The Ovaries and Fallopian Tubes- Ultrasound

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The longest and most tortuous segment of the fallopian tube is the:

Ampulla

The segment of the fallopian tube where fertilization typically occurs is the:

Ampulla

What would NOT increase the likelihood of an ovarian malignancy?

Anechoic components with acoustic enhancement

Hairlike projections within the fallopian tube are called:

Cilia

After the graafian follicle ruptures, the remaining structure is termed the:

Corpus luteum

The cystic mass commonly noted with a pregnancy is the:

Corpus luteum

The most common benign ovarian tumor is the:

Cystic teratoma

The ovarian mass that contains fat, sebum and teeth is the:

Dermoid

The ovarian tumor associated with an elevated serum lactate dehydrogenase is the:

Dysgerminoma

What is referred to as a chocolate cyst?

Endometrioma

Sonographically, what would be most likely confused for a pedunculated fibroid tumor because of its solid appearing structure?

Fibroma

The dominant follicle prior to ovulation is termed the:

Graafian follicle

Blood within the fallopian tube is termed:

Hematosalpinx

Normal ovarian flow is said to be:

High resistant during menstruation and low resistant at the time of ovulation

The most distal part of the fallopian tube is the:

Infundibulum

The short and narrow segment of the fallopian tube distal to the interstitial segment is the:

Isthmus

The malignant ovarian tumor with gastrointestinal origin is the:

Krukenberg tumor

What ovarian tumor will most likely have a moth-eaten appearance on sonography?

Krukenberg tumor

What is the correct formula for calculating ovarian volume?

Length X Width X Height X 0.5233

An endometrioma most likely appears as a:

Mostly cystic mass with low-level echoes

The malignant ovarian mass that is associated with pseudomyxoma peritonei is the:

Mucinous cystadenocarcinoma

The inner layer of the wall of the fallopian tube is the:

Mucosal layer

A 24-year-old female patient presents to the emergency department with severe right lower quadrant pain, nausea, and vomiting. The sonographic examination reveals an enlarged ovary with no detectable Doppler signal. What is the most likely diagnosis?

Ovarian torsion

What is associated with the "whirlpool sign"?

Ovarian torsion

During a pelvic sonogram, you visualize a small cyst located adjacent to the ovary. What is the most likely etiology of this cyst?

Paraovarian cyst

Pus within the fallopian tube is termed:

Pyosalpinx

What is the most common malignancy of the ovary?

Serous cystadenocarcinoma

What ovarian mass is associated with virilization?

Sertoli-Leydig cell tumor

The ovarian cyst associated with gestational trophoblastic disease is the:

Theca lutein cyst

A patient with an ovarian mass presents with an elevated serum AFP. What would be most likely? -Ovarian fibroma -Ovarian thecoma -Cystic teratoma -Yolk sac tumor

Yolk Sac tumor

What is a tumor of ectopic endometrial tissue?

Endometrioma

With what ovarian tumor is Meigs syndrome most likely associated with?

Fibroma

The fingerlike extensions of the fallopian tube are called:

Fimbria

What would be a predisposing condition that would increase the risk for suffering from ovarian torsion?

Ovarian mass

What substance does hysterosalpingography utilize for the visualization of the uterine cavity and fallopian tubes?

Radiographic contrast

What WOULD increase the likelihood of an ovarian malignancy?

Septation measuring >3mm in thickness Irregular borders Solid wall nodule

A 55-year-old patient presents to the sonography department with a history of pelvic pressure, abdominal swelling, and abnormal uterine bleeding. A pelvic sonogram reveals a large, multiloculated cystic mass with papillary projections. What is the most likely diagnosis?

Serous cystadenocarcinoma

The ovarian cysts that are most often bilateral and are associated with markedly elevated levels of hCG are the:

Theca lutein cysts

What is an estrogen- producing ovarian tumor?

Thecoma

What adnexal masses may appear sonographically similar to a uterine leiomyoma?

Thecoma Fibroma Granulosa cell tumor

The sonographic appearance of an ovarian dermoid tumor in which only the anterior elements of the mass can be seen, while the greater part of the mass is obscured by shadowing is consistent with:

Tip of the iceberg sign


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