic sonogram with an indication of pelvic pain. Upon ultrasound interrogation, the sonographer notes an anechoic mass within the vagina. The mass most likely represents a: a. Nabothian cyst b. Gartner duct cyst c. Dandy-walker cyst d. Ovarian cyst

Gartner duct cyst

Blood accumulation within the uterus is termed: a. Hematometra b. Hydrometra c. Asherman syndrome d. Endometrial CA

Hematometra

A simple fluid accumulation within the vagina secondary to an imperforate hymen is: a. Hydrometrocolpos b. Hydrocolpos c. Hematometra d. Hematocolpos

Hydrocolpos

Anechoic fluid noted distending the uterus and cervix within a pediatric patient is termed a. Hydrocolpos b. Hydrometrocolpos c. Hydrometra d. Hematometrocolpos

Hydrometrocolpos

The sonographic findings of tubular, anechoic structure within the adnexa are consistent with: a. Dyspareunia b. Hematosalpinx c. Hydrosalpinx d. Endometritis

Hydrosalpinx

_____________ is a gynecologic procedure to remove an endometrial polyp. a. Hysterectomy with myomectomy b. Histogram with myomectomy c. Hysteroscopy with polypectomy d. Hysteroscopy with polyp myectomy

Hysteroscopy with polypectomy

The location of a fibroid with the myometrium is termed: a. Submucosal b. intracavitary c. Subserodal d. Intramural

Intramural

Cessation of menstruation with advanced age is termed: a. Asherman disease b. Premenopausal syndrome c. Perimenopausal syndrome d. Menopause

Menopause

Heavy and prolonged menstrual flow is termed: a. Menometrorrhagia b. Menarche c. Menorrhagia d. Dysmenorrhea

Menorrhagia

The surgical removal of a fibroid is termed: a. Hysterosonogram b. Total abdominal hysterectomy c. Myomectomy d. Uterine artery embolization

Myomectomy

All of the following are clinical findings associated with leiomyoma except: a. Myometrial cysts b. Infertility c. Palpable pelvic mass d. Menorrhagia

Myometrial cysts

A 38-year old female patient presents to the ultrasound department for a pelvic sonogram with an indication of pelvic pain. Upon ultrasound interrogation, the sonographer notes an anechoic mass within the cervix. This mass most likely represents a: a. Nabothian cyst b. Benign follicular cyst c. Dermoid cyst d. Gartner duct cyst

Nabothian cyst

PID can lead to all of the following except: a. Infertility b. PCOD c. Ectopic pregnancy d. Scar formation in the fallopian tubes

PCOD

Leukocystosis would most likely be associated with: a. Multiple degenerating fibroids b. Endometriosis c. Adenomyosis d. PID

PID

Which of the following is defines as an infection of the female genital tract that may involve the ovaries, uterus, and/or fallopian tubes? a. Pseudomyxoma peritonei b. PID c. PCOD d. Ovarian torsion

PID

All of the following statements concerning PID inflammatory disease are true except: a. PID is typically a unilateral condition b. PID can be caused by douching c. PID can lead to tubo-ovarian abscess d. Dyspareunia is a clinical finding in acute pelvic inflammatory disease

PID is typically a unilateral condition

Leiomyomas that project from a stalk are termed: a. Submucosal b. Intramural c. Subserosal d. Pedunculated

Pedunculated

The presence of pus within the uterus defines: a. Pyosalpinx b. Pyometra c. Pyocolpos d. Pyomyoma

Pyometra

The sonographic evidence of a hyperemic fallopian tube is consistent with: a. Pyosalpinx b. Hydrosalpinx c. Endometritis d. Salpingitis

Salpingitis

The breast cancer treatment drug that may alter the sonographic appearance of the endometrium is: a. Progestogen b. Estrogenate c. Tamoxifen d. CA-125

Tamoxifen

Leiomyosarcoma of the uterus denotes: a. The benign invasion of endometrial tissue into the myometrium b. The ectopic location of endometrial tissue in the adnexa c. The malignant counterpart of a fibroid d. An anechoic, simple cyst located with the cervix

The malignant counterpart of a fibroid

All of the following are tubo-ovarian abscesses except: a. The presence of 10 or more small cysts along the periphery of the ovaries b. Cul-de -sac fluid c. Thickened, irregular endometrium d. Fusion of the pelvic organs as a conglomerated mass

The presence of 10 or more small cysts along the periphery of the ovaries

All of the findings are clinical findings with endometrial hyperplasia except: a. Obesity b. PCOD c. Abnormal uterine bleeding d. Thickened endometrium

Thickened endometrium

Sonographic findings of the endometrium in a patient with a history of PID, fever, and elevated WBC count would include all of the following except: a. Ring down artifact posterior to the endometrium b. Thin, hyperechoic endometrium c. Endometrial fluid d. Thickened, irregular endometrium

Thin, hyperechoic endometrium

A patient presents to the sonography department with a fever, chills, and vaginal discharge. Sonographically, what findings would you most likely not encounter? a. Cul-de-sac fluid b. Uterine adhesions c. Dilated uterine tubes d. Ill defined uterine border

Uterine adhesions

All of the following are considered risk factors for PID except: a. IUD b. Multiple sexual partners c. Post childbirth d. Uterine leiomyoma

Uterine leiomyoma

The most common initial clinical presentation of PID is: a. Endometritis b. Tubo-ovarian abscess c. Vaginitis d. Pyosalpinx

Vaginitis

The sonographic appearance of a 59-year old woman on sequential hormone replacement therapy (HRT) is: a. Hypoechoic and thickened b. Hyperechoic and thickened c. Cystic areas within a thickened endometrium d. Variable depending upon the menstrual cycle

Variable depending upon the menstrual cycle

The invasion of endometrial tissue into the myometrium of the uterus is referred to as: a. Amenorrhea b. Adenomyosis c. Endometriosis d. Adenomyomatosis

b.Adenomyosis

Difficult or painful intercourse is referred to as: a. Dysuria b. Dysmenorrheal c. Dyspareunia d. Hydrocolpos

c. Dyspareunia