Penny Review : Ovaries and Fallopian Tubes

The longest and most tortuous segment of the fallopian tube: a) frimbria b) ampulla c) isthmus d) interstitial

ampulla

The segment of the fallopian tube where fertilization occurs typically is the : a) cornu b) fimbria c) interstitial d) ampulla

ampulla

Which of the following sono finds would not increase the likelihood of an ovarian malignancy? a) septation measuring > 3 mm in thickness b) irregular borders c) solid wall nodule d) anechoic components with acoustic enhancement

anechoic components with acoustic enhancement

Hairlike projections within the the fallopian tube are called: a) fimbria b) interstitial c) cilia d) peristalsis

cilia

The most common benign ovarian tumor is the: a) cystic teratoma b) mucinous cystadenoma c) fibroma d) sertoli-leydig cell tumor

cystic teratoma

The ovarian mass that contains fat, sebum, and teeth? a) dermoid b) fibroma c) mucinous cystadenoma d) yolk sac tumor

dermoid

The ovarian tumor associated with an elevated serum lactate dehydrogenase is the : a) dysgerminoma b) sertoli leydig tumor c) androblastoma d) ucinous cystadenocarcinoma

dysgerminoma

Sonographically which of the following would most likely be confused for a pedunculated fibroid tumor because of its solid appearing structure? a) serous cystadenoma b) mucinous cystadenoma c) fibroma d) theca lutein cyst

fibroma

With what ovarian tumor is Meigs syndrome most likely associated? a) dysgerminoma b) cystic teratoma c) fibroma d) yolk sac tumor

fibroma

The fingerlike extensions of the fallopian tube are called: a) fimbria b) infundibulum c) cilia d) ampulla

fimbria

The dominant follicle prior to ovulation is termed the: a) graafian follicle b) corpus albicans c) corpus luteum d) medulla

graafian follicle

Blood within the fallopian tube is termed: a) hydrosalpinx b) hematosalpinx c) pyosalpinx d) hemosalpinx

hematosalpinx

Normal ovarian flow is said to be : a) low resistant during the 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

high resistant during menstruation and low resistant at the time of ovulation

The most distal part of the fallopian tube is the : a) cornu b) ampulla c) interstitial d) infundibulum

infundibulum

The short and narrow segment of the fallopian tube distal to the interstitial segment is the: a) ampulla b) fimbria c) infundibulum d) isthmus

isthmus

The malignant ovarian tumor with gastrointestinal origin is the: a) brenner tumor b) krukenburg tumor c) yolk sac tumor d) granulosa cell tumor

krukenburg tumor

What ovarian tumor will most likely ave a moth eaten appearance on sono? a) cystic teratoma b) serous cystadenocarcinoma c) krukenburg tumor d) sertoli leydig tumor

krukenburg tumor

Which of the following is the correct formula for evaluating ovarian volume?

length X width X height X 0.5233

An endometrioma most likely appears as a : a) simple, anechoic mass with through transmission b) complex mass with internal shadowing components c) mostly cystic mass with low level echoes d) solid, hyperechoic shadowing mass

mostly cystic mass with low level echoes

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

mucinouc cystadenocarcinoma

A 24 YOF presents with severe rlq pain, nausea, vomiting,. The us shows an enlarged ovary with no doppler signal. What is this most likely to be? a) ovarian cystadenocarcinoma b) cystic teratoma c) ovarian torsion d) endometriosis

ovarian torsion

Which of the following is associated with the whirlpool sign? a) ovarian torsion b) hydrosalpinx c) ovarian hyperstimulation syndrome d) ovarian carcinoma

ovarian torsion

During the pelvic US you visualize a small cyst located adjacent to the ovary. What is the most likely etiology of this cyst? a) dermoid cyst b) ovarian cystadenoma c) endometrioma d) paraovarian cyst

paraovarian cyst

Pus within the fallopian tube is termed: a) hematosalpinx b) pyosalpinx c) hydrosalpinx d) hemosalpinx

pyosalpinx

What substance does hysterosalpingography utilize for visualization of the uterine cavity and fallopian tubes ? a) saline b) radiographic contrast c) water d) betadine

saline

A 55 YOF presents with pelvic pressure, abd swelling, and abnormal bleeding. Us reveals a large multiloculated cystic mass with papillary projections. What is the most likely diagnosis? a) serous cystadenocarcinoma b) cystic teratoma c) anroblastoma d) dysgerminoma

serous cystadenocarcinoma

Which of the following is the most common malignancy of the ovary ? a) cystic teratoma b) serous cystadeoncarcinoma c) krukenburg tumor d) sertoli leydig tumor

serous cystadenocarcinoma

What ovarian mass is associated with virilization? a) krukenburg tumor b) cystic teratoma c) serous cystadenoma d) sertoli leydig tumor

sertoli leydig tumor

Which of the following is an estrogen producing ovarian tumor? a) cystic teratoma b) fibroma c) thecoma d) endometrioma

thecoma

After the graffian follicle ruptures the remaining structure is termed the a) graafian remnant b) corpus albicans c) corpus luteum d) theca lutein cyst

corpus luteum

What would be a predisposing condition that would increase the risk for suffering from ovarian torsion? a) hirtutism b) excessive exercise c) ovarian mass d) sonohisterography

ovarian mass

All of the following adenxal masses may appear sonographically similar to a uterine leiomyoma except: a) thecoma b) paraovarian cyst c) fibroma d) granulosa cell tumor

paraovarian cyst

A patient with an ovarian mass presents with elevated ms-afp. Which would be most likely? a) ovarian fibroma b) ovarian thecoma c) dermoid cyst d) yolk sac tumor

yolk sac tumor

Which of the following is also referred to as a chocolate cyst ? a) endometrioma b) endometroid c) cystic teratoma d) androblastoma

endometrioma

The cystic mass commonly noted with a pregnancy is the: a) corpus luteum b) dermoid cyst c) dysgerminoma d) serous cystadenoma

corpus luteum

Which of the following is a tumor of ectopic endometrial tissue ? a) brenner tumor b) cystic teratoma c) yolk sac tumor d) endometrioma

endometrioma

The inner wall layer of the fallopian tube is the : a) muscular layer b) mucosal layer c) myometrial layer d) serosal layer

mucosal layer

The ovarian cyst associated with gestational trophoblastic disease is the: a) corpus luteum cyst b) theca lutein cyst c) dermoid cyst d) paraovarian cyst

theca lutein cyst

The ovarian cysts that are most often bilateral and are associated with markedly elevated levels of HCG are the: a) corpus luteum cyst b) paraovarian cysts c) granulosa cell cyst d) theca lutein cyst

theca lutein cyst

The sonographic appearance of an ovarian dermoid tumor in which only the anterior elements of the mass can be seen, while the greater part of the mass is obscured by shadowing is consistent with: a) whirlpool sign b) tip of the iceburg c) dermoid mesh sign d) dermoid plug sign

tip of the iceburg