OB module 11

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What layer of the endometrium is shed during menses? -basal -serosal -parietal -functional

Functional

The fusion of these paired embryologic ducts are responsible for the formation of the uterus? -gartners -uterine -mullerian -fallopian

Mullerian

A 55 year old postmenopausal female on hormone replacement therapy presents with pelvic pain. The sonographer notes an endometrial thickness of 4.5 mm. This measurement is considered? -within normal limits -abnormally thick -abnormally thin -indeterminate, as it depends on which hormones the patient is taking

Within normal limits

Which of the following best describes the location of the ovaries? -retroperitoneal and adjacent to the pelvic brim -within the true pelvis, anterior to the internal iliac artery -within the true pelvis, posterior to the internal iliac artery -intraperitoneal, within the false pelvis, and anterior to the common iliac artery

Within the true pelvis anterior to the internal iliac artery

Which of the following demonstrates the lowest uterine artery resistance doppler waveform? -postmenopausal uterus -uterus during menstruation -uterus immediately after ovulation -pregnant uterus

pregnant uterus

Which of the following best describes the dual blood supply to the ovaries? -the ovarian artery which originates from the aorta, and the ovarian branch of the uterine artery -the ovarian artery which originates from the internal iliac artery, and the gonadal branch from the spiral arteries -the internal and external ovarian arteries, which branch off of the internal iliac artery -the ovarian artery which branches off of the common iliac artery, and the gonadal artery which branches off of the aorta

the ovarian artery which originates from the AO, an the ovarian branch of the uterine artery

What is considered a normal average ovarian volume in a menstrual age female? -1cm^3-5cm^3 -5cm^3-10cm^3 -10cm^3-20cm^3 -20cm^3-30cm^3

10cm^3 - 20cm^3

What is the normal length of the uterus in a nulliparous, menstrual age female? -1cm-3cm -3cm-5cm -6cm-8cm -9cm-10cm

6-8cm

What is the normal thickness of the endo in the secretory phase? -1mm-4mm -4mm-6mm -6mm-8mm -8mm-14mm

8-14mm

The longest portion of the fallopian tube is the?. -isthmus -ampulla -interstitial -infundibulum

Ampulla

What is the most common position of the uterus? -anteverted -retroverted -levoverted -dextroverted

Anteverted

Which of the following best describes the inner mucosal layer of the uterus? -serosa -myometrium -endometrium -perimetrium

Endometrium

Which muscle group is located anterior and lateral within the false pelvis? -levator ani -iliopsoas -piriformis -obturator -internus

Iliopsoas

The proximal portion of the fallopian tube that enters the cornea of the uterus is? -ampulla -isthmus -interstitial -infundibulum

Interstial

Which of the following is the junction of the uterine body and the cervix? -fundus -vagina -cornua -isthmus

Isthmus

A 24 year old female presents for sonographic evaluation of the pelvis to rule out a mass in the left adnexa. On the transverse images of the uterus the sonorapher notices a uterine fundus is located left of midline. Which of the following terms is used to describe this positional variant? -anteverted -retroflexed -levoverted -dextroverted

Levoverted

Which of the following ligaments help hold the uterus in its anteverted position? -round -broad -cardinal -suspensory

Round

Which of the following arteries feed the functional layer of the endometrium? -arcuate -radial -spiral -straight

Spiral

The sonogrpahic finding of the three line sign indicates which of the following? -an endometrium in the periovulatory phase -an endometrium in the post ovulatory phase -an endometrium immediately following menses -an endometrium during menses

The endometrium in periovulatory phase

Which peritoneal space is the most dependent? -space of retzius -vesicouterine pouch -anterior cul-de-sac -posterior cul-de-sac

posterior cul de sac


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