OB Test 1

In a patient after a hysterectomy, the normal vaginal cuff should not exceed _________ cm

2

The best way to diagnose anomalies of the uterus is by

3D ultrasound

According to our book, the normal size of the endometrium in the secretory phase is between

7-14 mm

Pelvic muscles that may appear like an ovary on ultrasound include all EXCEPT: A) Transverse abdominus B) Levator Ani C) Obturator internus D) Iliopsoas

A) Transverse abdominus

Which statement is true about uterine arteriovenous malformations (AVM): A) Usually involves the myometrium B) Straight anechoic structures are seen within the pelvis C) Is avascular D) Can be managed with dilitation and curettage (D&C)

A) Usually involves the myometrium

A benign invasive growth of endometrial tissue into the myometrium is called an

Adenomyosis

Causes of amenorrhea may include all EXCEPT A) Cervical radiation stenosis B) Cervical polyps C) Imperforate hymen D) Yolk sac tumor

B) Cervical polyps

Which one of the following statements about diffuse endometriosis is false? A) It is the most common form of endometriosis B) It is easily diagnosed with ultrasound C) Endometriosis leads to disorganization of pelvic anatomy D) Early in the disease PID and endometriosis symptoms are similar

B) It is easily diagnosed with ultrasound

Ligaments that support the uterus include all EXCEPT A) Cardinal B) Suspensory C) Uterosacral D) Round

B) Suspensory

Which uterine anomaly represents a uterus that is bilobed with low incidence of infertility

Bicornuate

Which one of the following conditions is described as a hyperplastic protrusion of the epithelium of the cervix that may be broad based or pedunculated? A) Cervical carcinoma B) Cervical obstruction C) Cervical polyps D) Cervical stenosis

C) Cervical polyps

Which of the following is a tumor of endometrial ectopic tissue? A) Cystic teratoma B) Fibroma C) Endometrioma D) Yolk sac tumor

C) Endometrioma

Sonographic findings of adenomyosis include all EXCEPT A) Ill defined border between the endometrium and the myometrium B) Thickening of the posterior myometrium C) Grapelike clusters of cysts D) Myometrial cysts E) Enlarged uterus

C) Grapelike clusters of cysts

Pelvic inflammatory disease can lead to all EXCEPT A) Infertility B) Scar formation C) Leiomyoma development D) Tubo-ovarian abscess

C) Leiomyoma development

Layers of the uterus include all EXCEPT: A) Endometrium B) Myometrium C) Perineum D) Serosa

C) Perineum

Which of the following anomalous uterine configurations represents 20% of most uterine anomalies and is related to infertility and pregnancy loss A) Arcuate B) Didelphys C) Unicornuate D) Bicornuate E) Septate

C) Unicornuate

The only portion of the uterus that is firmly supported is called the

Cervix

The lateral borders of the uterine fundus, where the fallopian tubes enter the uterine cavity are called the:

Cornua

The most common ovarian neoplasm that is a germ cell tumor

Cystic teratoma

All are true of leiomyomas EXCEPT: A) Are m/c intramurally B) Benign tumor C) High incidence in African Americans D) Are progesterone dependent

D) Are progesterone dependent

All are true of endometrial measurement EXCEPT: A) In postmenopausal women, if < 5 mm, reliably excludes an abnormality B) Should be measured perpendicular to the long axis of the uterus C) Changes are related to phases of the menstrual cycle D) Includes fluid within the endometrial cavity

D) Includes fluid within the endometrial cavity

Endometrial hyperplasia is associated with all EXCEPT A) Endometrial cancer B) Endometrial polyps C) Unopposed estrogen D) Post menopausal atrophy E) Tamoxifen therapy

D) Post menopausal atrophy

Which one of the following arteries supplies blood that is shed during menses? A) Arcuate B) Vaginal C) Peripheral D) Spiral

D) Spiral

A specific diagnosis of a paraovarian cyst is possible only by

Demonstrating an ipsilateral ovary separate from the cyst

Complete duplication of the uterus, cervix, and vagina is called

Didelphys

A procedure to remove tissue from the uterus is called

Dilitation and curettage

Sonographic characteristics that are more likely to indicate ovarian malignancy are all EXCEPT A) Ascites B) Internal vascularity C) Solid mural nodules D) Thick septations E) Echogenic debris

E) Echogenic debris

The portion of the uterine cervix that is lined with squamous epithelium and is biopsied in a PAP smear is:

Ectocervix

A common clinical sign for germ cell tumors is

Elevated hCG levels

The most common gynecological malignancy in North America is _________ cancer

Endometrial

The most common cause of vaginal bleeding is

Endometrial hyperplasia

Saline infused sonohysterography is a valuable for further evaluation of the

Endometrium

Which type of ovarian tumor constitutes 80-90% of all ovarian malignancies?

Epithelial cell

Perihepatic inflammation associated with PID (pelvic inflammatory disease) is called

Fitz-Hugh Curtis Syndrome

The proliferative phase of the endometrial cycle corresponds to the ________ phase

Follicular

A follicle that fails to ovulate and is > or equal to 3 cm is called

Follicular cyst

An embryological remnant commonly found in the vagina

Gartner's duct cyst

The dominant follicle prior to ovulation is called the

Graafian follicle

Blood in the vagina is called

Hematocolops

Sonographic evidence for cervical stenosis can be observed as

Hematometracolpos

The sonographic findings of tubular, serpigenous anechoic structures within the adnexa are consistent with

Hydrosalpinx

Terminology that refers to a structure that produces low level echos in reference to surrounding structures in comparison of like structures on the contralateral side is called

Hypoechoic

An imaginary line dividing the true and false pelvis that extends from the pubic symphysis to the sacral promonitory is called

Ileopectineal

The most common congenital anomaly of the female genital tract is a(n)

Imperforate hymen

The cervix communicates with the uterine cavity with the

Internal os

The most proximal part of the fallopian tube is the

Interstitium

Most common benign gynecological tumor in women during their reproductive years is

Leiomyoma

The most common cause of uterine calcifications is

Leiomyomas

The "physiologic" occurrence of fluid in the posterior cul de sac commonly peaks in which phase?

Luteal

Hormone secreted by the anterior pituitary gland that stimulates ovulation and induces the ruptured follicle to form the corpus luteum is the _________ hormone

Luteinizing

Acyclic, irregular bleeding refers to the term

Metrorrhagia

Polyps have a tendency to cause

Metrorrhagia

Pain at the time of ovulation is termed

Mittleschmerz

An infection in the broad ligament and the serosa is called

Parametritis

Leiomyomas that project from a stalk into the adnexa are termed

Pedunculated

The external area including the anus and the vaginal orfices, between the pubis symphisis and the coccyx are called

Perineum

Abnormally shortened cycle that last < 21 days is called

Polymenorrhea

The area in the pelvis where free fluid will accumulate after ovulation, with rupture of an ectopic or with trauma

Pouch of Douglas

The ligament that serves to hold the uterus in an anteverted position is called

Round

The method that describes details about cancer, such as how large the tumor is, how many tumors there are and if it has spread is called

Staging

Which type of leiomyoma deforms the endometrial cavity and causes metrorrhea?

Submucosal

Paired ligaments that extend from the superior and/or lateral pole of the ovary to the pelvic sidewalls and infundibulum are the _________ ligaments

Suspensory

A tumor that contains fatty sebaceous material, hair, cartilage, bone and teeth is called

Teratoma

Gestational trophoblastic disease may cause multiple large follicles to the ovary called

Theca-lutein cysts

The layer of the endometrium that is NOT sloughed with each menstruation

Zona Basalis

All are true about uterine synechie EXCEPT: a.)Is associated with endometrial cancer b.)Are adhesions c.)Also called Ashermans syndrome d.)Found in woman with post traumatic or post surgical histories

a.)Is associated with endometrial cancer

An enlarged uterus may be a consequence of all EXCEPT a.)Leiomyomas b.)Adneomyosis c.)Menopause d.)Pregnancy e.)Endometrial hyperplasia

c.)Menopause

The uterus is supported by all of the following structures EXCEPT: a.)Levator ani muscles b.)Round ligament c.)Psoas muscle d.)Cardinal ligaments

c.)Psoas muscle