Gyn 2 quizzes & Point

Identify the normal ovarian arterial follicular phase spectral flow velocity

.92+ + or -.08

Identify the sonographic appearance of the Myometrium in a patient with uterine dehiscence

1.5 mm lower uterine segment

How large is the main diameter of a follicular cyst at ovulation in a gonadotropin stimulated cycle

16 to 18 mm

Select the Karyotype seen with a complete more

46, XX

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

60°

Which of the following is a tumor marker for carcinomas of embryonic origin

AFP

Define hematometracolpos

Accumulation of menstrual blood in the vagina resulting from a lower vaginal obstruction or imperforate Hyman

Where does the uterine artery anastomose with the ovarian artery

Add the uterine cornua

A 40-year-old woman who is G3P3A0 presents with complaints of dysmenorrhea. Upon clinical exam, she complains of a tender uterus. Select the differential for the patient's symptoms and imaging findings

Adenomyosis

This image is from a 40-year-old woman who presents with complaints of an enlarged, tender uterus with abnormal bleeding. She has a pregnancy history of G4 P3 A1. 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 is the presence of endometrial glands within the myometrium

Adenomyosis

Which term describes the surgical removal of adhesions or scar tissue

Adhesiolysis

Select the tubal cause for infertility

Adhesions

Where should the sonographer obtained the uterine vein Doppler

Adjacent to the uterine artery

This term describes a rare condition in which an infants external genitals do not appear to be clearly male or female

Ambiguous genitalia

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

Andrenarche

Which of the following best describes hydrometra in the pediatric patient

Anechoic fluid collection within the uterus

Which term defines the physiological process of a growing new vessels

Angiogenesis

What is the term describing the failure of a woman to ovulate

Anovulation

Which term refers to the mechanism by which the uterine Septum regresses

Apoptosis

A patient presents complaining of our RLQ pain, nausea, and fever. Sonographic imaging demonstrates a complex mass with dirty shadowing, fluid in the right paracolic gutter, and a non-compressible bulls-eye structure without a blind eye. What is the most likely cause of us finding

Appendiceal abscess

Which vessel courses in the uterine periphery

Arcuate vessels

What term describes the abnormal connection between veins and arteries

Arteriovenous malformation

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

Arteriovenous malformation (AVM)

Select the etiology for PID

Ascending infection

Where does rokitansky knowledgeable develop

At the thickened dermoid cyst wall

Which ligament has the ovaries attached on the posterior portion

Broad ligament

Diethylstilbestrol not only results in uterine malformations, it also increases the risk of what cancer

Cervical

Which of the following is a clinical presentation of PID

Cervical motion tenderness

Colus

Cervix

The lack of chorionic villa is characterized what

Choriocarcinoma

What is the product of conception called that is two days after fertilization

Cleavage stage embryo

Choose the most commonly prescribed fertility medication used for ovulation induction

Clomiphene citrate

Which of the following is a qualitative Doppler method

Color Doppler

Clominiphen citrate is used in which of the following

Controlled ovarian hyperstimulation (COH)

Select the ovarian cyst that occurs in the first trimester of pregnancy

Corpus luteum

Which of the following secretes progesterone

Corpus luteum

Which of the following describes the sonographic appearance of hydrocolpos in the pediatric patient

Cystic pear shaped mass in the midline

What is the most common benign ovarian neoplasm

Cystic teratoma

What days does the secretory phase occur

Days 15 through 28

What days does the early proliferative phase occur

Days 5 through 9

Identify the method that reduces image motion

Decrease sector size

Which of the following is an indicator of an adequately filled bladder for a gynecologic exam

Delineation of the uterine fundus

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

Diethystilbestrol (DES)

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

Discrete adnexal mass with peripheral Doppler flow

Identify the malignant ovarian tumor arising from undifferentiated germ cells

Dysgerminoma

A 16-year-old presents to the department because of positive urine pregnancy test. She indicates she is not sexually active but has missed periods and has noticed an increase in abdominal girth. During the sonographic exam, a 20 cm solid mass with cystic area images outside the uterus. What is the most likely cause of this finding

Endodermal sinus tumor

Breakthrough bleeding is a symptom of what type of cancer

Endometrial

Choose the differential for sonographic findings of hematometra or hydrometra in a 60-year-old female patient

Endometrial carcinoma

Select the most common gynecological malignancy occurring in developed countries

Endometrial carcinoma

Tamoxifen therapy for breast cancer raises the risk of what

Endometrial carcinoma

Which of the following is a focal area of increased echogenicity within the endometrium

Endometrial polyps

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 for the condition when implantation of endometrial tissue is outside of the uterus

Endometriosis

Which of the following areas becomes infected with stage one PID

Endometritis

Which neoplasm is associated with heredity site-specific ovarian cancer

Epithelial ovarian cancer

Which of the following is only present in a pregnant woman

Estriol

Choose the hormone responsible for female sex characteristics

Estrogen

Which of the following is secreted from the anterior lobe of the pituitary gland

FSH

Hydrosalpinx is a fluid collection in a scarred are blocked cervix true or false

False

Androgens are female hormones produced in a small quantity by the female ovaries and adrenal gland's, with the greatest quantities occurring at the midpoint of a women's menstrual cycle true or false

False androgens are male hormones

Females have a higher incidence of rhabdosarcoma buy a 6 to 1 ratio true or false

False females do not have a higher incidence of rhabdomyosarcoma

Which of the following is a fluid filled mass located in the anterolateral wall of the vagina

Gartner duct cyst

What is the most common benign lesion of the vagina in the pediatric patient

Gartner's duct cyst

Select the term describing the loss of primordial germs cells in the embryonic gonads

Gonadal dysgenesis

Select the sonographic findings of adenomyosis

Heterogeneous myometrium

What is the definition of low resistance arterial flow

Hi systole high diastole

What is the definition of a high resistance arterial flow

High A/B ratio also called the S/D ratio

Select the abnormal ovarian artery spectral Doppler finding

High diastolic flow

Choose the definition of a genetically abnormal pregnancy that develops into a grape like mass with in the uterus

Hydatidiform mole

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

How does the fallopian tube image with chronic PID

Hydrosalpinx

Select the sonographic appearance of the fallopian tube in a patient with stage to PID

Hyperemic with a tubal structure

Identify the sonographic appearance of the endometrium in the patient with Asherman syndrome

Hypoechoic bridge like bands within the endometrium

Which of the following is a term for a radiographic imaging exam of the uterus and fallopian tube's after injection of a radiopaque material

Hysterosalpingography HSG

Which vessels provide a landmark for finding ovaries

Iliac vessels

What organ is found in the false pelvis

Ilium

Where does a rhabdomyosarcoma develop

In striated or skeletal muscles

Which type of fertilization occurs outside the body

In vitro fertilization IVF

Which of the following describes color Doppler flow found surrounding the corpus luteal cyst

Increased peripheral vascularity

Select the term for the flared trumpet like distal end of the fallopian tube

Infundibulum

Select the abnormal uterine artery spectral Doppler finding

Lack of flow

Where should the sonographer obtain the uterine artery Doppler

Laterlly at the cervical level

Select the vessel that drains directly into the left renal vein

Left ovarian vein

Hypo echogenic Wyomi trail masses with a world internal architecture describes which of the following

Leiomyoma

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

Leiomyoma

A rapid increase in a uterine mass in a post menopausal woman raises suspicion for what

Leiomyosarcoma

Which formula calculates the mean follicular diameter

Length +height+ width divided by three

What is the formula used to calculate ovarian volume

Length times with times height times 0.523

Select the normal measurement for the uterine artery in the nongravid patient

Less than 5 mm

Select the imaginary line that separates the true and false pelvis

Linea terminalis

Which of the following is a congenital condition associated with polycystic ovary's

Lipoatrophic diabetes

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

Low resistance flow

Which of the following describes the triad of pleural effusion, ascites, and an ovarian mass

Meigs syndrome

What is used to treat trophoblastic disease

Methotrexate

Which of the following releases synthetic hormones to prevent pregnancy

Mirena

A 24-year-old woman presents to the ultrasound lab complaining of first trimester bleeding. Her clinician felt the uterus was a large for dates, and due to the high-level beta hCG's, there is suspicion of a twin pregnancy. Which of the following correlates with the patient history and imaging findings

Molar pregnancy

A 45-year-old woman presents to the department with an acute onset of pain with bloating and a palpable mass. During the sonographic examination a large, multiseptate tumor with regular wall thickness images. The tumor appears fixed with large amounts of abdominal fluid. What is the most likely differential for these findings

Mucinous cystadenoma

Choose the most malignant ovarian cancer

Mucinous cystadenomadenocarcinoma

What are the paired embryonic tubes that run parallel to the Mesonephric ducts

Mullerian ducts

Which of the following describes the sonographic appearance of a serious cystadenoma

Multiloculated septated cyst with papillary projections

Select the sonographic findings of cervical cancer

Multiple cystic areas within a solid mass

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

Nabothian cyst

Identify the risk factor for developing ovarian cancer

Nulliparity

Identify we risk factor associated with endometrial carcinoma

Obesity

Which of the following term refers to a small opening especially one and the entrance into a hollow organ or canal

Ostium

What is the most common pelvic finding in the pediatric population

Ovarian cyst

What occurs in the ovarian follicular phase as FSH levels increase

Ovarian follicule maturation

Which term describes and excessive response to ovulation induction therapy

Ovarian hyperstimulation syndrome (0HSS)

A 16-year-old patient complains of sudden onset if 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 color Doppler study revealed lack of flow in the right ovary what is the most likely cause of this finding

Ovarian torsion

Choose the term that describes diffuse information of the upper genital tract

PID pelvic inflammatory disease

Which of the following is a clinical presentation of endometriosis

Painful menstruation

What is the result of ovarian vein varicosities

Pelvic congestion

Which muscle is located in the true pelvis

Piriforms

A 32-year-old patient presents to the department with a history of infertility, lack of periods, and development of hirsutism. The sonographic examination revealed bilateral large ovaries with multiple small peripheral cyst what is the most likely cause for this finding

Polycystic ovarian syndrome

This Doppler measurement uses the peak cystolith velocity minus peak diastole divided by the mean

Pulsatility index

Select the etiology for endometriosis

Retrograde menstruation

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

Identify the menstrual phase which demonstrates a 9 - 16 mm endometrium with posterior enhancement

Secretory

Which portion of the menstrual cycle does the progesterone levels increase resulting in endometrial thickening

Secretory phase

30-year-old woman presents to the department for a pelvic exam with history of Cushing's syndrome, scant to know mentis. During the sonographic a valuation, a unilateral echogenic mass images on her right ovary. What is the most likely differential

Sertoli-Laydig cell tumor

Choose the flag is stage four cancer with distant metastasis or federal involvement and liver parenchymal metastasis

Stage four

Define positive feedback loop

Steps taken to increase concentration when the level is too low

Which structure extends from the ovarian upper pole

Suspensory (infundibulopelvic) ligament

Staging of endometrial carcinoma includes which of the following

The depth of Myometrial invasion

Select the sonographic findings for a hemorrhagic ovarian cyst

Thick walled or septated cyst, homogeneous internal low-level echoes

How does ovarian cancer spread outside of the pelvis

Through lymphphatic spread

And a newborn female, the uterus is prominent and thickened with a brightly echogenic endometrial lining caused by inutero hormone stimulation true or false

True

Select the most common female cause of infertility

Tubal pathology

Which of the following is the inability to identify the ovary and tube due to infection or adhesions

Tubo ovarian complex

What results in an individual with an X and O chromosome

Turner syndrome

Where do the arcuate arteries originate

Uterine artery

Which vessel carries blood towards the uterus

Uterine artery

Metra

Uterus

Which of the following is an anomaly that results in a partial indentation of the uterus fundus with a normal endometrial cavity. This is considered a normal variant

Uterus arcutus

Which is normally results in one vagina to crevices and to uterine horns

Uterus bicornis bicollis

Which of the following is an anomaly that results in when vagina one cervix and one uterine horn

Uterus unicorns unicollis

Colpus

Vagina

Which phase of ovarian cycle correlates to ovulation and mittelschmerz

ovulatory phase