chapter 17 questions Uterus and Vagina
precocious puberty is defined as the development of pubic hair, breasts, and the genitals before the age of:
8
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
the invasion of endometrial tissue into the myometrium of the uterus is referred to as:
adenomyosis
which of the following is typically not a clinical complaint of women who are suffering from adenomyosis?
amenorrhea
The uterine position in which the corpus tilts forward and comes in contact with the cervix describes:
anteflexion
all of the following are sonographic findings consistent with adenomyosis except:
complex adnexal mass
A simple fluid accumulation within the vagina secondary to an imperforate hymen is:
hydrocolpos
Anechoic fluid noted distending the uterus and cervix within a pediatric patient is termed
hydrometrocolpos
which of the following would be most indicative of a leiomyosacroma?
rapid growth
pseudoprecocious puberty may be associated with all of the following except:
brain tumor
The location of a fibroid within the myometrium is termed:
intramural
the outer layer of the endometrium is the:
basal layer
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
The recesses of the vagina are the:
fornices
the superior portion of the cervix is the:
internal os
what section of the uterine 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
the surgical removal of a fibroid is termed:
myomectomy
all of the following are clinical findings associated with leiomyoma except:
myometrial cysts
the inferior portion of the cervix closest to the vagina is the:
external os
which of the following would be considered the more common uterine anomaly?
septate uterus
the largest part of the uterus is the:
corpus
leiomyomas that project from a stalk are termed:
pedunculated
leiomyosarcoma of the uterus denotes:
The malignant counterpart of a fibroid
Normal position of the uterus is:
anteverted
The area of attachment of the fallopian tubes within the uterus is the
cornua
the inner mucosal lining of the uterus is the:
endometrium
the layer of the endometrium that is significantly altered as a result of hormonal stimulation during the menstrual cycle is the:
functional layer
The most Superior and widest portion of the uterus
fundus
absence of a menstruation is referred to as:
amenorrhea
difficult or painful intercourse is referred to as:
dyspareunia
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 patient presents to the sonography department for a pelvic sonogram with a 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
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. This mass most likely represents a:
nabothian cyst
what leiomyoma location would have an increased risk to undergo torsion?
pedunculated
what congenital malformation of the uterus is common and has a clear association with an increased risk for spontaneous abortion?
septate uterus
congential malformation of the uterus that results in complete duplication of the genital tract is:
uterus didelphys
the rigid region of the uterus located between the vagina and the isthmus is the:
cervix
