OB/GYN

The dominant follicle normally reaches a maximum diameter of ___ just prior to ovulation. a) 2.5 cm b) 2.5 mm c) 2.0 mm d) 1.5 cm

a) 2.5 cm

Which of the following sets of measurements would correspond with a nulliparous premenopausal uterus? a) 7 x 5 x 4 cm b) 10 x 6 x 4 cm c) 6 x.3 x 2 cm d) 3 x 2 x 1 cm

a) 7 x 5 x 4 cm

A bicornuate uterus is caused by an improper fusion of the a) Mulleria ducts b) Wolffian ducts c) Nabothian ducts d) Gartner's ducts

a) Mulleria ducts

The most common place for normal egg fertilization to occur is within which of the following fallopian tube segments? a) ampulla b) infundibulum c) isthmus d) interstitial

a) ampulla

A uterine body/fundus that is tilted anteriorly with a slight ankle to the cervix is described by which of the following term? a) anteverted b) retroflexed c) retroverted d) anteflexed

a) anteverted

Which of the following structures is not located in the true pelvis? a) bowel b) ovaries c) bladder d) uterus

a) bowel

All of the following describe the ovarian cortex, expect : a) can be measured by locating the border with medullary tissue and measuring the thickness from the central ovary to the outer edge b) varies in thickness according to the age of the individual c) functional tissue of the ovary d) composed of 1000s of oocytes embedded in connective tissue

a) can be measured by locating the border with medullary tissue and measuring the thickness from the central ovary to the outer edge

If fertilization does not occur after ovulation, the corpus luteum becomes: a) corpus albicans b) hemorrhagic c) a Graafian follicle d) larger

a) corpus albicans

Which of the following describes the PW doppler tracing obtained from the tissues surrounding the dominant follicle? a) high velocity, low resistance flow b) low velocity, high resistance c) high velocity systolic flow with diastolic flow reversal d) low velocity systolic flow with diastolic flow reversal

a) high velocity, low resistance flow

Gonadotropin Releasing Hormone ( GRH) is produced by the: a) hypothalamus b) pituitary gland c) ovary d) uterus

a) hypothalamus

The pituitary gland produces which of the following? a) luteinizing hormone and follicle stimulating hormone b) luteinizing hormone and estradiol c) outlining hormone and estrogen d) follicle stimulating hormone and estrogen

a) luteinizing hormone and follicle stimulating

Congenial uterine anomalies can be caused by improper fusion of the ____. a) mullerian ducts b) gartner ducts c) mucked ducts d) Nabothian ducts

a) mullerian ducts

Which of the following terms refers to a patient that has delivered three children? a) multiparous b) nulligravida c) multigravida d) nulliparous

a) multiparous

The lower uterine segment is only identified in: a) pregnant females b) prepubertal females c) postmenopausal females d) premenopausal females

a) pregnant females

Which of the following patient types has a uterus that is described as having a uterine body half the size of the cervix? a) prepubertal b) premenopausal nulliparous c) postmenopausl d) premenopausal multiparous

a) prepubertal

Grand multiparity is defined as: a) woman who has already delivered five or more infants who have achieved a gestational age of 24 weeks or more b) woman who has already delivered seven or more infants who achieved a gestational age of 24 weeks of more c) woman who has already delivered seven or more infants who have achieved a gestational age of 36 weeks or more d) woman who has already delivered five or more infants who have achieved a gestational age of 36 weeks or more

a) woman who has already delivered five or more infants who have achieved a gestational age of 24 weeks or more

Ovulation normally occurs on which day of the menstrual cycle? a) 7 b) 14 c) 21 d) 28

b) 14

The secretory phase occurs during days____ in the menstrual cycle. a) 1-7 b) 15-28 c) 1-14 d) 7- 21

b) 15- 28

A 27 year old non- gravid patient presents with a history of G4P2112. How many term deliveries has she had? a) 1 b) 2 c) 4 s) 8

b) 2

5) Which of the following best describes the doppler waveform obtained from the uterine artery of a nulligravida uterus? a) High resistance, low velocity b) High resistance, high velocity c) Low resistance, low velocity d) Low resistance, high velocity

b) High resistance, high velocity

6) which pelvic space is located anterior to the bladder and called the retropubic space? a) Vesicouterine pouch b) Space of retzius c) Pouch of douglas d) Anterior cul-de-sac

b) Space of retzius

The uterine artery is a branch of the : a) external iliac artery b) hypogastric artery c) gonadal artery d) aorta

b) hypogastric artery

Which of the following structure is normally located lateral to the ovary? a) levator ani muscle b) iliopsoas muscle c) uterine cornua d) arcuate arteries

b) iliopsoas muscle

Which of the following is false regarding the internal iliac artery? a) it courses posterior to the ovary b) it supplies all of the arterial blood to the uterus and ovaries c) it is also called the hypogastric artery d) it normally courses anterior lateral to the internal iliac vein

b) it supplies all of the arterial blood to the uterus and ovaries

The left ovarian vein empties into: a) anterior inferior vena cava b) left renal vein c) posterior inferior vena cava d) left internal iliac vein

b) left renal vein

While evaluating the vaginal cuff in a transverse plane, you notice a flat muscle extending laterally on both sides of the cuff. What muscle is this? a) obturator internus b) levator ani c) piriformis d) psoas muscle

b) levator ani

Which uterine wall layer is composed of muscle and is involved in fetal delivery? a) serosa b) myometrium c) perimetrium d) endometrium

b) myometrium

Decreasing levels of ____ cause the onset of menses. a) estrogen b) progesterone c) bhCG d) oxytocin

b) progesterone

Which of the following muscles is located in the greater pelvis? a) levator ani b) rectus abdominis c) piriformis d) coccyges

b) rectus abdominis

Which of the following is not true regarding the broad ligament? a) becomes visible sonographically when fluid is present in the pelvis b) rigid structure that firmly holds the uterus in position in the pelvic cavity c) not a true ligament d) envelops the fallopian tubes

b) rigid structure that firmly holds the uterus in position in the pelvic cavity

Which of the following best describes the sonographic appearance of the endometrium in the secretory phase? a) thin hypoechoic line b) thick and hyperechoic c) thin echogenic line d) thick and hypoechoic centrally

b) thick and hyperechoic

Which of the following best describes the sonographic appearance of a patient in day 8 of their menstrual cycle? a) thick and hypoechoic centrally b) thin echogenic line c) thick and hyper echoic d) thin hypoechoic line

b) thin echogenic line

Which of the following early embryologic structures produce progesterone? a) zygote b) trophoblastic cells c) blastocyst d) morula

b) trophoblastic cells

As a non- gravid patient ages, the resistive index for the uterine artery moves closer to: a) 0 b) 0.5 c) 1.0 d) the resistive indie is not used to evaluate the uterine artery

c) 1.0

Non- dominant follicles normally do not exceed: a) 5 mm b) 8 mm c) 11 mm d) 15 mm

c) 11mm

The corpus in a multiparous uterus is usually at least ____ the cervix. a) 2 times the width of b) the same length as c) 2 times the length of d) 3 times the length of

c) 2 times the length of

The normal menstrual cycle lasts a) 14 days b) 21 days c) 28 days d) 33 days

c) 28 days

7) What causes ovulation? a) Surge of estrogen b) Surge of follicle stimulating hormone c) Surge of luteinizing hormone d) Surge of progesterone

c) Surge of luteinizing hormone

Which of the following carries blood to the uterine arteries? a) common femoral artery b) posterior branch of the internal iliac artery c) anterior branch of the internal iliac artery d) external iliac artery

c) anterior branch of the internal iliac artery

Which hormone stimulates the cervix to produce mucous just prior to ovulation? a) oxytocin b) progesterone c) estrogen d) bhCG

c) estrogen

Which of the following is responsible for stimulating the contraction of the Fallopian tubes to propel the egg toward the uterine cavity? a) progesterone b) prolactin c) estrogen d) AFP

c) estrogen

Which of the following refers to the endometrial layer that is sloughed off during menstruation? a) straight layer b) spiral layer c) functionalis layer d) basalts layer

c) functionalis layer

Which of the following plays a part in the menstrual cycle? a) pineal gland b) choroid plexus c) hypothalamus d) adrenal gland

c) hypothalamus

If the cervix is midline and the uterine body is flexed to the left, this is called: a) dexotroposition b) levoposition c) levoflexion d) dextroflexion

c) levoflexion

Which of the following terms refers to a patient that is pregnant with their first child? a) multigravida b) nulligravida c) primigravida d) nulliparous

c) primigravida

Which arteries course through the myometrium? a) centripetal arteries b) straight arteries c) radial arteries d) spiral arteries

c) radial arteries

The uterus is anterior to the ____. a) bladder b) obturator internus muscle c) rectum d) rectus abdominis muscle

c) rectum

All of the following are located posterior to the ovary, expect? a) internal iliac artery b) internal iliac vein c) rectus abdominis muscle d) ureter

c) rectus abdominis muscle

Which arteries supply the functionalis layer of the endometrium? a) interlobular b) arcuate c) spiral d) straight

c) spiral

Which of the following best describes the sonographic appearance of a patient in day 20 of their menstrual cycle? a) thick and hypoechoic centrally b) thin hypoechoic line c) thick and hyperechoic d) thin echogenic line

c) thick and hyperechoic

Which of the following best describes the sonographic appearance of the endometrium in the late proliferative phase? a) thin hypoechoic line b) thin echogenic line c) thick and more hypoechoic centrally d) thick and hyperechoic

c) thick and more hypoechoic centrally

Ovarian follicles grow at a rate of ____ prior to ovulation. a) 2-3 mm per week b) 5-7 mm per week c) 5-7 mm per week d) 2-3 mm per day

d) 2-3 mm per day

Fibroid growth is stimulated by which of the following hormones? a) FSH b) TSH c) Progesterone d) Estrogen

d) Estrogen

What is Graffian follicle? a) endometrioma b) serous cystadenoma c) corpus luteal cyst d) dominant follicle

d) dominant follicle

Which two muscles form the pelvic diaphragm? a) piriformis and levator ani b) levator ani and obturator internus c) obturator internus and coccygeus d) levator ani and coccygeus

d) levator ani and coccygeus

Which of the following terms refers to the pain associated with ovulation? a) menorrhagia b) dyspareunia c) amenorrhea d) mittelschemerz

d) mittelschemerz

Which of the following terms refers to a patient that is pregnant with their third child? a) nulliparous b) multiparous c) nulligravida d) multigravida

d) multigravida

Which pelvic muscles form the lateral pelvic walls? a) psoas muscle b) levator ani c) piriformis d) obturator internus

d) obturator internus

A dominant follicle is not an expected finding in which of the following patients? a) patient using Clomid injections b) patient in the late proliferative phase of the menstrual cycle c) patient using hCG injections d) patient using depo provera injection

d) patient using depo provera injection

Luteinizing hormone is produced by the: a) ovary b) pancreas c) hypothalamus d) pituitary gland

d) pituitary gland

Which of the following patient types has a uterus described as a cervix and corpus of equal length? a) prepubertal b) premenopausal multiparous c) postmenopausal d) premenopausal nulliparous

d) premenopausal nulliparous

_____ stimulates the endometrial proliferation in the secretory phase. a) oxytocin b) estrogen c) estradiol d) progesterone

d) progesterone

Which of the following structures is anterior to the ovary? a) iliac artery b) ureter c) iliopsoas muscle d) rectus abdominis muscle

d) rectus abdominis muscle

A uterine body/fundus that is tilted posteriorly with a sharp angle to the cervix is described by which of the following terms? a) anteverted b) retroverted c) anteflexed d) retroflexed

d) retroflexed

Which of the following best describes the sonographic appearance of the endometrium in the early proliferative phase? a) thin hypoechoic line b) thick and hypoechoic centrally c)thick and hyperechoic d) thin echogenic line

d) thin echogenic line

Which of the following is NOT a reason for using oral contraceptives? a) to reduce menstrual symptoms b) to treat PCOD c) to reduce symptoms of endometriosis d) to promote the release of multiple ovum

d) to promote the release of multiple ovum

Which uterine wall layer is composed of fibrous connective tissue? a) endometrium b) perimetrium c) myometrium d) spiral arterial bed

perimetrium