GYN Questions Ch 7

105 What is the most common neoplasm of the uterus

Leiomyoma

476 Which of the following characteristics is most suspicious of malignant ascites?

Loculated fluid with loops of bowel adherent and fixed to the abdominal wall

161 The pathological condition characterized by a solid ovarian tumor, right pleural effusion, and ascites is:

Meig's syndrome

517 The onset of menses is also referred to as:

Menarche

174 Which of the following cannot be included in the category of the cystic masses in the vagina?

Nabotian cysts

494 Which of the following statements regarding leiomyoma is false?

Normally increases in size after menopause

466 Para

Number of pregnancies that have continued to viability

247 Which one of the following lubricants should not be used on latex probe covers?

Oil-based products

458 Ovulation is assume to occurs

On the 14th day of the menstrual cycle

413 The blood supply to the ovaries comes from which of the following?

Ovarian artery and uterine artery

242 Where are the ovaries normally located?

Ovarian fossa

387 Causes for abnormal vaginal bleeding do not include which one of the following?

Ovarian torsion

412 What is the most common cause for ovarian torsion?

Ovarian tumors

500 The hydatid cyst of Morgagni is:

Paramesonephric cysts

121 Congenital abnormalities of the uterus result from improper fusion of which of the following structures?

Paramesonephric ducts

499 An anechoic, smooth-walled cyst is identified in a patient who has had hysterectomy/oophorectomy. Which of the following should be included in the differential diagnosis?

Paraovarian, ovarian remnant, mesonephric, and inclusion cysts

71 What is the most commonly visualized pelvic muscle that is often mistaken for ovary?

Piriformis muscle

72 What are the 3 peritoneal spaces in the pelvic cavity?

Posterior cul de sac, anterior cul de sac, and prevesical space

416 WHich of the folliowng is an early sign /symptom of endometrial cancer?

Postmenopausal vaginal bleeding

71 What is the most dependent portion of the peritoneum called?

Pouch of Douglas

74 What are the AIUM guidelines for cleaning and preparing a transvaginal probe?

Pre clean with mild non abrasive soap and water, immerse in high level disinfecting solution, and disposable probe covers

126 Which of the following best describes endometriosis?

Presence of endometrial glands in stroma outside if the uterine cavity

414 ovaries that have been overstimulated by infertility medication are at risk for which of the following?

Producing grossly enlarged cysts and torsion. (possibly even fullness, nausea,more rarely ascites and effusion because fluid shift.)

110 In what stage of the menstrual cycle would be an ideal time to evaluate the endometrium for a polyp?

Proliferative

98 Which of the following best describes Krukenburg tumors?

Secondary to metastatic ovarian neoplasms, usually of gastric or colonic primary origin, and usually bilateral solid masses.

115 WHat are the uterine layers?

Serosal, myometrial, endometrial

100 What is another name for polycystic ovarian syndrome?

Stein-Leventhal syndrome

127 What is the most common location for a dermoid cyst?

Superior to the uterine fundus

70. What two ligaments are not true ligaments?

Suspensory and broad ligaments

81 Which of the following is not true of dysgerminoma?

That it is not malignant. (It is)

111 The date of the last menstrual period is counted from

The date when menstrual bleeding began

103 Which of the following does the term trophoblastic denote?

The extra-embryonic peripheral cells of the blastocyst

88 WHich of the following types of ovarian cyst is commonly associated with hydatiform mole?

Theca lutein cysts

99 Which of the following is not a true characteristic of serous cystadenoma?

Thick septations

124 During the secretory phase, the endometrium appears

Thickened and echogenic (days 15-28 post menstration)

123 During periovulatory phase, the endometrium appears:

Thickened and hypoechoic medially with an echogenic basal layer (days 10-14mm post menstration)

122 During the early proliferative phase, the endometrium appears:

Thin, echogenic line, 4-8mm (days 5-9 post menstration)

106 A complex adnexal mass is identified in a patient with tenderness and elevated temperature and white blood cell count (cbc). What is the most likely diagnosis?

Tubo-ovarian abscess

496 Which is the following statements about stromal tumors is false?

Types include fibromas, thecomas, and Brenner tumors.

472 Which of the following structures is most likely not seen in a postpartum pelvic sonogram?

Umbilicus

168 Which of the following is not part of the adnexa

Urinary bladder

512 Female infertility may be caused by which of the following:

Uterine synechiae, PCOS, Asherman's syndrome, and adenomyosis

69 Which uterine ligament is responsible for uterine orientation?

Uterosacral ligament

477 The abbreviation VBAC refers to:

Vaginal birth after cesarean section

107Which of the following is true of mucinous cystadenocarcinoma?

Which ruptured can result in pseudomyxoma peritonei

501 The formula for determining ovarian volume is:

d1xd2xd3x0.523

246 When a sonographic procedure is to be performed that requires a needle insertion. The sonographer should use which one of the following types of gel?

sterile gel

516 Meig's syndrome consists of all the following except:

uterine tumor

104 What is the mean diameter of a dominant follicular cyst at the time of ovulation?

20-25mm

467 Trimester

3 month period during gestation

108 The endometrial lining in postmenopasual woman NOT on hormone replacement should be less than

3mm

83What is the measurement of the normal adult ovaries?

3x2x2cm

109 The endometrial lining in postmenopausal women on hormone replacement therapy should be less than

5mm

113What percentage of patients diagnosed with hydatidiform mole will usually follow a benign course?

80%

119 What is the normal size of a multiparous uterus?

9x6x5cm

470 Which of the following components of the ultrasound system exposes a patient to greater potential risk?

A cracked transducer probe

515 When performing a spectral Doppler evaluation of the ovary during the pre-ovulatory phase, which of the following is false?

A waveform has a decreased diastolic flow

463 Nulligravida

A woman who has never been pregnant

465 Multigravida

A women who has been pregnant several times

460 Multipara

A women who has given birth 2 or more times

462 Primigravida

A women who has given birth one time to a viable infant

461 Nullipara

A women who has never given birth to a viable infant

459 Gravida

A women who is pregnant

464 Primigravida

A women who is prgenant for the first time

468Puerpartum refers to the period:

Beginning with the expulsion of the placenta

300 Adenomyosis is:

Benign penetration and growth of endometrial glands and storms into the myometrium

415 Which of the following is not a characteristic of ovarian torsion in adults?

Bilateral salpingo-oophorectomy

102 Which of the following characteristics of color Doppler energy is true?

CDE is based on the amplitude of the soundwave

23. Fluid in the endometrial cavity in a post-menopausal patient may be associated with which of the following?

Cervical stenosis

114The uterus can be divided into regions. Which of the following choices lists them from inferior to superior?

Cervix, isthmus, corpus, fundus

74 An invasive mole is also known as:

Chorioadenoma destruens

490- What is the most common congenital intrauterine viral infection?

Cytomegalovirus

87 A simple cyst may exhibit all of the following except:

DIstal acoustic shadowing is associated with a solid mass

125 Women with endometriosis may have

Dyspareunia(pain during sex), metromenorrhia, and dysmenorrhea

82Which of the following is least likely to be true of dermoid tumors?

Encountered more in women over 40

96 An ovarian mass identified on sonogram is complex, predominantly hypoechoic with septations. The patient complains of severe pain during menses. What is the most likely diagnosis.

Endometrioma

112 Which of the following diagnosis's does not mimic the sonographic appearance of hydatidiform mole?

Endometriosis

514The anterior pituarity gland is responsible for the production of which of the following?

FSH andLH

101 What is the etiology of complete hydatitiform mole?

Fertilization of an empty ovum with normal diploid karyotype and no embryo

474 Which of the following is a least likely cause of abdominal pain and pelvic ascites>

Fibroid uterus

77 In what portion of the fallopian tube does fertilization usually occur?

Fimbrae

375 Pain in the right upper quadrant sue to adhesions and inflammation between the liver and the diaphragm secondary to ascending pelvic infection is known as:

Fitz-Hugh-Curtis syndrome

498 Hydrosalphix may be differentiated from a multicystic ovarian mass on sonogram by:

Following the cystic spaces to ensure that they all communicate

167Which of the following is not a cause for PID and its contribution to infertility?

Genital herpes

497Endomterioma may appear sonographically similar to:

Hemorrhagic cysts

495 A 24-year-old presents for an ultrasound with a markedly elevated serumB HCG. Her sonogram demonstrates multiple small anechoic spaces about 3-5mm in the uterine cavity. What is this finding most likely to be?

Hydropic villi

492 What is the most common cause for hematocolpos?

Imperforate hymen

243 Abnormal accumulation of intraperitoneal fluid becomes trapped by adhesions in a patient with history of previous surgery is most likely caused by which of the following?

Inclusion cyst

Fitz-Hugh-Curtis Syndrome:

Inflammationof the liver capsule and diaphragm secondary to bacerial spread, from the pelvis to the RUQ. Seen with PID

488 A large fibriod uterus is seen on the ultrasound. The sonographer should scan what organ?

Kidneys (for hydronephrosis), large above 14 cm can compress distal ureter

15. A 60-year-old woman with primary adenocarcinoma of the stomach now presents with a large complex right ovarian mass and ascites. What is the most likely diagnosis:

Krukenburg's tumor