The Uterus and Vagina

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All of the following are sonographic findings are consistent with adenomyosis except

Complex adenal mass

A 13 year old girl presents to the sonography department with a history of cyclic pain, abdominal swelling, and amenorrhea. Sonographically, you visualize an enlarged uterus and a distended vagina that contains anechoic fluid with debris. What is the most likely diagnosis?

Hematocolpos

A simple fluid accumulation within the vagina secondary to the impreforate hymen is

Hydrocolpos

Which of the following is typically not a clinical complaint of women who are suffering from adenomyosis

amennorhea

The normal position of the uterus is:

anteverted

The superior portion of the cervix is the:

internal os

A patient presents to the sonography department for a pelvic sonogram with the history of adenomyosis that was diagnosed following an MRI of the pelvis. What are the most likely sonographic findings?

myometrial cysts with enlargement of the posterior uterine wall

leiomyosarcoma of the uterus denotes:

The malignant counterpart of a fibroid

The most superior and widest portion of the Uterus is the

fundus

The outer layer of the endometrium is the

basal layer

The largest part of the uterus is the

corpus

The recesses of the vagina are the:

fornices

Which of the following would be most indicative of a leiomyosarcoma

rapid growth

What leiomyoma location would have an increased risk to undergo torsion?

Pedunculated

psuedoprecocious puberty may be associated with all of the following except

Brain tumor

The layer of the endometrium that is significantly altered as a result of hormonal stimulation during the menstrual cycle is the

Functional layer

A 24 year old female patient presents to the sonography department for a pelvic sonogram with an indication of pelvic pain. Upon sonographic interrogation, the sonographer notes an anechoic mass within the vagina, this mass most likely represents a

Gartner duct cyst

What congenital malformation of the uterus is common and has a clear association with an increased risk for spontaneous abortion

Septate uterus

Which of the following would be considered the more common uterine anomaly

Septate uterus

Which of the following fibroid locations would most likely result in abnormal uterine bleeding because of its relationship to the endometrium

Submucosal

Upon sonographic evaluation of a patient complaining of abnormal distention, you visualize a large, hypoechoic mass distorting the anterior border of the uterus. What is the most likely location of this mass?

Subserosal

absence of menstruation

amenorrhea

The rigid region of the uterus located between the vagina and the isthmus is the

cervix

The location of a fibroid within the myometrium is termed:

intramural

The surgical removal of a fibroid is termed

myomectomy

Precocious puberty is defined as the development of pubic hair, breasts and the genitals before the age of

8

The uterine position in which the corpus tilts forward and comes into contact with the cervix describes

Antiflexion

congenital malformation of the uterus that results in complete duplication of the genital tract is:

uterus didelphys

The area of attachment of the fallopian tubes to the uterus is the

Cornua

Anechoic fluid noted distending the uterus and vagina within a pediatric patient is termed

Hydrometrocolpos

What section of the UTERUS is also referred to as the lower uterine segment

Isthmus

Abnormally heavy and prolonged menstrual flow between periods is termed

Menometrorrhagia

The paired embryonic ducts that develop into the female urogenital tract are the

Mullerian ducts

All of the following are clinical findings associated with leiomyoma except

Myometrial cysts

A 38-year-old female patient presents to the sonography department for a pelvic sonogram with an indication of pelvic pain. Upon sonography interrogation, the sonographer notes an anechoic mass within the cervix. The mass most likely represents a:

Nabothian cyst

difficult or painful intercourse is referred to as

dyspareunia

The inner mucosal lining of the uterus is the

endometrium

The inferior portion of the cervix closest to the vagina is the

external os

Leiomyomas that project from a stalk are termed:

pedunculated


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