Ovarian pathology review 2

3. The most common benign ovarian tumor is the: a) Cystic teratoma b) Mucinous cystadenoma c) fibroma d) Sertoli-Leydig cell tumor

A

34. Causes of female infertility include all of the following except: a) Previous intrauterine device use b) Polycystic ovary disease c) Asherman syndrome d) Endometriosis

A

37. The sonographic "string of pearls" sign is indicative of: a) Polycystic ovary disease b) Tubo-ovarian disease c) PID d) Ovarian hyperstimulation syndrome

A

39. Ovarian hyperstimulation syndrome causes multiple large follicles develop on the ovary termed: a) Theca lutein cysts b) Chocolate cysts c) Corpus luteum cysts d) Dermoid cysts

A

10. Normal ovarian flow is said to be: a) Low resistant during menstruation and high resistant during the proliferative phase b) High resistant during menstruation and low resistant at the time of ovulation c) Low resistant d) High resistant

B

11. The malignant ovarian tumor with gastrointestinal origin is the: a) Brenner tumor b) Krukenberg tumor c) Yolk sac tumor d) Granulose cell tumor

B

13. All of the following adnexal masses may appear sonographically similar to a uterine leiomyoma except: a) Thecoma b) Paraovarian cyst c) Fibroma d) Granulose cell tumor

B

20. The ovarian cyst associated with gestational trophoblastic disease is the: a) Corpus luteum cyst b) Theca lutein cyst c) Dermoid cyst d) Paraovarian cyst

B

1. Meigs syndrome is associated with what ovarian tumor? a) Ovarian cystadenoma b) Cystic teratoma c) Fibroma d) Yolk sac tumor

C

17. Which of the following is an estrogen-producing ovarian tumor? a) Brenner tumor b) Fibroma c) Thecoma d) Endometrioma

C

9. Which of the following is the correct formula for calculating ovarian volume? a) Length X width X height X 0.6243 b) Length X width X height X 0.3899 c) Length X width X height X 0.5233 d) Ovarian volume cannot be calculated

C

40. A female patient presents to the ultrasound department with a clinical history of Clomid treatment. She is complaining of nausea, vomiting, and abdominal distension. What circumstances is most likely causing her clinical symptoms? a) Stein-levanthol syndrome b) Polycystic ovarian disease c) Fitz-hugh-curtis syndrome d) Ovarian hyperstimulation syndrome

D

43. Excessive hair growth in women in areas where hair growth is normally negligible would be seen with: a) Ectopic pregnancy b) Fitz-high-curtis-syndrome c) Asherman syndrome d) Stein-levanthol syndrome

D

5. The ovarian cyst associated with distinctly elevated levels of human chorionic gonadotropin is the: a) Corpus luteum cyst b) Paraovarian cyst c) Dermoid cyst d) Theca lutein cyst

D

42. Which of the following would be described as functional cysts that are found in the presence of elevated levels of human chorionic gonadotropin? a) Theca lutein cysts b) Chocolate cysts c) Corpus luteum cysts d) Endometrial cysts

A

6. The cystic mass commonly noted with a pregnancy is the: a) Corpus luteum b) Dermoid cyst c) Dysgerminoma d) Serous cystedoma

A

7. The dominant follicle prior to ovulation is termed the: a) Graafian follicle b) Corpus albicans c) Corpus luteum d) Medulla

A

25. Blood within the fallopian tube is termed: a) Hydrosalpinx b) Hematosalpinx c) Pyosalpinx d) Hemosalpinx

B

27. The inner of the wall of the fallopian tube is the: a) Muscular layer b) Mucosal layer c) Myometrial layer d) Serosal layer

B

30. Hysterosalpingogrpahy utilizes what substance for the visualization of the uterine cavity and fallopian tubes? a) Saline b) x-ray dye c) water d) betadine

B

36. Amenorrhea, hursutism, and obesity describe: a) Fitz-hugh-curtis syndrome b) Stein-levanthol c) Asherman syndrome d) Endometriosis

B

44. Precocious puberty is defined as the development of pubic hair, breasts, and the genitals before the age of: a) 13 b) 8 c) 5 d) 10

B

26. Hairlike projections within the fallopian tube are called: a) Interstitial b) Fimbria c) Cilia d) Peristalsis

C

33. Polycystic ovarian disease is associated with: a) Fitz-Hugh-Curtis syndrome b) Plateau syndrome c) Stein-Levanthol syndrome d) Asherman syndrome

C

35. A 25-year-old patient presents to the ultrasound department complaining of pelvic pain, dyspareunia, and oligomenorrhea. An ovarian mass, thought to be a chocolate cyst, is noted during the examination. What is the sonographic appearance of a chocolate cyst? a) Simple-appearing anechoic mass b) Echogenic mass with posterior shadowing c) Cystic mass with low-level echoes d) Anechoic mass with posterior shadowing

C

8. After the graafian follicle ruptures, the remaining structure is termed the: a) Graafian remnant b) Corpus albicans c) Corpus luteum d) Theca lutein cyst

C

12. The malignant ovarian mass that is associated with pseudomyxoma peritonei is the: a) Dysgerminoma b) Sertoli-Leydig cell tumor c) Serous cystadenocarcinoma d) Mucinous cystadenocarcinoma

D

15. Which of the following is a tumor of ectopic endometrial tissue? a) Brenner tumor b) Cystic teratoma c) Yolk sac tumor d) Endometrioma

D

19. A patient with an ovarian mass presents with an elevated serum alpha-fetoprotein. Which of the following would be the most likely? a) Ovarian fibroma b) Ovarian thecoma c) Cystic teratoma d) Yolk sac tumor

D

2. During a pelvic sonogram you visualize a small cyst located adjacent to the ovary. What is the most likely etiology of this cyst? a) Dermoid b) Ovarian cystadenoma c) Endometrioma d) Paraovarian cyst

D

22. The short and narrow segment of the fallopian tube distal to the interstitial segment is the: a) Ampulla b) Fimbria c) Infundibulum d) Isthmus

D

28. The most distal part of the fallopian tube is the: a) Cornu b) Fimbria c) Interstitial d) Infundibulum

D

29. The segment of the fallopian tube where fertilization typically occurs is the: a) Cornu b) Fimbria c) Interstitial d) Infundibulum

D

31. Stein-Levanthol syndrome is related to: a) Infertility b) Anovulatroy cycles c) Hirsutism d) All of the above

D

32. Assisted reproductive therapy can result in all of the following except: a) Heterotopic pregnancy b) Multiple gestations c) Ovarian hyperstimulation syndrome d) Asherman syndrome

D

21. Pus within the fallopian tube is termed: a) Hematosalpinx b) Pyosalpinx c) Hydrosalpinx d) Hemosalpinx

B

24. The longest and most tortuous segment of the fallopian tube is the: a) Fimbria b) Ampulla c) Isthmus d) Interstitial

B

16. A 24-year-old female patient presents to the emergency department with severe left lower quadrant pain, nausea, and vomiting. The sonographic examination reveals an enlarged ovary with no detectable Doppler signal. What is the most likely diagnosis? a) Ovarian cystadenocarcinoma b) Cystic teratoma c) Ovarian torsion d) Endometriosis

C

38. Sonographic findings of ovarian hyperstimulation syndrome include all of the following except: a) Cystic enlargement of the ovaries b) Ascites c) Pleural effusions d) Oligouria

D

14. The ovarian tumor associated with an elevated serum lactate dehydrogenase is the: a) Dysgerminoma b) Sertoli-leydig cell tumor c) Androblastoma d) Mucinous cystadenocarcinoma

A

18. A 55-year-old patient presents to the ultrasound department with a history of pelvic pressure, abdominal swelling, and abdominal uterine bleeding. A pelvic sonogram, reveals a large, multiloculated cystic mass with papillary projections. What is the most likely diagnosis? a) Serous cystadenocarcinoma b) Cystic teratoma c) Androblastoma d) Dysgerminoma

A

23. The finger-like extensions of the fallopian tubes are called: a) Fimbria b) Infundibulum c) Cilia d) Ampulla

A

4. The ovarian mass that contains fat, sebum, and teeth is: a) Cystic teratoma b) Fibroma c) Mucinous cystadenoma d) Yolk sac tumor

A

41. Patients with ovarian hyperstimulation syndrome are at increased risk for: a) Ovarian torsion b) Chlamydia c) Gonorrhea d) Vaginitis

A